In June 2022, in Dobbs v. Jackson Women’s Health, the U.S. Supreme Court overturned the precedent set by the 1973 decision in Roe vs. Wade, leaving access to abortion to be regulated by each state, rather than a U.S. constitutional right. Some states are setting gestational age limits, beyond which point only under certain circumstances can an abortion be obtained. Other states are banning abortion outright (regardless of gestational age) unless an “exception” is met. Certain states include an exception for abortion when a woman’s physical health is at risk if they continue the pregnancy, but, at the same time, do not provide an exception for women whose mental health is at risk (a “mental health exception”).Mental health conditions that develop, continue, or are exacerbated during pregnancy may be manageable or treatable, and women may want to continue their pregnancy even while experiencing such conditions. However, the absence of a choice to terminate their pregnancy as a result of these mental health conditions means women who are unable to successfully manage or treat their mental health during pregnancy have no choice but to experience the impact on their mental health – and reconcile any resulting impact on the fetus.This article will discuss the role a mental health exception plays in state abortion statutes by analyzing the impact of pregnancy on mental health and resources available to support those who experience mental health impacts during pregnancy while, simultaneously, advocating for the inclusion of a mental health exception in state abortion laws.

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心理健康很重要：多布斯之后的堕胎法

2022 年 6 月，在多布斯诉杰克逊妇女健康案之后，美国最高法院推翻了1973年“罗伊诉韦德案”判决所确立的先例，将堕胎权由各州监管，而不是一项美国宪法权利。一些州设定了孕龄限制，超过该限制只有在某些情况下才能堕胎。其他州则完全禁止堕胎（无论孕龄如何），除非满足“例外”。某些州规定，当妇女继续怀孕，身体健康面临风险时，堕胎例外，但同时，没有为心理健康面临风险的妇女提供例外（“心理健康例外”）。怀孕期间出现、持续或加剧的心理健康状况可能是可以控制或治疗的，即使在经历此类状况的情况下，女性也可能希望继续怀孕。然而，由于这些心理健康状况而无法选择终止妊娠，意味着无法在怀孕期间成功管理或治疗其心理健康的女性别无选择，只能经历对其心理健康的影响，并调和任何心理健康问题。本文将通过分析怀孕对心理健康的影响以及可用于支持那些在怀孕期间经历心理健康影响的人的资源，同时倡导将心理健康例外纳入州堕胎法。