Health Organization Research Articles

Assessment of Role of PPE in Preventing the Spread of Infection among the Dental Surgeons: A Prospective Study.

From the beginning of this COVID-19, information provided by the health organization like CDC and WHO regarding the role of PPE had positive impact among the dental care professionals.

МАГИСТРАТУРА В ОБРАЗОВАТЕЛЬНОЙ ТРАЕКТОРИИ РУКОВОДИТЕЛЯ МЕДИЦИНСКОЙ ОРГАНИЗАЦИИ

The article presents arguments about some discrepancy in the requirements for the competence of a specialist in the field of healthcare organization and public health in accordance with the professional standard and the acquired knowledge and skills of students in the relevant educational programs. So, in particular, there is a wider list of knowledge and skills required for the head of a medical organization, in comparison with the competencies that a graduate in the direction of training "Health Organization and Public Health" possesses. At the same time, not only the list of competencies is insufficient, but also the depth of knowledge, which may subsequently affect the level of qualification. At the same time, at the moment, educational programs in the direction of training Management (Health Management) are becoming increasingly popular. Such graduates have more fully formed competencies in managing organizations, strategic planning, designing development programs, etc. This level of education is not noted in any way in the required educational trajectories for heads of medical organizations, however, the list of competencies required for students in such educational programs completely closes this discrepancy and the lack of knowledge and skills that arises among representatives of the leadership in the field of health care after training in residency or at primary retraining in the organization of health care and public health. As a result, it is concluded that the direction of training 38.04.02 "Management" profile "Health Management" is exactly the educational program that fully meets the requirements of the Professional Standard, and the presence of a diploma of obtaining this education should be decisive when choosing candidates for positions heads of medical organizations.

Factors Relating to The Performance of Health Officers in Emergency Installations (Study at Bahteramas Hospital, Southeast Sulawesi Province)

Introduction: Hospital is part of a social and health organization with the function of providing complete services (comprehensive), disease healing (curative) and disease prevention (preventive) to the community. The performance of health workers is a problem that must be overcome, it is because health services determine the quality of hospital services. The performance of health workers can be influenced by workload, work stress, work environment, work fatigue, and the application of SOP.
 Methods: This type of research uses a quantitative research design with a cross-sectional study design. The total population is 49 people, with a large sample of 44 people. The sampling technique in this study used the Cluster Random Sampling technique, using the Chi-Square Statistical test.
 Results: The results showed that there was a relationship between workload and the results of the X2count = 7.079, the X2table value = 3.841, and the Phi value = 0.449, work stress with the X2count value = 8.838, the X2table value = 3.841, and the Phi value = 0.494.
 Conclusion: The performance of health officers influenced by workload, work stress, work environment, work fatigue, and the application of SOPs. It is recommended that the hospital management can pay more attention to their health workers in order to improve the performance of health workers in the ER Bahteramas Hospital, Southeast Sulawesi Province.

Attitudes Among Society of Women in Urology Members Toward Dobbs v. Jackson Women’s Health Organization

To evaluate attitudes of women in urology regarding the Supreme Court ruling Dobbs v. Jackson Women's Health Organization, including impacts on personal/professional decision-making and the urology workforce. An IRB-exempt survey including Likert questions on participant views and free text questions was distributed to 1200 members of the Society of Women in Urology on 9/2/2022. Participants were medical students, urology residents, fellows, and practicing/retired urologists over 18. Responses were anonymous and aggregated. Quantitative responses were characterized with descriptive statistics and free-text responses were analyzed using thematic mapping. To complement this analysis, urologist density was mapped by county using 2021 National Provider Identifier data. State abortion laws were categorized based on Guttmacher Institute data on 10/20/2022. Data were analyzed using logistic regression, Poisson regression, and multiple linear regression. 329 respondents completed the survey. 88% disagree/strongly disagree with the Dobbs ruling. 42% of trainees may have changed their rank list if current abortion laws existed during their match. 60% of respondents said Dobbs will impact where they choose their next job. 61.5% of counties had zero urologists in 2021, 76% of which were in states with restrictive abortion laws. Urologist density was inversely associated with abortion law restrictiveness compared with the most protective counties. The Dobbs ruling will significantly impact the urology workforce. Trainees may change how they rank programs in states with restrictive abortion laws, and urologists may consider abortion laws when choosing jobs. Restrictive states are at higher risk for worsening access to urologic care.

