新的和更新的限制性州堕胎法对有怀孕能力的糖尿病患者的影响。

IF 5.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Current Diabetes Reports Pub Date : 2023-08-01 Epub Date: 2023-05-22 DOI:10.1007/s11892-023-01512-4
Ajleeta Sangtani, Lauren Owens, David T Broome, Preethi Gogineni, William H Herman, Lisa H Harris, Lauren Oshman
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引用次数: 0

摘要

审查目的:2022 年 6 月,最高法院对 "多布斯诉杰克逊妇女健康组织 "一案做出裁决,宪法规定的堕胎权不再受 "罗伊诉韦德 "案的保护。现在有 15 个州完全或几乎完全禁止堕胎护理,或没有诊所提供堕胎服务。我们回顾了这些限制对妊娠糖尿病患者医疗护理的影响:在成年女性糖尿病患者比例最高的 10 个州中,有 8 个州目前完全禁止或禁止 6 周内堕胎。糖尿病患者罹患与糖尿病相关的妊娠并发症和与妊娠相关的糖尿病并发症的风险很高,堕胎禁令给他们带来的负担格外沉重。人工流产是全面、循证糖尿病护理的重要组成部分,但目前还没有任何医学协会发布妊娠糖尿病指南,明确讨论安全人工流产护理的重要性和作用。制定糖尿病护理标准的医学协会和提供糖尿病护理的临床医生必须倡导堕胎,以降低糖尿病孕妇与妊娠相关的发病率和死亡率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Impact of New and Renewed Restrictive State Abortion Laws on Pregnancy-Capable People with Diabetes.

Purpose of review: When the Supreme Court handed down its decision in Dobbs v Jackson Women's Health Organization in June 2022, the constitutional right to abortion was no longer protected by Roe v Wade. Fifteen states now have total or near-total bans on abortion care or no clinics providing abortion services. We review how these restrictions affect the medical care of people with pregestational diabetes.

Recent findings: Of the ten states with the highest percent of adult women living with diabetes, eight currently have complete or 6-week abortion bans. People with diabetes are at high risk of diabetes-related pregnancy complications and pregnancy-related diabetes complications and are disproportionately burdened by abortion bans. Abortion is an essential part of comprehensive, evidence-based diabetes care, yet no medical society has published guidelines on pregestational diabetes that explicitly discuss the importance and role of safe abortion care. Medical societies enacting standards for diabetes care and clinicians providing diabetes care must advocate for access to abortion to reduce pregnancy-related morbidity and mortality for pregnant people with diabetes.

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来源期刊
CiteScore
9.80
自引率
0.00%
发文量
52
审稿时长
6-12 weeks
期刊介绍: The goal of this journal is to publish cutting-edge reviews on subjects pertinent to all aspects of diabetes epidemiology, pathophysiology, and management. We aim to provide incisive, insightful, and balanced contributions from leading experts in each relevant domain that will be of immediate interest to a wide readership of clinicians, basic scientists, and translational investigators. We accomplish this aim by appointing major authorities to serve as Section Editors in key subject areas across the discipline. Section Editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year on their topics, in a crisp and readable format. We also provide commentaries from well-known figures in the field, and an Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.
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