{"doi":"10.1093/aje/kwaf123","title":"Increase in 9-1-1 activations for obstetric-related emergencies following the <i>Dobbs</i> decision in the United States","abstract":"The US Supreme Court's Dobbs v. Jackson Women's Health Organization decision in June 2022 may have preceded a surge in 9-1-1 activations for obstetric-related conditions. We used time-series analysis to examine whether the Dobbs decision corresponded with a proximate increase in obstetric-related 9-1-1 activations among reproductive-aged (15-49 years) female patients using national, monthly data from January 2018 to December 2023. Monthly national counts of obstetric-related emergent 9-1-1 activations with patient contact from January 2018 to December 2023 were retrieved from the National Emergency Medical Services Information System (NEMSIS) dataset. Monthly series of nonobstetric 9-1-1 activations among reproductive-aged female patients and all other 9-1-1 activations served as controls. Analysis was also stratified by 3 state-groups per restrictiveness of state abortion policies (protective, mixed, and restrictive) within the first 3 months post-Dobbs. A binary indicator of June 2022 with 0- to 3-month lags served as the exposure. Results from time-series analysis showed 913 additional 9-1-1 activations for obstetric-related conditions 1 month following the Dobbs decision. States with protective abortion policies accounted for about 50% of the national increase. Findings indicate an immediate surge in obstetric-related 9-1-1 activations following the Dobbs ruling, primarily in states with protective abortion policies.","journal":"American Journal of Epidemiology","year":2025,"id":544767,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9595,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":599611,"name":"Maria Gallo","orcid":"0000-0002-9411-4767","position":1,"is_corresponding":false},{"id":967832,"name":"Payal Chakraborty","orcid":"0000-0003-4939-3637","position":2,"is_corresponding":false},{"id":501100,"name":"Colleen A. Reynolds","orcid":"0000-0003-3915-3963","position":3,"is_corresponding":false},{"id":1435271,"name":"Morgan K. Anderson","orcid":"0000-0001-5220-9840","position":4,"is_corresponding":false},{"id":433688,"name":"Parvati Singh","orcid":"0000-0002-3800-2808","position":5,"is_corresponding":false},{"id":1431406,"name":"Jonathan R. Powell","orcid":"0000-0003-3443-0247","position":0,"is_corresponding":true}],"reference_count":42,"raw_metadata":null,"created_at":"2026-07-19T02:53:17.418915Z","pmid":"40512628","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}