Targeted Next-Generation Sequencing Improves the Prognostication of Patients with Disseminated Appendiceal Mucinous Neoplasms (Pseudomyxoma Peritonei).

Appendiceal mucinous neoplasms (AMNs) with disseminated disease (pseudomyxoma peritonei) are heterogeneous tumors with variable clinicopathologic behavior. Despite the development of prognostic systems, objective biomarkers are needed to stratify patients. With the advent of next-generation sequencing (NGS), it remains unclear if molecular testing can improve the evaluation of disseminated AMN patients. Targeted NGS was performed for 183 patients and correlated with clinicopathologic features to include American Joint Committee on Cancer/World Health Organization (AJCC/WHO) histologic grade, peritoneal cancer index (PCI), completeness of cytoreduction (CC) score, and overall survival (OS). Genomic alterations were identified for 179 (98%) disseminated AMNs. Excluding mitogen-activated protein kinase genes and GNAS due to their ubiquitous nature, collective genomic alterations in TP53, SMAD4, CDKN2A, and the mTOR genes were associated with older mean age, higher AJCC/WHO histologic grade, lymphovascular invasion, perineural invasion, regional lymph node metastasis, and lower mean PCI (p < 0.040). Patients harboring TP53, SMAD4, ATM, CDKN2A, and/or mTOR gene alterations were found to have lower OS rates of 55% at 5 years and 14% at 10 years, compared with 88% at 5 years and 88% at 10 years for patients without the aforementioned alterations (p < 0.001). Based on univariate and multivariate analyses, genomic alterations in TP53, SMAD4, ATM, CDKN2A, and/or the mTOR genes in disseminated AMNs were a negative prognostic factor for OS and independent of AJCC/WHO histologic grade, PCI, CC score, and hyperthermic intraperitoneal chemotherapy treatment (p = 0.006). Targeted NGS improves the prognostic assessment of patients with disseminated AMNs and identifies patients who may require increased surveillance and/or aggressive management.

Trace elements concentrations in soil contaminate corn in the vicinity of a cement-manufacturing plant: potential health implications

BackgroundCultivated lands in the vicinity of industry are vulnerable due to trace element releases from industrial activities. One such situation concerns the surrounding of the largest cement-manufacturing plant in sub-Saharan Africa, located in Obajana, Nigeria.ObjectiveThis study aimed at examining the trace element concentrations in the soil as they contaminate corn crops in the vicinity of a cement manufacturing plant. A case study of the cement-manufacturing plant located in Obajana, Nigeria is presented.MethodsWe used inductively coupled plasma-mass spectrometer to analyse for total arsenic (As), cadmium (Cd), chromium(Cr), copper (Cu), lead (Pb), and nickel (Ni) concentrations and microwave-induced plasma-atomic emission spectrometer to measure total iron (Fe) and zinc (Zn) contents in 89 samples of corn and surface soil (0–15 cm) from five farmlands including reference farmland and evaluated health hazard of human exposure to the trace elements via the consumption of corn cultivated in the area.ResultsThe results showed the average Cr concentrations in µg/g dry weight (±standard error of the mean) in corn ranged from 2.08 ± 0.17 to 3.56 ± 0.65 in all the farmlands including control, while the mean Pb levels in µg/g dry weight (± standard error of the mean) in corn extended from 0.23 ± 0.03 to 0.38 ± 0.02 in the farmlands downwind of the cement plant. The Cr values were several factors higher than the stable concentration range of 0.01 to 0.41 µg/g reported in cereal grains, while the Pb values exceeded the limit of 0.2 µg/g set by the Food and Agriculture Organization of the United Nations/World Health Organization in grains. Lead is a trace element of environmental concern and its average levels in the farmlands downwind of the plant were found to be several orders of magnitude higher than the values in µg/g dry weight (± standard error of the mean) (0.01 ± 0.00 to 0.02 ± 0.00) observed in the farmlands upwind of the plant and were statistically significant (p < 0.0001).Impact statementOur findings provide the first health hazard assessment from the consumption of corn cultivated in the vicinity of the largest cement-manufacturing plant in Nigeria as far as we know.

