Date of Award

Spring 4-24-2025

Embargo Period

4-27-2025

Document Type

Dissertation

Degree Name

Doctor of Health Administration

Department

Health Administration

College

College of Health Professions

First Advisor

Kit N. Simpson

Second Advisor

Jami Jones

Third Advisor

Jillian Harvey

Abstract

The paper examines abortion care and the management of miscarriages following the Roe v. Wade decision in restrictive states that do not allow medical intervention due to the vague legal terms. This research evaluates the need to establish protocols for providers when faced with nonviable pregnancies requiring medical intervention. Additionally, the paper highlights the impact across the US on women’s health outcomes by emphasizing the care for miscarriage management. This multi-method paper reviews the current literature on miscarriage management and spontaneous abortion MarketScan® data from commercially insured individuals with an age range of 18-50 years old by regions across the United States for the years of 2018, 2019 and 2022 that was analyzed to study miscarriage data and the variation in rates of abortion care and miscarriage management care. Overall, 31% of commercially insured individuals across the US had the procedure. Women aged 35-44 are statistically more likely to undergo a procedure compared to their younger or older counterparts, and rural women were more likely to have a surgical procedure for miscarriage management. Patients who live in states with restrictive abortion bans, including miscarriage management care, have worsening reproductive health outcomes.

Rights

Copyright is held by the author. All rights reserved.

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