Florio recovered. Today, she is back for her triathlete workouts and her 8-year-old son is healthy. But her heart still beats sometimes – something it had not done before, and a warning of heart problems she might get in her future. “The heart never really returns to normal,” she says. She decided not to have another child because of the increased risks she would face.
Her state, Missouri, has a trigger law that goes into effect if Roe is turned down, ban on all abortions “except in case of medical emergency.” Legally, it would be up to the doctor or healthcare provider to prove that a person is facing an emergency. Twelve other states have trigger laws that will prohibit or restrict access to abortion, and five have pre-Roe ban that would take effect if Roe is overturned. Some remove the consideration maternal healthand certain “no exception“Prohibition forces women to continue pregnancy after rape or incest, or to block abortions even in the event of an abortion.
In states with strict anti-abortion laws, delayed care can create a new type of pregnancy risk. An analysis by researchers at Washington University in St. Louis found that states with the most restrictive abortion laws from 2009 to 2017 had higher maternal mortality rates. The study was not designed to identify one cause, but the authors wondered about possible causes: Less restrictive states may offer more resources to support women’s health. Or in more restrictive states, people with high-risk pregnancies that they cannot quit may be more likely to die from complications.
Even before the draft U.S. Supreme Court ruling, it would empty Roe became public, medical experts have sounded the alarm about an increase in cardiovascular complications. Pregnancy is often called “nature’s stress test”Because the physical strain can reveal heart-related conditions that have long-term consequences. In 2021, en Lancet commission on women and cardiovascular disease pointed to many recognized risks, including peripartum cardiomyopathy, a form of heart failure that occurs late in pregnancy or after childbirth. The American Heart Association has used its “Go Red for women“campaign to publicize that” heart disease is the No. 1 killer of new mothers. “
Stroke can come suddenly and unpredictably. Some people have rising blood pressure after giving birth, creating a quiet danger at a time when women are less likely to follow up on their medical treatment. (And they may have lost insurance; 12 states has not taken any action to extend Medicaid to cover the postpartum year, despite federal incentives.)
Affects approx 45 pr. 100,000 pregnant or postpartum women, strokes are not common – but they are not uncommon either. About half of the cases result in permanent impairment. “It can be devastating,” said Louise D. McCullough, a stroke expert and head of neurology at Memorial Hermann Hospital in Houston. “These are young women. If they are disabled or die, it has a huge impact on the family. ”
A recent case echoes McCullough: A 26-year-old woman with an uneventful first pregnancy developed a severe headache a few weeks after giving birth. When she arrived at the hospital, she had a massive cerebral hemorrhage from a blood clot known as cerebral venous thrombosis. Blood clot treatment saved her life temporarily, but she died of complications a few months later. Monitoring blood pressure, even after giving birth, and acting quickly when a problem arises can make a life-changing difference, McCullough says. “It’s important to recognize that pregnancy can be a dangerous time for women,” she says.
Why does pregnancy so often trigger serious health problems? To gain some insight into cardiovascular effects, nuMoM2b study follows about 4,500 mothers for years after their pregnancies. Carried out at eight medical centers around the United States and funded by the National Institutes of Health, the study focuses on the relationship between “adverse pregnancy outcomes,” such as high blood pressure or premature birth, and the mother’s future cardiovascular health. (The concept is similar to the famous Framingham Heart Studywhich has been running since 1948 and led to new understandings of cardiovascular risks.) So far, researchers have found key markers in the first trimester, which can be predictive – higher triglycerides, highly sensitive C-reactive protein and blood sugar were associated with hypertension two to seven years after birth.