The Criminalization of Pregnancy

The Supreme Court’s Dobbs decision in 2022 has profoundly influenced how pregnancy is viewed in the United States, leading to an increase in the criminalization of pregnancy-related behaviors. Pregnancy Justice released their September 2024 report “Pregnancy As a Crime: A Preliminary Report on the First Year After Dobbs” by Wendy Bach and Madalyn Wasilczuk, outlining the changes of pregnancy criminalization from June 24, 2022 to June 23, 2023. During this period, at least 210 cases were documented, marking the highest number of such prosecutions recorded in a single year. 

Key Findings

  • Increase in Prosecutions: At least 210 pregnant individuals faced criminal charges related to pregnancy, pregnancy loss, or birth, with many states showing a concerning rise in these cases.
  • State Breakdown: Alabama accounted for nearly half (104) of the prosecutions, followed by Oklahoma (68), South Carolina (10), Ohio (7), Mississippi (6), and Texas (6).
  • Demographic Insights: The majority of defendants were low-income. Of the 210 cases, 143 were white, 30 were Black, 13 were Native American, 9 were Latinx, and 15 had unknown racial or ethnic backgrounds.
  • Nature of Charges: Most charges (198 out of 220) were categorized as child abuse, neglect, or endangerment. Substance use during pregnancy was a common allegation, with 133 cases focusing solely on this issue.
  • Abortion-Related Charges: Five cases involved allegations of abortion, with outcomes often occurring outside medical settings. In many instances, prosecutors did not need to prove harm to the fetus or infant, as 191 of the 220 charges lacked a harm requirement.

Pregnancy criminalization refers to the use of criminal law to prosecute actions related to pregnancy, loss, or birth. Since 1973, over 2,000 individuals have faced legal consequences for pregnancy-related circumstances. Prosecutors often interpret embryos and fetuses as victims, extending the reach of laws governing child abuse and neglect to pregnant individuals. This approach not only normalizes the policing of pregnant individuals but also enforces societal expectations surrounding motherhood, disproportionately affecting marginalized women and families.

The report underscores that low-income and marginalized women are primarily targeted by pregnancy-related prosecutions. Racial dynamics play a significant role, as these prosecutions frequently focus on communities already burdened by systemic inequalities. The data suggests that despite variations in racial demographics, economic status remains a constant factor in the criminalization landscape.

Of the 210 cases examined, 166 provided information about pregnancy outcomes. The majority (144) resulted in live births, while 22 cases involved fetal or infant demise. Notably, many defendants faced criminal charges for failing to seek prenatal care or for actions perceived as risky, despite often experiencing significant trauma or health issues. The involvement of healthcare providers in these legal cases raises serious ethical concerns, as providers are increasingly seen as extensions of law enforcement, surveilling and reporting pregnant individuals to authorities.

The Dobbs decision has opened doors for states to further embed fetal personhood in legislation, raising fears about the potential for criminalizing self-managed abortions and expanding the reach of existing laws. Some states have introduced bills that threaten to extend criminal liability to a broader range of pregnancy-related behaviors.

Reversing the trends of fetal personhood and pregnancy criminalization will require major legal and policy adjustments which Pregnancy Justice outlines a few of. Anti-abortion activists intend to misuse the Comstock Act to make it a crime to send or receive medications or devices that are used in abortion care by mail or common carriers like ups and fedex, effectively banning abortion nationwide. It is important to protect against the unfounded use of the Comstock Act to effect a national abortion ban. Pregnancy Justice recommends utilizing the power of federal civil rights agencies to challenge pregnancy criminalization effectively, ensuring maternal health initiatives address the needs of pregnant people who have substance use disorder and other mental health disorders, and passing state laws increasing protections for pregnant people.

The findings of this report illustrate a concerning trend towards the criminalization of pregnancy in the United States. Following the Dobbs decision, it is essential to shift the focus from punishment to support. A future free from discrimination, state violence, and stigma is necessary for all individuals to access the healthcare and resources they need to thrive.

