In Reply We thank Dieguez et al for their Letter about our recent article as well as their extensive contributions to this area of research. We certainly agree that adoptions and abortion are frequently linked together, and their relationship in political discourse has existed for many decades. In the US during the so-called Baby Scoop Era (spanning from approximately the end of World War II until the legalization of abortion via Roe v Wade in 1973), adoption was often seen as the solution to an unwanted pregnancy. With the legalization of abortion, antiabortion advocates began to argue that adoption was a substitute for abortion. Although these 2 concepts are frequently linked in political discourse, we sought to contribute to the conversation a quantitative measure of their association, which, to our knowledge, had not before been calculated. We thank Dieguez et al for sharing their important work in this essential area of reproductive policy, and we are certain the JAMA Pediatrics readership will benefit from their contributions.
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