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得州首份罗诉韦德案后孕产妇死亡率报告将在中期选举后发布Texas' First Post-Roe Report on Maternal Mortality Will Come After the Midterms

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吉娜·伊诺霍萨Gina Hinojosa

得克萨斯州民主党议员已经等待多年,想要看到数据显示该州近乎全面的堕胎禁令如何影响全州的孕产妇死亡率数字。她们还得继续等下去。选民也是如此。

Texas Democratic lawmakers have waited years for data showing how the state’s near-total abortion ban affected maternal mortality numbers across the state. They’ll have to keep waiting. So will voters.

州政府官员推迟了一份分析得州孕妇死亡情况的双年报告的发布,称希望在12月初前发布——这远晚于原本预计的发布日期,也在大选日后数周。

State officials have pushed the release of a biennial report that analyzes the deaths of pregnant women in Texas, saying they hope to release it by the start of December — long past the date it was originally anticipated to come out, and weeks after Election Day.

这将是2022年“罗诉韦德案”被推翻后首份包含相关数据的报告,民主党人迅速指责州政府官员出于政治原因扣留报告,因为该州共和党候选人面临激烈的竞争挑战。

It will be the first report containing data after Roe v. Wade was overturned in 2022, and Democrats have been quick to accuse state officials of holding it back for political reasons as Republican candidates in the state face competitive challenges.

“如果数据发布后显示,我们实际上看到更多想要怀孕的女性出现并发症、得不到所需照护甚至死亡,那可能会引起共和党女性的关注,”得州众议院女性健康核心小组主席、民主党人唐娜·霍华德说。“她们很可能会说:‘你们走得太远了,做得还不够。’”该州民主党人一直敦促发布这份报告。

“If the data came out and indicated that we are actually seeing more women who want their pregnancies are having complications, not getting the care that they need and even dying, that could get the attention of Republican women,” said Donna Howard, a Democrat who chairs the Texas Women’s Health Caucus in the statehouse. “[They] would very likely say, ‘You’ve gone too far, and you haven’t done enough.’”Democrats in the state have urged the release of the report.

“得州民众理应充分了解困扰我们州和国家的孕产妇死亡危机的真相——包括发布州卫生服务部的报告,”詹姆斯·塔拉里科的发言人JT·恩尼斯说,塔拉里科是该州联邦参议员竞选中的民主党候选人。

“Texans deserve full transparency about the maternal mortality crisis plaguing our state and country — including the release of the Department of State Health Services report,” said JT Ennis, a spokesperson for James Talarico, the Democratic candidate in the state’s U.S. Senate race.

该报告通常最迟在9月初发布。就在3月,得克萨斯州孕产妇死亡率和发病率审查委员会成员在一次公开会议上承认,他们正努力赶在该截止日期前完成。但州政府官员抓住2025年通过的一项州法律,该法将部分健康相关报告的截止日期延长至12月1日,作为简化州卫生机构发布流程的更广泛努力的一部分。

The report has typically been released no later than the start of September. As recently as March, members of the Texas Maternal Mortality and Morbidity Review Committee acknowledged during a public meeting that they were working to meet that deadline. But state officials have seized on a state law passed in 2025 that extends the deadline for some health-related reports to Dec. 1 as part of a broader effort to streamline the state’s health agency publication process.

该法案的作者、民主党籍众议员克里斯蒂安·曼努埃尔(Christian Manuel)告诉《德克萨斯观察家报》(Texas Observer),他认为延长截止日期的条款已被“武器化,用于向公众隐瞒信息”。

The author of that bill, Democratic Rep. Christian Manuel, told the Texas Observer he believes the extended deadline provision has been “weaponized to withhold information” from the public.

这份报告中的信息可能会激励该州选民,目前该州正在进行一场关键的参议院竞选,对阵双方是塔拉里科(Talarico)和共和党籍总检察长肯·帕克斯顿(Ken Paxton)。几个众议院选区的竞争也很激烈,州长竞选同样如此,共和党籍州长格雷格·阿博特(Greg Abbott)在寻求第四个任期时面临着异常激烈的竞争。

The information in the report could be powerful in motivating voters in the state, where a key Senate race is playing out between Talarico and Republican Attorney General Ken Paxton. Several House districts are also competitive, as is the governor’s race, where Republican Gov. Greg Abbott is facing unusually tight competition as he seeks a fourth term.

他的对手吉娜·伊诺霍萨(Gina Hinojosa)批评了报告的延迟发布。

His opponent, Gina Hinojosa, has criticized the report’s delay.

“格雷格·阿博特将《孕产妇死亡率报告》的发布推迟到大选之后,因为他知道结果将是有罪的(damning),”伊诺霍萨在给《华盛顿太阳报》(The Washington Sun)的一份声明中说。

“Greg Abbott delayed the release of the Maternal Mortality Report until after the election because he knows the results will be damning,” Hinojosa said in a statement to The Washington Sun.