Body Neutrality as a Form of Resistance

In a world where diet culture pervades nearly every aspect of our lives, the emergence of body neutrality offers a refreshing perspective. Body neutrality emphasizes acceptance of our bodies for their functionality rather than their appearance, encouraging a focus on well-being instead of aesthetic ideals. Instead of the body positivity approach saying, “I love my arms, cellulite, and all, they are beautiful” body neutrality would say “I love my arms because they help me hug the people I care about.” To understand the true significance of body neutrality, we must examine how diet culture is deeply intertwined with sexism and racism, and why it is fundamentally problematic.

Diet culture promotes the idea that weight loss and thinness are synonymous with health, beauty, and moral worth. It encourages individuals, particularly women and marginalized communities, to conform to narrow standards of attractiveness, often dictated by media and societal norms. This culture is not only detrimental to mental and physical health but is also rooted in historical systems of oppression.

The constant push for women to conform to an idealized body shape can be traced back to patriarchal structures that seek to control women’s autonomy and self-expression. Feminism seeks to dismantle these oppressive systems, making the diet culture’s insistence on female thinness fundamentally anti-feminist. As Naomi Wolf writes in The Beauty Myth, “A culture fixated on female thinness is not an obsession about female beauty, but an obsession about female obedience. Dieting is the most potent political sedative in women’s history; a quietly mad population is a tractable one.”

From the era of enslavement to contemporary society, Black women’s bodies have been subject to intense scrutiny and control. Historically, Black women were commodified and dehumanized, often seen through the lens of exploitation. This legacy of objectification continues today, manifesting in societal expectations regarding beauty, weight, and behavior.

Diet culture disproportionately affects women of color, who often face additional pressures to conform to Eurocentric beauty standards. The glorification of thinness as the ultimate goal perpetuates harmful stereotypes about race, leading to a cycle of body dissatisfaction and health issues. Furthermore, diet products and services are often marketed in ways that exploit cultural insecurities, further entrenching racist ideals. This intersection of diet culture and racism highlights the need for an inclusive approach that recognizes the diverse experiences of all bodies.

Body neutrality serves as a counter-narrative to diet culture’s damaging messages. By promoting an appreciation for what our bodies can do, rather than how they look, body neutrality helps dismantle the fixation on appearance. Saying “my legs give me the ability to walk and run” instead of “my legs are perfect,” body neutrality advocates for an inclusive understanding of bodies, acknowledging that each individual has a unique relationship with their physical self. This inclusivity is vital for recognizing the ways diet culture disproportionately impacts women of color and other marginalized communities. By emphasizing that all bodies deserve respect, body neutrality fosters a sense of community and support.

Diet culture often associates morality with eating habits, leading to feelings of guilt and shame around food choices. Body neutrality challenges this narrative by promoting a non-judgmental approach to nourishment — saying “this pizza is going to taste so good and give me energy for the day” instead of “this pizza is unhealthy and will make me gain weight.” This shift can liberate individuals from the guilt associated with eating, allowing them to cultivate a healthier relationship with food.

While body neutrality presents a powerful alternative to the harmful messages of diet culture, it is essential to acknowledge that the journey toward self-acceptance is not linear. Individuals may struggle with body image issues and the ingrained beliefs of diet culture, and that’s okay. The goal is to foster a supportive environment where everyone can explore their feelings about their bodies without judgment.

Embracing body neutrality requires an active resistance to the systemic sexism and racism embedded in diet culture. In doing so, it serves not only as a personal tool for self-acceptance but also as a powerful form of collective resistance against the oppressive forces of diet culture and systemic oppression.

