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Dr. Daniel Grossman @DrDGrossman
, 4 tweets, 2 min read Read on Twitter
Louisiana’s maternal mortality rate is rising; among the highest in the nation (kedm.org/post/louisiana…). Louisiana is trying to shutdown clinics, so patients have to wait for appointments, pushing them later into pregnancy.

Now, they (unconstitutionally) banned later abortion.
Not one shred of evidence-based research supports this 15 week abortion ban. Abortion is a safe medical procedure that is necessary for some pregnancies and situations. Abortion is healthcare and access to it is a human right.
nationalacademies.org/hmd/Reports/20…
We already know what happens to patients who are denied the abortions they seek — they’re more likely to be living in poverty and have a hard time making ends meet.

You can read @ANSIRH’s research here:
ansirh.org/research/turna…
Banning later abortion doesn’t make it go away. It just means patients have to travel further for care, or take matters into their own hands, which can risk criminalization.

Patients deserve better than this.

ansirh.org/news/novel-stu…
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More from @DrDGrossman see all

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During the #KavanaughHearings, Kavanaugh referenced his dissent in a case on the contraception coverage requirement by employers for employees' healthcare. In his testimony, he referred to contraception as "abortion-inducing drugs". This is not medically accurate and is a tactic.
Medically and scientifically, pregnancy begins at implantation. Most contraception works by blocking an egg release or blocking or disabling sperm; sometimes they work to block implantation of a fertilized egg. No contraception works after implantation or causes an abortion.
Medication abortions, or surgical abortions, remove an existing pregnancy. Contraception works before a patient is pregnant. Contraception, Plan B, and IUDs do not cause abortions. There is a huge misinformation campaign to conflate how these things work to undermine access.
Read 13 tweets
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This is a moving story about unsafe abortion in 1968. The public health threat of overturning Roe v. Wade is great, but women will not suffer the physical harms to the same degree they did in the 1960s thanks to medical advancements. Unfortunately, criminalization is.
Self-managed abortion is rarely coat hangers and back alley abortions these days. In my research in Texas, patients are more likely to give themselves an abortion through medication abortion or herbs: liberalarts.utexas.edu/txpep/_files/p…
My research has found medication abortion is safe for patients to use on their own (journals.plos.org/plosone/articl…) or via telemedicine (reuters.com/article/us-hea…), however taking medication abortion on your own is criminalized in many states. This is dangerous for patients.
Read 6 tweets
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Hey @CDCgov, can we work on the framing here? Women, and all who can become pregnant, are not perpetually 'pre-pregnant’. Caring for their health is about more than their ability to become pregnant.
@CDCgov Yes, folate is important for a healthy pregnancy, but it may be irrelevant to those using effective contraception and/or would have an abortion if they became pregnant. There are many who “can” get pregnant, but don’t have sex with cisgender men and aren’t planning pregnancy.
@CDCgov Let’s move away from a strictly heteronormative, cisgender-focused framing of pregnancy, @CDCgov, and recognize that continuing a pregnancy is not always a desired outcome for everyone. We have to listen to our patients and their healthcare needs.
Read 4 tweets

Related threads

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In the United States, maternal mortality has been rising for decades. In this month’s @Health_Affairs, I write about my family’s story. The effects of maternal mortality last for generations, and it’s time to reverse the rise. 1/n healthaffairs.org/doi/10.1377/hl…
From 1990-2013, maternal mortality nearly doubled in the US, while it declined elsewhere across the globe. The US stands shamefully alone, and it’s getting ever more deadly to become a mother in America. 2/n thelancet.com/journals/lance…
Each year, 700-900 moms die. Every death is a deep, searing tragedy that is unspeakably painful. These maternal deaths leave the surviving spouses, parents, children, friends, co-workers, and neighbors with wounds that never heal, or scars that cannot be hidden. 3/n
Read 35 tweets
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Alright. It's debate time.
Cruz doesn't want content *porn cough cough* regulated, but then harps in about political "censorship" and "political bias of FB" something something "big tech...immunity from civil liability".

Beto in rebuttal: mentions CamAn, Cruz sighs audibly.
Beto on the offensive w/character hits.

I'm just going to cover the heavy stuff.
Read 46 tweets
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In the next few tweets, I will highlight some of the great steps taken by Indian govt since 2014 towards improving the health status of the population. Much has been said about how little we spend, but no one is interested in looking at the great progress that is being made.
A disproportionate number of people who needed heart/vascular surgeries and joint replacement either avoided surgeries to end up with dire consequences or underwent surgeries to end up in poverty! Despite my initial skepticism with capping prices, this seems to have woked well.
Prescription medicines for chronic diseases like diabetes, hypertension, asthma, epilepsy, post-stroke and post-heart attack cost much lesser now than they did before 2014. A post-heart attack patient with diabetes who would spend 3k/month now saves on an average 20k/year!
Read 9 tweets
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Time to take my twitter beyond pedantic comments on @C_Garthwaite and live tweet the nber Health meetings to all 198 of my followers, including several humans
First up is Ami Ko presenting work with Hanming Fang on rating areas in the ACA —
The ACA imposes many “community rating provisions” — you have to charge everyone the same price with the exception of age, smoking status and geography
Read 122 tweets
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Last night I promised a thread about #abortion before Roe v Wade legalized it nationally. Until the mid-1800s, common law allowed abortion until "quickening", when fetal movement can be felt. Toxic abortion remedies & doctors competing w midwives led to… 1/
laws outlawing abortion except where pregnancy was likely to be fatal spreading across the country. Bottled abortion remedies could be and were fatal, and doctors, almost all white and male, didn't want midwives competing with them for pregnancy care. 2/
"In the late 1920s some 15,000 women a year died from [illegal] abortions…In 1971, the year after decriminalization, the maternal-mortality rate in New York State dropped 45%." 3/
theatlantic.com/magazine/archi…
Read 84 tweets
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#Kolkata PORT reaches a new record number in cargo traffic.
3rd highest growth rate among all major ports in the country.

@Truth_of_WB @RitabrataBanerj

bit.ly/2vMSl13
As #Bengal economy goes on a drastic upward trajectory,
#Kolkata Airport doubles passenger count in 4 years to reach 2 crore number.
Shows highest flyer growth rate among major airports.
@Truth_of_WB @RitabrataBanerj @sarkar_swati
bit.ly/2KSSFyR
#Bengal tops the country in small savings collection beating Gujrat and Maharashtra.
Rural Bengal savings much more than urban Bengal.

Affluence reaching every corner of state with growing economy .

@Truth_of_WB @GargaC @sarkar_swati
bit.ly/2Fi6Glz
Read 33 tweets

Trending hashtags

#abortion #NHS #BeacuseWeCare #GOPTaxScam #Hanoi #antenatal #lsulaw #LA06 #Louisiana #shutdown #FalseFlag #LA02 #BJP #India #CBLive #VoterID #AmericanTaliban #WhenDoesABirdSing #KeystoneXL #Pyongyang #NutShellReport #FakeNews #BringThePain #NextLevel #USVIA

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