Hindawi Publishing Corporation Scienti�ca Volume 2012, Article ID 980812, 16 pages http://dx.doi.org/10.6064/2012/980812 Review Article Public Health Impact of Legal Termination of Pregnancy in the US: 40 Years Later John M. Thorp Jr. Department of Obstetrics and Gynecology, School of Medicine, University of North Carolina, Chapel Hill, NC 27599, USA Correspondence should be addressed to John M. orp Jr.;
[email protected] Received 6 September 2012; Accepted 15 October 2012 Academic Editors: M. W. Davies, T. B. Henriksen, and J. Keelan Copyright © 2012 John M. orp Jr. is is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. During the 40 years since the US Supreme Court decision in Doe versus Wade and Doe versus Bolton, restrictions on termination of pregnancy (TOP) were overturned nationwide. e use of TOP was much wider than predicted and a substantial fraction of reproductive age women in the U.S. have had one or more TOPs and that widespread uptake makes the downstream impact of any possible harms have broad public health implications. While short-term harms do not appear to be excessive, from a public perspective longer term harm is conceiving, and clearly more study of particular relevance concerns the associations of TOP with subsequent preterm birth and mental health problems. Clearly more research is needed to quantify the magnitude of risk and accurately inform women with the crisis of unintended pregnancy considering TOP. e current US data-gathering mechanisms are inadequate for this important task.