Abortion Rights on the 2024 Ballot: Key States Where Voters Will Decide the Future of Reproductive Freedom

Following the U.S. Supreme Court’s ruling to overturn Roe in the 2022 Dobbs v. Jackson Women’s Health Organization decision, reproductive rights are now in the hands of the states. Advocates have begun working to enshrine abortion rights in state constitutions across the nation. Since the Dobbs decision, voters in 6 states, California, Kansas, Kentucky, Michigan, Vermont, and Ohio, have weighed in on constitutional amendments regarding abortion. The side favoring access to abortion in the state constitution prevailed in every state. In 2024, abortion measures are on the ballot in Arizona, Colorado, Florida, Maryland, Missouri, Montana, Nebraska*, New York**, Nevada, and South Dakota. 

* Nebraska has two abortion ballot measures 

** New York has a reproductive rights related measure, but not an abortion ballot measure 

Arizona

In Arizona, the current abortion law bans abortion after 15-weeks, but the 2024 ballot measure could change that. Passed in 2022, the Arizona law contains no exceptions for survivors of rape or incest. Doctors who perform an abortion beyond that deadline for any reason except to prevent a patient’s death or the “substantial and irreversible impairment” of a major bodily function face a class 6 felony, which carries with it a potential prison sentence of up to 2 years. Proposition 139, or the 2024 Arizona Abortion Access Act, is a state constitutional amendment to establish a fundamental right to abortion and to limit the state’s ability to interfere with that right before “fetal viability.” 

The official ballot summary is as follows: 

A “yes” vote shall have the effect of creating a fundamental right to abortion under Arizona’s constitution. The State will not be able to interfere with this fundamental right before fetal viability, unless it has a compelling reason and does so in the least restrictive way possible. Fetal viability means the point in the pregnancy when, in the good-faith judgment of a treating health care professional, the fetus has a significant likelihood of survival outside the uterus. Throughout the pregnancy, both before and after fetal viability, the State will not be able to interfere with the good-faith judgment of a treating health care professional that an abortion is necessary to protect the life or health of the pregnant individual. The State will not be able to penalize any person for aiding or assisting a pregnant individual in exercising the right to an abortion.

A “no” vote shall have the effect of not creating a fundamental right to have an abortion under Arizona’s constitution, will leave in place current laws that restrict abortion before fetal viability, and will allow the State to further restrict or ban abortion in the future

The voter registration deadlines for Arizona are October 7, 2024 for online, in-person, and by mail with the general election being November 5, 2024. Here is the Arizona Election website to check your voter registration, polling location, and other election information! 

Colorado

Colorado is one of 10 states that does not restrict abortion after a specific point in a pregnancy. In 2020, there was an initiative, Colorado Proposition 115, to ban abortions after 22 weeks which was rejected by voters. For 2024, the Colorado Right to Abortion and Health Insurance Coverage Initiative, Initiative 89, would protect abortion access in the Colorado state constitution. This measure would lift the state’s ban on using state money for abortion. In order for Initiative 89 to pass, a supermajority of at least 55% of Colorado’s voters is required. 

The ballot summary is as follows: 

A “yes” vote supports creating a right to abortion in the state constitution and allowing the use of public funds for abortion.

A “no” vote opposes creating a right to abortion in the state constitution and opposes repealing a constitutional provision that bans the use of public funds for abortion. 

The voter registration deadlines for Colorado are October 28 for online and mail and November 5 for in-person. Here is the Colorado Election website to check your voter registration, polling location, and other election information!  

Florida

The current abortion law in Florida consists of a 6-week ban. Before 2022, abortions were legal in Florida until 24 weeks. On April 13, 2023, the legislature passed a bill, known as the Heartbeat Protection Act, to ban abortion at six weeks. This bill was set to take effect 30 days after the Florida Supreme Court ruled on the 15-week abortion ban case. On April 1, 2024, the Florida Supreme Court upheld the state’s 15-week abortion ban, which led to the 6-week ban going into effect 30 days later, on May 1, 2024. In the upcoming 2024 election, Amendment 4, or the Right to Abortion Initiative, is on the ballot. Amendment 4 would reverse the current abortion ban and enshrine a right to abortion “before viability” which is 24 weeks, into the state constitution. There is also a supermajority required of 60% to approve the amendment. 

