National and State specific estimates based upon previously published statistics for maternal mortality are detailed in this study.
• The authors estimate that if none of the 2020 U.S. abortions occurred the result would be 24% more U.S. maternal deaths overall and 39% more U.S.                     maternal deaths among non-Hispanic Black individuals. (p.3)
• For state specific estimates see chart (p. 15)
Stevenson, Amanda J., et al. The Maternal Mortality Consequences of Losing Abortion
Access. University of Colorado Boulder, SocArXiv, 29 June 2022, available at:

Report: Care post-Roe (June 2022-March 2023). Qualitative Study (preliminary findings) documents cases of poor-quality care after Dobbs Study involved submissions from 50 health care providers describing detailed cases of care that deviated from the usual standard in one of fourteen states banning abortions. The reported cases detail harm to patients including increased morbidity, aggravated pregnancy complications, inability to provide time sensitive care, and more delays to receiving care. The existing disparities in healthcare for people of color has deepened.

The Study documents a wide range of harm Cases fall into following categories (p.4);

i. Obstetric complications in second trimester prior to fetal viability, including preterm labor rupture of membranes, hemorrhage, cervical dilation,                      and hypertension
ii. Ectopic pregnancy
iii. Underlying medication conditions that made continuing a pregnancy dangerous
iv. Severe fetal anomalies
v. Early miscarriage
vi. Extreme delays in obtaining abortion care; and
vii. Delays obtaining medical care unrelated to abortion

Care Post-Roe: Documenting cases of poor-quality care since the Dobbs decision, Grossman D., Joffe C., Kaller S., Kimport K., Kinsey E., Lerma K., Morris N, White K, Advancing New Standards in Reproductive Health (ANSIRH), University of California, San Francisco, May 2023, available at:

  • Nationally, in states where abortion is banned, four in ten (40%) OBGYNs report they have personally felt constraints on their ability to provide care for miscarriages and other pregnancy-related medical emergencies (p.3)
  • 36% of OBGYNs nationally and 55% practicing in states where abortion is banned (or 47% practicing is states where there are gestational limits) report their ability to practice within the standard of care has become worse (p.12-13)
  • Four in ten OBGYNs nationally (44%) and six in ten practicing in states where abortion is banned or where there are gestational limits, report their decision-making autonomy has become worse since the Dobbs ruling (p.3)
  • 68% of OBGYNs report the ruling has worsened their ability to manage pregnancy-related emergencies (p.3)
    • 64% believe the Dobbs decision has worsened pregnancy-related mortality,
    • 70% believe the decision has worsened racial and ethnic inequities in maternal health
    • 55% believe the decision has worsened the ability to attract new OBGYNs to the field

A National Survey of OBGYNs’ Experiences After Dobbs, KFF, Frederiksen, Brittni et al., June 2023, available at:

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