{
    "abstract": "To measure the association between restricted abortion access and maternal and infant health by maternal nativity (whether they were born in the US).\nObservational population-based retrospective cohort study.\nUnited States.\nAll births (N\u2009=\u200933\u2009663\u2009837) in the United States from 2011 to 2019.\nWe use Centers for Disease Control and Prevention (CDC) Period Linked Birth/Infant Deaths datafiles, with a dataset of state-level abortion restrictions (Targeted Restrictions on Abortion Providers (TRAP) laws) to estimate the association between restricted abortion access and maternal and infant health by maternal nativity. We examine restricted abortion access and maternal nativity in a triple-differences framework.\nThe primary outcome we examine is maternal morbidity (defined by the CDC as any delivery involving third- or fourth- degree perineal laceration, ruptured uterus, unplanned hysterectomy, or maternal admission to intensive care). We also explore several secondary factors associated with maternal and infant health (birth interval, birth weight, receiving care in the first trimester, and gestational age at birth).\nWhile we find no impact of TRAP laws on non-immigrants, foreign-born individuals in states with TRAP laws have 15% higher odds of maternal morbidity (aOR\u2009=\u20091.15; CI\u2009=\u20091.00-1.31) compared to US-born individuals in states without TRAP laws.\nAnti-abortion legislation can worsen existing inequalities in maternal and infant health. These findings underscore the urgent need for policies that ensure equitable access to reproductive healthcare for immigrant populations.",
    "authors": [
        {
            "affiliation": "Department of Economics, Bentley University, Waltham, Massachusetts, USA.",
            "firstname": "Savannah",
            "initials": "S",
            "lastname": "Adkins"
        },
        {
            "affiliation": "Center for Healthcare Delivery Science, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.",
            "firstname": "Noa",
            "initials": "N",
            "lastname": "Talmor"
        },
        {
            "affiliation": "Center for Healthcare Delivery Science, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.",
            "firstname": "Tenzin",
            "initials": "T",
            "lastname": "Dechen"
        },
        {
            "affiliation": "Center for Healthcare Delivery Science, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.\nDepartment of Medicine, University of Chicago, Chicago, Illinois, USA.",
            "firstname": "Molly H",
            "initials": "MH",
            "lastname": "White"
        },
        {
            "affiliation": "Center for Healthcare Delivery Science, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.",
            "firstname": "Annika",
            "initials": "A",
            "lastname": "Singh"
        },
        {
            "affiliation": "Center for Healthcare Delivery Science, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.\nHarvard Medical School, Boston, Massachusetts, USA.\nDepartment of Obstetrics & Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.",
            "firstname": "Rose L",
            "initials": "RL",
            "lastname": "Molina"
        },
        {
            "affiliation": "Center for Healthcare Delivery Science, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.\nHarvard Medical School, Boston, Massachusetts, USA.\nDepartment of Obstetrics & Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.",
            "firstname": "Chloe A",
            "initials": "CA",
            "lastname": "Zera"
        },
        {
            "affiliation": "Center for Healthcare Delivery Science, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.\nHarvard Medical School, Boston, Massachusetts, USA.\nDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.",
            "firstname": "Jennifer P",
            "initials": "JP",
            "lastname": "Stevens"
        },
        {
            "affiliation": "Center for Healthcare Delivery Science, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.\nHarvard Medical School, Boston, Massachusetts, USA.",
            "firstname": "Ashley L",
            "initials": "AL",
            "lastname": "O'Donoghue"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 2025 John Wiley & Sons Ltd.",
    "doi": "10.1111/1471-0528.18164",
    "journal": "BJOG : an international journal of obstetrics and gynaecology",
    "keywords": [
        "TRAP Laws",
        "abortion restriction",
        "immigration",
        "maternal and infant health",
        "maternal morbidity"
    ],
    "methods": null,
    "publication_date": "2025-04-10",
    "pubmed_id": "40207541",
    "results": "While we find no impact of TRAP laws on non-immigrants, foreign-born individuals in states with TRAP laws have 15% higher odds of maternal morbidity (aOR\u2009=\u20091.15; CI\u2009=\u20091.00-1.31) compared to US-born individuals in states without TRAP laws.",
    "title": "Association of Restricted Abortion Access With Maternal and Infant Health by Maternal Nativity: A Difference-In-Differences Analysis.",
    "xml": "<Element 'PubmedArticle' at 0x788505d00d60>"
}