美国产科胎儿医学学会发布新声明指出，堕胎禁令正在阻碍医学的标准护理和循证医学实践1。该学会主席贾斯汀·拉彭表示，"在某些方面，产科胎儿医学的实践与家庭计划和堕胎护理是分不开的"1。当前约41个州在妊娠某个阶段禁止堕胎，导致患者难以获得必要的医疗护理1。
凯特·丁宁的经历反映了这一困境。当她的胎儿被诊断出宫内中风时，因马萨诸塞州在妊娠24周后禁止堕胎，除特定情况外，她被迫前往华盛顿特区接受护理1。虽然马萨诸塞州立法者在2022年后扩大了堕胎例外范围以包括"严重胎儿诊断"，但仅有例外条款的禁令通常仍无法有效保障患者获得医疗必要护理1。医学专家呼吁卫生系统在州法律允许的范围内最大化堕胎护理访问1。此外，ProPublica的分析发现异位妊娠死亡人数在2020年至2025年间几乎翻了一倍1。
The American College of Obstetricians and Gynecologists has released a statement asserting that abortion restrictions are hampering standard medical care and evidence-based practice across the United States.1 Approximately 41 states have enacted bans on abortion at various stages of pregnancy, limiting patients' access to necessary medical treatment.1 The organization's leadership emphasized the interconnection between reproductive medicine and abortion care, with the college's chair stating that "in certain respects, the practice of maternal-fetal medicine is inseparable from family planning and abortion care."1
The restrictions have had documented consequences for patient outcomes. Analysis by ProPublica found that deaths from ectopic pregnancy nearly doubled between 2020 and 2025.1 The case of Kate Dinning illustrates the practical impact of these bans: after her unborn child suffered an in-utero stroke, she was unable to obtain an abortion in Massachusetts, where the state prohibited the procedure after 24 weeks of pregnancy except in specific circumstances, forcing her to travel to Maryland for care.1 Massachusetts subsequently removed its 24-week ban and expanded exceptions to include "severe fetal diagnosis," allowing patients access to standard reproductive care at any stage of pregnancy.1
Medical experts are urging health systems to maximize access to abortion care within the bounds of state law, while noting that bans containing narrow exceptions often still prevent patients from receiving medically necessary treatment.1
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