Two years in a post- Dobbs world: clinical, social and professional consequences
- PMID: 39145489
- DOI: 10.1097/GCO.0000000000000975
Two years in a post- Dobbs world: clinical, social and professional consequences
Abstract
Purpose of review: Dobbs v Jackson Women's Health Organization revoked the decades-old precedent that pregnancy termination is a constitutional right. This review article explores the research landscape describing the consequences of overturning Roe v Wade for patients and providers.
Recent findings: To date, fourteen states have enforced total bans on abortion, with seven more restricting abortion access to levels not seen since before Roe. Dobbs has had immediate and swift consequences from clinical, social and professional perspectives, with increases in maternal mortality and demand for long-acting and permanent contraception, matched by declines in both access to methotrexate and applications to Obstetrics & Gynecology training programs.
Summary: Eighteen million patients now live in states where abortion access is highly if not completely inaccessible. Abortion restrictions have profound implications beyond those desiring pregnancy termination; future research should continue to explore the ways Dobbs has affected clinical care, public health and social practices.
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.
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References
-
- Jones RI. Increasing access to abortion. ACOG. Guttmacher.
-
- Stevenson AJ. The pregnancy-related mortality impact of a total abortion ban in the United States: a research note on increased deaths due to remaining pregnant. Demography 2021; 58:2019–2028.
-
- Nambiar A, Patel S, Santiago-Munoz P, Spong CY. Maternal morbidity and fetal outcomes among pregnant women at 22 weeks’ gestation or less with complications in 2 Texas hospitals after legislation on abortion. Am J Obstet Gynecol 2022; 227:648–650. e1.
-
- Care Post-Roe: documenting cases of poor-quality care since the Dobbs decision.
-
- Felix M, Sobel L. A review of exceptions in state abortion bans: implications for the provision of abortion services. Kais Fam Found. 2023 May 18. Available at: https://www.kff.org/womens-health-policy/issue-brief/a-review-of-excepti... .
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