Management of Spontaneous Abortion Among Commercially Insured Individuals in the United States After

Was the decision associated with changes in the clinical management of spontaneous abortion in states with trigger abortion bans?In this cross-sectional study of 123 598 commercially insured individuals with spontaneous abortion, trigger bans were associated with a 2.8 percentage point increase in expectant management and a 2.2 percentage point decrease in medication management. Among individuals receiving medication, trigger ban states had a 13.8 percentage point increase in misoprostol-only regimens relative to the evidence-based mifepristone plus misoprostol combination.State-level abortion bans were associated with shifts in spontaneous abortion management away from evidence-based care, with implications for the hundreds of thousands of individuals experiencing miscarriage annually in affected states.

Corresponding Author: Maria I. Rodriguez, MD, MPH, Oregon Health rodrigma@ohsu.edu).

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