Projected Health Outcomes Associated With 3 US Supreme Court Decisions in 2022 on COVID-19 Workplace Protections, Handgun-Carry Restrictions, and Abortion Rights

Several recent US Supreme Court rulings have drawn criticism from the medical community, but their health consequences have not been quantitatively evaluated. To model health outcomes associated with 3 Supreme Court rulings in 2022 that invalidated workplace COVID-19 vaccine or mask-and-test requirements, voided state handgun-carry restrictions, and revoked the constitutional right to abortion. This decision analytical modeling study estimated outcomes associated with 3 Supreme Court rulings in 2022: (1) National Federation of Independent Business v Department of Labor, Occupational Safety and Health Administration (OSHA), which invalidated COVID-19 workplace protections; (2) New York State Rifle and Pistol Association Inc v Bruen, Superintendent of New York State Police (Bruen), which voided state laws restricting handgun carry; and (3) Dobbs v Jackson Women's Health Organization (Dobbs), which revoked the constitutional right to abortion. Data analysis was performed from July 1, 2022, to April 7, 2023. For the OSHA ruling, multiple data sources were used to calculate deaths attributable to COVID-19 among unvaccinated workers from January 4 to May 28, 2022, and the share of these deaths that would have been prevented by the voided protections. To model the Bruen decision, published estimates of the consequences of right-to-carry laws were applied to 2020 firearm-related deaths (and injuries) in 7 affected jurisdictions. For the Dobbs ruling, the model assessed unwanted pregnancy continuations, resulting from the change in distance to the closest abortion facility, and then excess deaths (and peripartum complications) from forcing these unwanted pregnancies to term. The decision model projected that the OSHA decision was associated with 1402 additional COVID-19 deaths (and 22 830 hospitalizations) in early 2022. In addition, the model projected that 152 additional firearm-related deaths (and 377 nonfatal injuries) annually will result from the Bruen decision. Finally, the model projected that 30 440 fewer abortions will occur annually due to current abortion bans stemming from Dobbs, with 76 612 fewer abortions if states at high risk for such bans also were to ban the procedure; these bans will be associated with an estimated 6 to 15 additional pregnancy-related deaths each year, respectively, and hundreds of additional cases of peripartum morbidity. These findings suggest that outcomes from 3 Supreme Court decisions in 2022 could lead to substantial harms to public health, including nearly 3000 excess deaths (and possibly many more) over a decade.

Review of recommended energy and nutrient intake values in Southeast Asian countries

This review summarises the officially published recommended energy and nutrient intake values in five Southeast Asia (SEA) countries namely Indonesia, Malaysia, Philippines, Thailand and Vietnam. The background information, general approaches and references used for setting up recommendations and the recommended intakes levels for energy, protein, fat and carbohydrate, dietary fibre, sugars,14 vitamins and 15 minerals of these countries were tabulated and compared. The recommended intake values show remarkable similarities in terms of approaches and principles taken, as well as references used as the basis for the recommendations development and the application of the recommendations in respective country. There are nevertheless some differences in age groupings, reference height and weight used, as well as the final recommendations of the intake levels for some nutrients, after adjustment to suit local situations. All five countries had provided recommendations in terms of recommended nutrient intakes (RNI) or recommended dietary allowance (RDA) for almost all the nutrients. Due to the limited availability of local data and resources, countries in the region have referred to several references, including those from Food and Agriculture Organization/World Health Organization (FAO/WHO) consultation report and recommendations from research organisations in United States and Europe and adapted the values for local uses. Opportunities should be created to enable closer dialogue and collaboration regarding future developments in nutrient recommendations for populations in the region. These could include consideration of establishing more appropriate nutrient recommendations and the call for setting up harmonised approaches to establishing recommended nutrient intake values for the region.

