ArticleAmerican journal of epidemiology2025
Increase in 9-1-1 activations for obstetric-related emergencies following the Dobbs decision in the United States.
Article in American journal of epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
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.
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