Academic Journal
Increase in 9-1-1 activations for obstetric-related emergencies following the Dobbs decision in the United States.
| Τίτλος: | Increase in 9-1-1 activations for obstetric-related emergencies following the Dobbs decision in the United States. |
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| Συγγραφείς: | Powell JR; Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, OH, United States.; Clinical & Research Services, ImageTrend, LLC., Eagan, MN, United States., Gallo MF; Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, United States., Chakraborty P; Department of Population Medicine, Harvard Pilgrim Health Care Institute, Boston, MA, United States.; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, United States., Reynolds CA; Department of Population Medicine, Harvard Pilgrim Health Care Institute, Boston, MA, United States.; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, United States., Anderson M; Clinical & Research Services, ImageTrend, LLC., Eagan, MN, United States.; Celia Scott Weatherhead School of Public Health & Tropical Medicine, Tulane University, New Orleans, LA, United States., Singh P; Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, OH, United States. |
| Πηγή: | American journal of epidemiology [Am J Epidemiol] 2025 Oct 07; Vol. 194 (10), pp. 2968-2976. |
| Τύπος έκδοσης: | Journal Article; Research Support, N.I.H., Extramural |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Oxford University Press Country of Publication: United States NLM ID: 7910653 Publication Model: Print Cited Medium: Internet ISSN: 1476-6256 (Electronic) Linking ISSN: 00029262 NLM ISO Abbreviation: Am J Epidemiol Subsets: MEDLINE |
| Imprint Name(s): | Publication: Cary, NC : Oxford University Press Original Publication: Baltimore, School of Hygiene and Public Health of Johns Hopkins Univ. |
| Ιατρικοί όροι (MeSH): | Emergency Medical Services*/statistics & numerical data , Obstetrics*/statistics & numerical data , Pregnancy Complications*/epidemiology , Legislation, Medical*, United States/epidemiology ; Legislation as Topic ; Humans ; Female ; Adolescent ; Young Adult ; Adult ; Middle Aged |
| Περίληψη: | The US Supreme Court's Dobbs v. Jackson Women's Health Organization decision in June 2022 may have preceded a surge in 9-1-1 activations for obstetric-related conditions. We used time-series analysis to examine whether the Dobbs decision corresponded with a proximate increase in obstetric-related 9-1-1 activations among reproductive-aged (15-49 years) female patients using national, monthly data from January 2018 to December 2023. Monthly national counts of obstetric-related emergent 9-1-1 activations with patient contact from January 2018 to December 2023 were retrieved from the National Emergency Medical Services Information System (NEMSIS) dataset. Monthly series of nonobstetric 9-1-1 activations among reproductive-aged female patients and all other 9-1-1 activations served as controls. Analysis was also stratified by 3 state-groups per restrictiveness of state abortion policies (protective, mixed, and restrictive) within the first 3 months post-Dobbs. A binary indicator of June 2022 with 0- to 3-month lags served as the exposure. Results from time-series analysis showed 913 additional 9-1-1 activations for obstetric-related conditions 1 month following the Dobbs decision. States with protective abortion policies accounted for about 50% of the national increase. Findings indicate an immediate surge in obstetric-related 9-1-1 activations following the Dobbs ruling, primarily in states with protective abortion policies. (© The Author(s) 2025. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site-for further information please contact journals.permissions@oup.com.) |
| Grant Information: | K99 HD114852 United States HD NICHD NIH HHS; R00 HD114852 United States HD NICHD NIH HHS; K99HD114852 United States NH NIH HHS |
| Contributed Indexing: | Keywords: Dobbs; 9-1-1 activations; abortion restriction; obstetric emergencies; time-series analysis |
| Entry Date(s): | Date Created: 20250613 Date Completed: 20251113 Latest Revision: 20260726 |
| Update Code: | 20260726 |
| PubMed Central ID: | PMC12527235 |
| DOI: | 10.1093/aje/kwaf123 |
| PMID: | 40512628 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1476-6256 |
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| DOI: | 10.1093/aje/kwaf123 |