#RoeOverturned: Twitter Dataset on the Abortion Rights Controversy

On June 24, 2022, the United States Supreme Court overturned landmark rulings made in its 1973 verdict in Roe v. Wade. The justices by way of a majority vote in Dobbs v. Jackson Women's Health Organization, decided that abortion wasn't a constitutional right and returned the issue of abortion to the elected representatives. This decision triggered multiple protests and debates across the US, especially in the context of the midterm elections in November 2022. Given that many citizens use social media platforms to express their views and mobilize for collective action, and given that online debate provides tangible effects on public opinion, political participation, news media coverage, and the political decision-making, it is crucial to understand online discussions surrounding this topic. Toward this end, we present the first large-scale Twitter dataset collected on the abortion rights debate in the United States. We present a set of 74M tweets systematically collected over the course of one year from January 1, 2022 to January 6, 2023.

Opportunistic Originalism: Dobbs v. Jackson Women’s Health Organization

Previous articleNext article No AccessOpportunistic Originalism: Dobbs v. Jackson Women’s Health OrganizationMichele GoodwinMichele Goodwin Search for more articles by this author PDFPDF PLUSFull Text Add to favoritesDownload CitationTrack CitationsPermissionsReprints Share onFacebookTwitterLinkedInRedditEmail SectionsMoreDetailsFiguresReferencesCited by The Supreme Court Review Volume 20222022 Article DOIhttps://doi.org/10.1086/724759 © 2023 The University of Chicago. All rights reserved.PDF download Crossref reports no articles citing this article.

Dobbs Versus Jackson: Epilepsy, Reproductive Health, and Abortion.

On June 24, 2022, Dobbs vs Jackson Women's Health Organization was decided by the Supreme Court effectively overturning the former precedent of Roe v. Wade. This ruling has direct consequences for the care of persons with epilepsy of childbearing potential. Now more than ever we need to provide informed and comprehensive care to our patients with epilepsy who are particularly vulnerable to the impact of this legislation on their reproductive decision-making. Important areas to understand include (1) the current state of affairs on abortion in the United States; (2) contraception options, their effectiveness, and interactions with anti-seizure medications (ASM); (3) teratogenic effects and adverse neurocognitive outcomes of ASMs; (4) folic acid supplementation; (5) the effect on perinatal and pediatric care; and (6) unique issues related to people of color.

Thomas R. Marshall. American Public Opinion and the Supreme Court, 1930–2020: A Representative Institution

To ask how the Supreme Court’s decision-making represents public opinion is to strike at the heart of the Court’s role in American politics. Does the system of government created by the Constitution really need another institution that responds to public opinion? Are there more important values for the Court to focus on? In 2022, whom the current Court represents is a salient question. The Court has embarked on a third whirlwind term since Amy Coney Barrett’s arrival secured a conservative supermajority. To this Court, representation seems less of an active concern than the pursuit of originalist bona fides. This approach was apparent in Dobbs v. Jackson Women’s Health Organization, where 57 percent disapproved of the Court’s decision to overturn the decades-old Roe v. Wade (Pew Research Center 2022). No one knows what the future holds for this Court. However, a data-driven understanding of the Court’s approach to representation may provide clues about consequences of its rightward shift. This knowledge could also help policymakers forecast the effects of proposals targeting the Court.

The End of Roe v Wade and New Legal Frontiers on the Constitutional Right to Abortion

(JAMA. 2022;328:325–326) In the case Dobbs v Jackson Women’s Health Organization in 2022, the US Supreme Court ended the right to abortion established in 1973 with Roe v Wade. The court majority argued that abortion is not referenced in the constitution, is not “implicit in the concept of ordered liberty,” and that the issue should be resolved in each state by voters.

