The End of Roe Is Having a Chilling Effect on Pregnancy

Polling conducted in August by All In Together, in partnership with polling firm Echelon Insights found that 34 percent of women aged 18-39 said they or someone they know personally has “decided not to get pregnant due to concerns about managing pregnancy-related medical emergencies.” Put another way, poor or unavailable maternal health care post-Dobbs is leading people to alter some of their most important life choices.

For young people, the maternal healthcare crisis is deeply personal. More than a third of young people and 22 percent of young women say they have personally dealt with or know someone who has “faced constraints when trying to manage a pregnancy-related emergency.” And 23 percent of 18- to 39-year-old women say they have themselves or know someone else who has been unable to obtain an abortion in their state — a number almost three times higher than respondents in other age groups.

Perhaps most surprisingly however, these results are similar regardless of whether the respondents are living in states with abortion bans or states without restrictions on abortion access. The consistency between red and blue states suggests that the statistics on maternal mortality and the stories and struggles of women navigating the new normal on abortion access have penetrated the psyche of young people everywhere. The Dobbs decision, it seems, has fundamentally altered how people feel about having families and the calculus for getting pregnant.

In the wake of Dobbs, stories of women enduring horrific medical trauma in states where abortion is illegal have been widely reported. For instance, Carmen Broesder, an Idaho mom, documented her 19-day long harrowing miscarriage on TikTok – including her three trips to the emergency room. While only six weeks pregnant, she was denied access to a D&C (dilation and curettage) surgery because of Idaho’s abortion ban.

It goes almost without saying that this is not good news for the already declining birthrates in the U.S. According to research from Pew, birthrates in the U.S. had been falling since the early 2000s and plummeted during the Covid pandemic. Fertility rates briefly rebounded after the pandemic but now, post-Dobbs, they have dropped again.