Arizona doctors have filed a lawsuit to overturn a set of restrictions which they argue interfere with access to abortion care. Arizona voters last year passed Proposition 139 which enshrined the fundamental right to an abortion, up until fetal viability, in the state's constitution.
Gail Deady, senior attorney, Center for Reproductive Rights, which is representing some of the plaintiffs in the case, explained that the abortion rights that were secured because of the measure do not go into effect automatically, and existing laws that limit access must be challenged before they can be struck down under Prop 139.
"This lawsuit is intended to honor the will of the voters and it looks to strike down the most onerous abortion restrictions that are currently on the books in Arizona," she said. "The theory behind this case is that these restrictions do not have any medical basis, they do not make abortions safer."
Deady explained that some of the restrictions include forcing doctors to turn away patients if they suspect a fetal genetic diagnosis is the reason for a patient seeking care, requiring patients to wait at least 24 hours before obtaining abortion care, and banning the use of telehealth for abortion. Mailing abortion pills - like mifepristone - is also prohibited. Conservative, anti-abortion advocates have expressed support for the restrictions, its's unclear if they'll oppose the lawsuit.
Deady argues many Arizonans are facing negative consequences as a result of the laws. She adds that it also means a delay in receiving the care most Arizonans supported last year, and added that Arizona has what she calls a "two-trip" law which requires patients make two separate visits to a clinic.
"Just to hear mandatory, state-scripted information about abortion that often is not medically correct, it spreads misinformation and is designed to make people feel ashamed of the decision that they've made which has now been recognized as a constitutional right in Arizona," she explained.
Deady said her organization is currently advocating for the restrictions to be blocked during litigation. The state attorney generals' office is currently examining the complaint.
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Perinatal experts said postpartum depression is more common than most people think and those covered by Medicaid are at higher risk.
Two of every five mothers who give birth in Wisconsin are covered by BadgerCare. Federal data show up to 50% of postpartum depression cases are undiagnosed because of the stigma surrounding symptoms.
Jennifer Davis, chapters and international affiliates director for the nonprofit Postpartum Support International, said the condition presented differently for her after both of her pregnancies with symptoms of overwhelming worry and anxiety after her daughter's birth and depression after having her son.
"Crying at night, almost all the time, regretting this decision, feeling emotionally disconnected, but still outwardly smiling," Davis recounted. "Now I really am back in this place of 'I can't share this. I cannot share that I questioned why I had my son.'"
Federal data show the prevalence of postpartum depression is higher among those on Medicaid with an increased likelihood for treatment in Medicaid expansion states. Wisconsin is one of only two states yet to expand Medicaid coverage, although it recently passed legislation to extend Medicaid postpartum coverage from 60 days to a full year.
Even though up to 85% of women experience mood changes in the first few days to weeks after delivery, postpartum depression and anxiety can take months to emerge and involve symptoms lasting longer than two weeks that interfere with daily life.
Jennifer Davis noted she suffered alone after both of her pregnancies but found hope in connecting with like-minded people though Postpartum Support International.
"The weight that lifted off of me first, just knowing that other people are going through this and I am not alone," Davis explained. "Even though we don't talk about it a lot, this is very normal, and that there are so many ways and strategies that you can seek help and support when you are in the midst of it."
Wendy Davis, president and CEO of Postpartum Support International, said even if people are not comfortable speaking with their family, friends or providers, they can utilize resources such as the nonprofit's helpline to get connected with volunteers and resources in their community.
"One thing we know for sure is that families and even health care providers don't know enough about the resources," Davis observed. "That doesn't help a new mom who doesn't even know she has something called postpartum depression or that she could reach out and get support for free."
Common signs of postpartum depression include anxiety, sadness, anger and irritability, difficulty sleeping, and intrusive thoughts, which can include thoughts of harming your baby. Research shows a 98% recovery rate with treatment.
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A recent poll shows widespread concern among Missourians about the future of birth control access.
The survey from the Right Time Initiative reveals almost 40% fear birth control will become harder or even impossible to obtain. Some medical industry experts believe the uncertainty is fueled by a lack of access to future Title X funds, which provide affordable family planning services to thousands in the Show Me State.
In an unprecedented move, the U.S. Department of Health and Human Services has withheld funding from several grantees.
Michelle Trupiano, executive director of the Missouri Family Health Council, said her organization is one of them.
"I think this polling shows what Missourians already know," Trupiano asserted. "Both the state and the federal government are doing everything they can to make it harder for people to access care."
Missouri Family Health Council has led the Title X program in the state since 1981 and in Oklahoma since 2023, serving nearly 44,000 people in 2024. Both states are set to lose more than $8 million in Title X funding.
Trupiano noted her organization is always communicating with policymakers to ensure they are aligned with what voters and constituents want and argued the survey shows the will of the people, across party lines.
"What this polling shows is that an overwhelming percentage of Missourians, over 80%, believe that birth control is something that everybody should have access to," Trupiano pointed out. "They want their lawmakers to actually do more to support access."
Although a total restriction on birth control is not widely supported, there is stronger opposition to methods like Plan B and IUDs, compared to more common methods such as condoms or regular birth control pills.
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Today marks the last day of Black Maternal Health Week, a nationally and internationally recognized observance that serves to build community collaboration around addressing the maternal health statistics for Black women.
Black women in the U.S. are more than three times more likely to die of a pregnancy-related cause than white women and are more than two times more likely to experience complications that negatively impact their health. The majority of them are preventable.
The weeklong campaign that serves to highlight these disparities was founded in 2018 by the Black Mamas Matter Alliance. Its executive director, Angela Aina, said while there have been great strides since the launch, more attention needs to be paid to the root causes of maternal morbidity and mortality.
"It really does point to how pervasive and how systemic and structural gendered racism and obstetric violence is very, very much seeped in our systems," she explained.
The rate of adverse outcomes for Black women in Wisconsin have increased significantly in the past decade. Across the state, they are more than 1.5 times more likely to experience adverse outcomes, and more than twice as likely to experience a pregnancy-related death.
In 2023, the overall maternal mortality rate in the U.S. decreased while rates for Black women slightly increased. The outcomes also impact infant health, with babies born to Black, American Indian and Alaska Native and Native Hawaiian and Pacific Islander women experiencing an increased mortality rates than those born to white people.
Aina said while Black Maternal Health Week amplifies the lived experiences of Black women, it does not exclude others.
"We want to see a change for those most impacted, those most vulnerable, those most at risk of these issues and these challenges - and that when we address it, has a ripple and domino effect for everybody else," she insisted.
Aina said such structural issues as housing, economics and maternity-care 'deserts' all play a role, and emphasized the need to increase midwifery care, the number of birth centers, and funding to community-based organizations to positively affect Black maternal-health outcomes.
"To really understand and value the lives of Black people, and the lives of Black women in particular, the lives of us all," she explained, "and the fact that we are all deserving of quality, comprehensive maternal and reproductive health care."
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