A national analysis of ED presentations for early pregnancy and complications: Implications for post-Roe America

BackgroundMost obstetric emergencies are initially managed in the emergency department (ED). The Supreme Court decision of Dobbs v. Jackson Women's Health Organization, overturning Roe v. Wade, in June 2022, eliminated constitutional protection of abortion rights, allowing states to swiftly enact laws that can greatly change reproductive medicine. In this post-Roe landscape, the ambiguity and uncertainty being imposed on clinicians regarding the legality of certain interventions may have catastrophic effects. To understand and plan for the changes that will come and attempt to mitigate adverse outcomes, the authors first assessed the current state of pregnancy-related complication care in the ED setting. This study utilized data obtained from the National Hospital Ambulatory Medical Care Survey (NHAMCS) to evaluate trends in pregnancy-related ED visits from 2016 to 2020 that could be impacted by restricted abortion access and trigger laws. The authors subsequently analyzed the legislative changes and translated the pertinent ones to dispel misunderstandings and provide a framework for appropriate medical practice. MethodsThe retrospective study utilized data from the NHAMCS database from 2016 to 2020, encompassing an estimated total of 4,556,778 pregnancy-related ED visits. NHAMCS is a multi-stage probabilistic sample collected by the National Center for Health Statistics (NCHS) at the Centers for Disease Control and Prevention (CDC) using an annual survey of EDs in the United States. All data were summarized using descriptive statistics such as proportions and 95% confidence intervals Furthermore, the supreme court decision was analyzed in addition to multiple state laws and legal texts. The findings were summarized and discussed. ResultsThe majority (79.4%) of all studied visits were for patients between the ages of 18–34 years, capturing those in peak reproductive years. This age group also comprised of the bulk (76.4%) of visits for pathologic pregnancies, including ectopic and molar pregnancies, and 79.8% of visits for a spontaneous miscarriage or threatened miscarriage in early pregnancy. Black patients accounted for 25.7%, white patients 70.1%. Regarding ethnicity, patients were separated into Hispanic and non-Hispanic, with Hispanic patients comprising 27% of all ED visits for included diagnoses between 2016 and 2020. Most visits for complications following an induced abortion occurred in the south (70.8%) and were nearly twice as likely to occur in non-metropolitan areas. Approximately 18% patients presenting with a pathologic pregnancy required admission to the hospital and approximately 50% of those visits for pathologic pregnancies and visits for bleeding in pregnancy had a procedure in the ED (49.8% and 49.5%). There were 111,264 estimated visits in which methotrexate was administered, amounting to approximately 1 in 7 visits for ectopic or molar pregnancy. In this data set, approximately 14,000 miscarriage and early bleeding patients received misoprostol. ConclusionPregnancy-related ED visits comprise of a significant proportion of emergency care. As it relates to many of the trends previously elucidated on, the true extent of the burden cannot be predicted. It must be emphasized that contrary to popular belief, Dobbs v. Jackson does not prohibit termination of pregnancy in the setting of life-threatening conditions to the mother, including ectopic pregnancy, preeclampsia, and others, but the resultant uncertainty and ambiguity surrounding the constitutional change is leading to an over-compliance of the law, necessarily obstructing reproductive health care. The authors recommend that physicians be mindful of the rapidly-evolving laws in their particular state, and to also practice in accordance with Emergency Medical Treatment and Active Labor Act (EMTALA). Patient safety must be prioritized.

The Impact of New and Renewed Restrictive State Abortion Laws on Pregnancy-Capable People with Diabetes.