The ballot summary is as follows:

A “yes” vote supports adding the following language to the Florida Constitution’s Declaration of Rights: “… no law shall prohibit, penalize, delay, or restrict abortion before viability or when necessary to protect the patient’s health, as determined by the patient’s healthcare provider.” Amendment 4 would maintain the current constitutional provision that permits a law requiring parents to be notified before a minor can receive an abortion.

A “no” vote opposes amending the Florida Constitution’s Declaration of Rights to provide that the state cannot “… prohibit, penalize, delay, or restrict abortion before viability or when necessary to protect the patient’s health, as determined by the patient’s healthcare provider.”

The voter registration deadlines for Florida is October 7, 2024 for online, by mail, and in-person. Here is the Florida Election Website to check your voter registration, polling location, and other election information!  

Maryland 

In March 2023, the General Assembly of Maryland passed the “Right to Reproductive Freedom Act” in response to the US Supreme Court’s overturning of Roe. This legislation would amend the “Declaration of Rights” in Maryland’s constitution, enshrining the right to reproductive freedom in the state of Maryland. Before this right can be added to the state constitution, it must be approved by Maryland voters, which is a requirement for all constitutional amendments. Even though Maryland has reproductive freedom laws, without the right in the state constitution, it could be vulnerable in the future. 

The Amendment voting summary: 

A “yes” vote supports adding a new article to the Maryland Constitution’s Declaration of Rights establishing a right to reproductive freedom, defined to include “the ability to make and effectuate decisions to prevent, continue, or end one’s own pregnancy.”

A “no” vote opposes amending the state constitution to establish a right to reproductive freedom.

The voter registration deadlines for Maryland are October 15, 2024 for online and by mail, and November 5 in-person.. Here is the Maryland Election Website  to check your voter registration, polling location, and other election information!  

Missouri 

As of 2022, abortion is completely banned in Missouri with certain exceptions, including saving the life or preventing a serious risk to the health of the pregnant woman. Missouri law also requires that a minor seeking an abortion must receive parental consent. In 2024, Amendment 3 would amend the Missouri Constitution to provide the right for reproductive freedom, which is defined as “the right to make and carry out decisions about all matters relating to reproductive health care, including but not limited to prenatal care, childbirth, postpartum care, birth control, abortion care, miscarriage care, and respectful birthing conditions.” This measure would protect rights to birth control, prenatal care, postpartum care, childbirth care, and more. 

The official ballot summary is as follows:

“A “yes” vote will enshrine the right to abortion at any time of a pregnancy in the Missouri Constitution. Additionally, it will prohibit any regulation of abortion, including regulations designed to protect women undergoing abortions and prohibit any civil or criminal recourse against anyone who performs an abortion and hurts or kills the pregnant woman.

A “no” vote will continue the statutory prohibition of abortion in Missouri.

If passed, this measure may reduce local taxes while the impact to state taxes is unknown”. 

The voter registration deadlines for Missouri is October 9, 2024 for online and by mail, and in-person. Here is the Missouri Election Website to check your voter registration, polling location, and other election information!  

Montana 

Abortion is currently legal in Montana until “fetal viability” which is generally 24–26 weeks of pregnancy. In 2024, CI-128, or the Right to Abortion Initiative, is on the ballot to enshrine abortion rights into the Montana state constitution. The constitutional amendment would explicitly create a constitutional right to an abortion stating “there is a right to make and carry out decisions about one’s own pregnancy, including the right to abortion.” The amendment would prohibit the government from penalizing a person based on their pregnancy outcomes nor someone who aids in an abortion.  

A “yes” vote supports amending the Montana Constitution to: provide a state constitutional “right to make and carry out decisions about one’s own pregnancy, including the right to abortion,” and allow the state to regulate abortion after fetal viability, except when “medically indicated to protect the life or health of the pregnant patient.” 

