In June 2022, the U.S. Supreme Court’s decision in Dobbs v Jackson Women’s Health Organization ended the federally protected right to abortion established in 1973’s Roe v Wade decision. As a result, many states ended existing protections for abortion. Although all pre-Dobbs abortion restrictions included medical exceptions, six post-Dobbs state policies have no health exceptions and several more have health exceptions that lack sufficient clarity for consistent clinical interpretation and application. The proposed study examines the consequences of such a dramatic shift in access to legal abortion in the U.S., with a focus on the effect of abortion bans on care for pregnant people with fetal diagnoses or other pregnancy complications. Documentation and analysis of these comparatively rare cases is critical for rendering a rigorous and complete examination of the post-Roe landscape. The study consists of two qualitative components. In the first, we will conduct in-depth interviews with emergency medicine and obstetrician-gynecologist physicians in states with abortion bans or severe restrictions to investigate emergency room care for and management of pregnant patients. In the second, we will conduct in-depth interviews with people who experienced an obstetric emergency and/or fetal diagnosis while living in a state with a post-Dobbs abortion ban. Findings will examine whether and how care protocols have changed, the extent to which physicians feel clear about what they can provide legally (i.e., chilling effects), the physical and mental health effects of delayed and denied care, and the (further) politicization of reproductive healthcare.