When the Supreme Court handed down its decision in Dobbs v Jackson Women's Health Organization in June 2022, the constitutional right to abortion was no longer protected by Roe v Wade. Fifteen states now have total or near-total bans on abortion care or no clinics providing abortion services. We review how these restrictions affect the medical care of people with pregestational diabetes. Of the ten states with the highest percent of adult women living with diabetes, eight currently have complete or 6-week abortion bans. People with diabetes are at high risk of diabetes-related pregnancy complications and pregnancy-related diabetes complications and are disproportionately burdened by abortion bans. Abortion is an essential part of comprehensive, evidence-based diabetes care, yet no medical society has published guidelines on pregestational diabetes that explicitly discuss the importance and role of safe abortion care. Medical societies enacting standards for diabetes care and clinicians providing diabetes care must advocate for access to abortion to reduce pregnancy-related morbidity and mortality for pregnant people with diabetes.

Otolaryngologists and Reproductive Rights.

Our nation faces contentious questions regarding reproductive rights and access to abortion which have long been viewed as beyond the scope of otolaryngology. The broad implications of the recent Supreme Court ruling in Dobbs v Jackson Women's Health Organization (Jackson) impact all people who are, or can become, pregnant and their health care providers. The consequences for otolaryngologists are thus far-reaching and poorly understood. Here we describe how the post-Dobbs landscape is relevant to the practice of otolaryngology and offer suggestions for how otolaryngologists can best respond, prepare, and support their patients in this tenuous political landscape.

Race and the Power of Sermons on American Politics. By R. Khari Brown, Ronald E. Brown, and James S. Jackson. Ann Arbor: University of Michigan Press. 2021. xii+167 pp. $70.00 cloth.; Decoding the Digital Church: Evangelical Storytelling and the Election of Donald J. Trump. By Stephanie A. Martin. Tuscaloosa: University of Alabama Press. 2021. xi.+266 pp. $49.95 cloth.

Despite the growing flight of Americans from religious institutions, these are still the largest voluntary organizations in the United States and they remain significant forces in American politics. As leaders of these organizations, clergy are often visible and influential political figures. In just the past few years, conservative Protestant pastors were frequent visitors to the Trump White House and played a crucial role in mobilizing a large Republican religious constituency. Black Protestant ministers have long been a vital force in Democratic circles and are joined at times by white liberal colleagues, as evidenced by the recent mobilization to preserve abortion rights in the wake of the Supreme Court decision in Dobbs v. Jackson Women's Health Organization.

Heavy Metal Concentrations in Imported Frozen European Hake Merluccius merluccius (Linnaeus 1758)

This research looked at the concentration levels of some heavy metals in tissues and organs of imported frozen European hake Merluccius merluccius (Linnaeus, 1758). This to ascertain the safety of the fish for consumption and whether long time freezing could bio concentrate heavy metals in the fish. Fish were procured from the market, muscles, gills and liver removed, digested for analysis of Cu, Zn, Mn, Fe, Cd, and Pb using AAS. Fe was the most accumulated metal with 4.393±0.19 mg/kg, Cadmium (Cd) was the least with 0.004±0.00 mg/kg (Fe&gt;Zn&gt;Cu&gt;Pb&gt;Cd&gt;Mn). Muscle accumulated the most metals. Concentrations of the metals were below maximum limit recommended by Food and Agricultural Organization/World Health Organization (FAO/WHO), which shows the fish is safe for consumption. It also showed that long time freezing does not bio concentrate heavy metals in the fish about a month of freezing. It is recommended that regulatory authorities should always conduct an assessment of the heavy metals in imported frozen marine fishes before it is cleared for human consumption. This will guide against any adverse health risk associated with consumption of fish with high levels of heavy metals.

Effect of Recent Abortion Legislation on Twitter User Engagement, Sentiment, and Expressions of Trust in Clinicians and Privacy of Health Information: Content Analysis.

