Washington, D.C. — Deaths involving ectopic pregnancies have nearly doubled in the United States in recent years, with a substantially steeper increase in states enforcing strict abortion bans, according to a new ProPublica analysis of federal mortality data.
Using CDC WONDER records, ProPublica identified nearly 200 deaths involving ectopic pregnancy from 2020 through 2025, compared with roughly 100 during the previous six years. The national death rate reached 9.8 per million live births in 2023-2025. In states with abortion bans beginning at six weeks or earlier, the rate was 13.1, compared with 7.1 in states without bans.
An ectopic pregnancy occurs when a pregnancy implants outside the uterus, usually in a fallopian tube. It is generally nonviable and can become fatal if the tube ruptures and causes severe internal bleeding.
Researchers cautioned that the data do not prove abortion bans caused the increase. COVID-era hospital disruptions, underlying differences in maternal health and other factors may also contribute. However, physicians told ProPublica that abortion restrictions deserve scrutiny because uncertainty surrounding the laws has sometimes delayed treatment, even though ectopic pregnancies are typically exempted.
The analysis also found 310 additional Texas patients experienced substantial blood loss following ectopic pregnancies in 2023-2024 compared with 2018-2019, a 29% increase. Texas later clarified that ectopic pregnancy treatment is permitted under its abortion law.
Maternal-health experts said the trend warrants further investigation because prompt diagnosis and treatment generally make deaths from ectopic pregnancy preventable.
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