A “no” vote opposes amending the Montana Constitution to provide a state constitutional “right to make and carry out decisions about one’s own pregnancy, including the right to abortion,” and allow the state to regulate abortion after fetal viability, except when “medically indicated to protect the life or health of the pregnant patient.”  

The voter registration deadlines for Montana are October 7, 2024 by mail, November 5 in-person and there’s no online registration option. Here is the Montana Election Website to check your voter registration, polling location, and other election information!  

Nebraska 

The current Nebraska law bans abortion after 12 weeks of pregnancy as of May 22, 2023. In 2024, Nebraska will have 2 competing measures on the ballot. The Nebraska Right to Abortion Initiative would enshrine the right to an abortion until viability into the state constitution. However, the Prohibit Abortions After the First Trimester Amendment or “Protect Women and Children Amendment” would enshrine the current 12-week abortion ban, with exceptions for sexual assault or medical emergencies, into the Nebraska constitution. The measure that gets the most votes will become law. 

The voter registration deadlines for Nebraska are October 18, 2024 by mail and online,and  October 25 in-person. Here is the Nebraska Election Website to check your voter registration, polling location, and other election information!  

Nevada 

Since 1990, Nevada voters have upheld NRS 442.250, which legalized abortion until 24 weeks, and prohibited the state legislature from amending or repealing the law unless it was placed on the ballot. In 2024, Question 6 or the Right to Abortion Initiative is on the ballot to enshrine abortion rights in the Nevada Constitution until fetal viability or when to protect the life or health of the pregnant patient. 

A “yes” vote supports providing for a state constitutional right to an abortion, providing for the state to regulate abortion after fetal viability, except where medically indicated to “protect the life or health of the pregnant patient.”

A “no” vote opposes providing for a state constitutional right to an abortion, providing for the state to regulate abortion after fetal viability, except where medically indicated to “protect the life or health of the pregnant patient.” 

Even though these protections are very similar to the current Nevada law, a constitutional right to an abortion would be harder to overturn and further protect reproductive freedom in Nevada. The ballot question must also be approved in the 2026 election since this will be the first time that voters can weigh in for the Constitution to be amended. 

The voter registration deadlines for Nevada  are October 8, 2024 by mail and online, and November 5 online and in-person. Here is the Nevada Election Website to check your voter registration, polling location, and other election information!  

South Dakota 

In South Dakota, there is currently a complete abortion ban, with the only exception to save the life of the mother. Constitutional Amendment G would provide a state constitutional right to abortion and provide that the state cannot regulate abortion before the end of the first trimester. During the second trimester of pregnancy, the state may regulate abortion, but “only in ways that are reasonably related to the physical health of the pregnant woman.” During the third trimester of pregnancy, the state may regulate or prohibit abortion, except “when abortion is necessary, in the medical judgment of the woman’s physician, to preserve the life and health of the pregnant woman”. A “no” vote opposes providing for a state constitutional right to abortion in South Dakota, using a trimester framework for regulation.

The voter registration deadlines for South Dakota are October 21, 2024 by mail and in-person, and there’s no online option. Here is the South Dakota Election Website to check your voter registration, polling location, and other election information!  

New York 

The current New York law states that all people have the right to abortion through the 24th week of pregnancy. After 24 weeks, abortion is permitted if your medical provider decides your fetus is not viable or your life, physical health, or mental health are at risk. In 2024, Proposal 1 would amend the Equal Protection Clause of the New York Constitution. Currently the Equal Protection Clause prohibits a person’s rights from being denied based on the person’s “ethnicity, national origin, age, [and] disability,” as well as the person’s “sex, including sexual orientation, gender identity, gender expression.” Proposal 1 would add that people’s rights cannot be denied based on their “pregnancy, pregnancy outcomes, and reproductive healthcare and autonomy.” This law does not enshrine the right to an abortion, however it does prevent discrimination based on reproductive care. 

The voter registration deadlines for New York are October 26, 2024 by mail, online, and in-person. Here is the New York Election Website to check your voter registration, polling location, and other election information!  

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