作为州长,阿博特对州卫生服务部(Department of State Health Services)拥有行政权力,能够任命领导层并发布指导政策执行的指令。

As governor, Abbott has executive power over the Department of State Health Services and is able to appoint leadership and issue directives that guide policy enforcement.

阿博特办公室和州卫生服务部在给《太阳报》的声明中否认报告被扣留。

In statements provided to The Sun, Abbott’s office and the Department of State Health Services denied that the report has been held back.

“并没有延迟。根据德克萨斯州立法机构以压倒性两党支持通过的众议院第4666号法案(HB 4666),州卫生服务部提交报告的截止日期是12月1日,”阿博特的新闻秘书安德鲁·马哈勒里斯(Andrew Mahaleris)在给《太阳报》的声明中说。州卫生服务部也指出了同一截止日期。

“There is no delay. Under HB 4666, which the Texas Legislature passed in an overwhelmingly bipartisan fashion, the deadline for DSHS to submit the report is Dec. 1,” said Andrew Mahaleris, Abbott’s press secretary, in a statement to The Sun. The DSHS pointed to the same deadline.

“报告‘正在经历州卫生服务部的内部审查流程,’”该部门的一位发言人在声明中说。“作为该流程的一部分,代理专员要求委员会通过进一步描述其在可预防性方面的工作、更好地界定其建议的来源,以及在基础数据、调查结果和建议之间建立更清晰的联系,来加强报告。”声明接着说,该机构正在处理这些修订,“目标”是在12月1日前发布。

The report “is proceeding through the DSHS internal review process,” a spokesperson for the department said in a statement. “As part of that process, the acting commissioner has asked the committee to strengthen the report by further describing its work around preventability, better defining the sources of its recommendations, and making clearer connections between the underlying data, findings, and recommendations.”The statement went on to say the agency is working through the revisions “with the goal” of releasing it by Dec. 1.

非党派健康政策研究组织KFF的女性健康政策项目主任阿丽娜·萨尔加尼科夫告诉《太阳报》,目前“尚不清楚”德克萨斯州的报告为何需要额外时间才能完成,“其他州都在相当常规地进行此类分析,以应对”孕产妇死亡问题。

Alina Salganicoff, the director of Women’s Health Policy program at KFF, a nonpartisan health policy research organization, told The Sun that it’s “unclear” why Texas’ report would need additional time to be completed, and “other states are pretty routinely doing this type of analysis to address” the deaths of pregnant patients.

这份双年发布的孕产妇死亡率报告此前曾延期一次。2022年,该报告的发布同样被推迟到12月,即选举日过后。报告发布后显示,其分析的是2019年的死亡数据——当时德州的堕胎禁令尚未生效——结果显示黑人孕产妇的死亡人数有所增加。

The biennial maternal mortality report has been delayed once before. In 2022, the release was similarly held until December, after Election Day had passed. Once released, the report, which analyzed deaths from the year 2019, before Texas’ abortion ban was in place, showed an increase in deaths of pregnant Black women.

虽然目前尚无州级数据显示德州的堕胎禁令可能如何影响孕产妇死亡,但媒体已报道了一些女性因获得医疗护理延误而死亡的案例。《ProPublica》已确认,在德州堕胎禁令生效后的一年里,至少有四名德州孕妇因在经历妊娠并发症时被拒绝提供医疗护理而死亡。

While there is not yet state data to show how Texas’ abortion bans may have affected the deaths of pregnant patients, media outlets have reported instances of delayed care for some women. ProPublica has identified at least four pregnant Texas women who died in the year after the state’s abortion ban went into effect because they were denied care while experiencing pregnancy complications.

《ProPublica》进一步的报道发现,在多布斯案裁决后,因宫外孕死亡的女性人数在全国范围内激增。该媒体发现,在实施堕胎禁令的州,死亡的可能性几乎高出一倍。

The number of women who have died after experiencing ectopic pregnancies spiked nationally following the Dobbs decision, further ProPublica reporting has found. The likelihood of death is nearly twice as high in states with abortion bans, the outlet found.

“谁都不想成为‘让女性死亡’的那个党派,”“美国堕胎权”组织的首席执行官劳伦·彼得森说,该组织的法律部门正代表一名因被拒绝堕胎护理而死亡的女性的家属起诉该州。“如果我是一名曾为该州堕胎禁令辩护的政客,我肯定不希望人们听到这些故事。”

“Nobody wants to be the party of women dying,” said Lauren Peterson, the CEO of Abortion in America, an abortion advocacy organization whose legal arm is suing the state on behalf of the family of a woman who died after being denied abortion care. “If I were a politician who had advocated for the state’s abortion ban, I would surely not want people hearing these stories.”

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