Global maternal and child health is already in crisis. Hundreds of thousands of preventable pregnancy-related deaths occur annually, and progress to address maternal mortality has stalled globally.
Now, the Trump administration’s expanded global gag rule—which took effect last week—will accelerate this already dangerous backslide.
The global gag rule, or Mexico City Policy, has long functioned as a financial chokehold, barring U.S. aid to international organizations that offer abortion counseling or referrals, even with non-U.S. sources. In its most sweeping expansion to date, the policy now extends to nearly all non-military foreign assistance.
A policy that accelerates a global maternal and child health crisis cannot credibly be described as pro-life. As care fragments and organizations are forced into silence, the fallout is predictable and permanent: Survivors will navigate trauma alone, and women will die.