The Supreme Court ruling in Dobbs v Jackson Women's Health Organization (Dobbs) overrules precedents established by Roe v Wade and Planned Parenthood v Casey and allows states to individually regulate access to abortion care services. While many states have passed laws to protect access to abortion services since the ruling, the ruling has also triggered the enforcement of existing laws and the creation of new ones that ban or restrict abortion. In addition to denying patients the full spectrum of reproductive health care, one major concern in the medical community is how the ruling will undermine trust in the patient-clinician relationship by influencing perceptions of the privacy of patient health information. This study aimed to study the effect of recent abortion legislation on Twitter user engagement, sentiment, expressions of trust in clinicians, and privacy of health information. We scraped tweets containing keywords of interest between January 1, 2020, and October 17, 2022, to capture tweets posted before and after the leak of the Supreme Court decision. We then trained a Latent Dirichlet Allocation model to select tweets pertinent to the topic of interest and performed a sentiment analysis using Robustly Optimized Bidirectional Encoder Representations from Transformers Pre-training Approach model and a causal impact time series analysis to examine engagement and sentiment. In addition, we used a Word2Vec model to study the terms of interest against a latent trust dimension to capture how expressions of trust for our terms of interest changed over time and used term frequency, inverse-document frequency to measure the volume of tweets before and after the decision with respect to the negative and positive sentiments that map to our terms of interest. Our study revealed (1) a transient increase in the number of daily users by 576.86% (95% CI 545.34%-607.92%; P<.001), tweeting about abortion, health care, and privacy of health information postdecision leak; (2) a sustained and statistically significant decrease in the average daily sentiment on these topics by 19.81% (95% CI -22.98% to -16.59%; P=.001) postdecision leak; (3) a decrease in the association of the latent dimension of trust across most clinician-related and health information-related terms of interest; (4) an increased frequency of tweets with these clinician-related and health information-related terms and concomitant negative sentiment in the postdecision leak period. The study suggests that the Dobbs ruling has consequences for health systems and reproductive health care that extend beyond denying patients access to the full spectrum of reproductive health services. The finding of a decrease in the expression of trust in clinicians and health information-related terms provides evidence to support advocacy and initiatives that proactively address concerns of trust in health systems and services.

Decision and economic analysis of hostile abortion laws compared with supportive abortion laws

On June 24, 2022, the US Supreme Court overturned Roe v Wade in Dobbs v Jackson Women's Health Organization. Therefore, several states banned abortion, and other states are considering more hostile abortion laws. This study aimed to assess the incidence of adverse maternal and neonatal outcomes in the hypothetical cohort where all states have hostile abortion laws compared with the pre-Dobbs v Jackson cohort (supportive abortion laws cohort) and examine the cost-effectiveness of these policies. This study developed a decision and economic analysis model comparing the hostile abortion laws cohort with the supportive abortion laws cohort in a sample of 5.3 million pregnancies. Cost (inflated to 2022 US dollars) estimates were from a healthcare provider's perspective, including immediate and long-term costs. The time horizon was set to a lifetime. Probabilities, costs, and utilities were derived from the literature. The cost-effectiveness threshold was set to be at $100,000 per quality-adjusted life year. Probabilistic sensitivity analyses using the Monte Carlo simulation with 10,000 simulations were performed to assess the robustness of our results. The primary outcomes included maternal mortality and an incremental cost-effectiveness ratio. The secondary outcomes included hysterectomy, cesarean delivery, hospital readmission, neonatal intensive care unit admission, neonatal mortality, profound neurodevelopmental disability, and incremental cost and effectiveness. In the base case analysis, the hostile abortion laws cohort had 12,911 more maternal mortalities, 7518 more hysterectomies, 234,376 more cesarean deliveries, 102,712 more hospital readmissions, 83,911 more neonatal intensive care unit admissions, 3311 more neonatal mortalities, and 904 more cases of profound neurodevelopmental disability than the supportive abortion laws cohort. The hostile abortion laws cohort was associated with more cost ($109.8 billion [hostile abortion laws cohort] vs $75.6 billion [supportive abortion laws cohort]) and 120,749,900 fewer quality-adjusted life years with an incremental cost-effectiveness ratio of negative $140,687.60 than the supportive abortion laws cohort. Probabilistic sensitivity analyses suggested that the chance of the supportive abortion laws cohort being the preferred strategy was more than 95%. When states consider enacting hostile abortion laws, legislators should consider an increase in the incidence of adverse maternal and neonatal outcomes.