Despite Supreme Court decision on abortion, pregnancy is risky and adoption is not a replacement for it

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Dr. Jenni Villavicencio — a board certified OB/GYN and the lead for equity transformation at the American College of Obstetricians and Gynecologists — discusses the U.S. Supreme Court's decision to overturn the constitutional right to an abortion and what that means from a medical perspective when…

, a private foundation funding research and grants around health care issues and policy. Maternal deaths have been increasing here since 2000, with two-thirds of those deaths reported as preventable, and this is partly attributable to low numbers of midwives and obstetricians/gynecologists, access to postpartum care, an absence of guaranteed paid parental leave, and systemic racism.

“We have been working to understand the Supreme Court ruling and its impact on every single state across the country. We know that this has created, and will continue to create, immense confusion and issues with patients being able to get the best care for them,” said Dr.

We often hear adoption being offered up as a potential alternative to abortion. As someone who takes care of pregnant people — I deliver babies, I do prenatal care, and I also perform abortion care — what I understand is that adoption is not an alternative to abortion, it is an alternative to parenting. In order to place an infant or a newborn up for adoption, you have to go through what, for many people, is life-threatening pregnancy.

In terms of some of the specific conditions that come up, we know that because of racism and other social determinants of health, that people of color and people who are poor and living in rural or remote areas, are more likely to have chronic health conditions, which then can be exacerbated by pregnancy. Pregnancy is natural, but it’s also a health condition, which means that it has the potential to have serious complications for almost every single organ in the body.

There was a moment in my training that I realized that all of the values that I’d learned — values of justice and dedication to family and motherhood, medicine and science, independence — that I still deeply held from my childhood, were much better exercised by taking people as they come. By saying, “How is it that I can help you today because I trust you to make the best decision for you and your family.

 

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