Culture

Abortion bans could reverse decline in teen births, experts warn


Nada Hassanein | (TNS) Stateline.org

Houston OB-GYN Dr. Hillary Boswell says she has seen how abortion bans affect teenage girls: More of them are carrying their pregnancies to term.

“These are vulnerable girls, and it’s just heartbreaking to see the number of pregnant 13-year-olds I’ve had to take care of,” Boswell said, referring to the change since Texas prohibited abortions after six weeks in September 2021. In June 2022, after the U.S. Supreme Court overturned Roe v. Wade, Texas enacted a total abortion ban.

“They would come in, and they would be very distressed,” said Boswell, who spent the past decade treating underserved women and girls at community health clinics. Not being able to help them get an abortion when they wanted one, she said, “was so hard — and so against everything that I trained for.”

In the year after Texas began implementing its six-week abortion ban, teen fertility rates in the state rose for the first time in 15 years, according to a study released earlier this year by the University of Houston.

Overall, the increase in teen fertility in Texas was slight: only 0.39%. But the University of Houston researchers said the change was significant, because it reversed a 15-year trend and because the national teen fertility rate declined during the same period. They also noted that the increases were larger for Hispanic teens (1.2%) and Black teens (0.5%), while the rate for white teens declined by 0.5%.

So far, the Texas data is the first evidence that abortion bans might lead to an increase in teen births. But as abortion restrictions have spread post-Roe — 13 states now have total bans — some providers and other experts predict that other states will see increases. If so, the nation’s nearly 30-year trend of declining teen births could be in jeopardy.

Boswell and other providers note that teens are having a harder time accessing contraception and abortions — and they fear the incoming Trump administration could make it even more challenging for teens, whose pregnancies are riskier and who disproportionately sought abortions before the Supreme Court overturned Roe.

“In a lot of ways, Texas is sort of a microcosm of what we’re going to see in other parts of the country,” said Dr. Bianca Allison, a pediatrician and assistant professor at the University of North Carolina School of Medicine. “Historically, it has always felt like young people — those who are minors but of reproductive potential — are left out of the conversation of reproductive autonomy and rights.”

Access to pills

People seeking abortions have been relying on the broader availability of telehealth for medication abortions, which now account for nearly two-thirds of all abortions. The number of abortions in the U.S. has increased since the fall of Roe, largely because more people are using the easier-to-access method, according to the Society of Family Planning.

But the Trump administration could make it harder to procure the pills by reversing a current U.S. Food and Drug Administration policy that allows them to be sent through the …read more

Source:: The Mercury News – Entertainment

      

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