Change in gestational age at time of presentation for induced abortion in Illinois before and after the overturn of Roe v. Wade
Awarded 2022
Complex Family Planning Fellowship Research
Jayme Trevino, MD, MPH
Washington University

Dr. Jayme Trevino is a current first-year Complex Family Planning Fellow at Washington University in St. Louis, MO. She is originally from San Antonio, TX, where she completed her Doctor of Medicine and Master of Public Health degrees. Dr. Trevino is interested in researching how public policy affects reproductive health equity, especially in regions with restrictive abortion laws. She is interested in assessing the impact of the Dobbs v. Jackson Women’s Health Organization, as she cares for patients that have been greatly affected by this decision. Her current proposed project is a retrospective cohort study that will examine the impact of the Dobbs decision on gestational age at time procedure for patients seeking termination at an abortion clinic in southern Illinois, and investigate patient characteristics associated with presentation at later gestational age. We will also compare distance traveled before and after the Dobbs decision. We hypothesize the mean gestational age at time of procedure and mean one-way travel distance will increase after the Dobbs decision. We also hypothesize that the Dobbs decision will disproportionately affect patients who identify as BIPOC (Black, Indigenous, and people of color), have less educational attainment, and live in more deprived areas. The findings of this study can be used to inform evidence-based reproductive health policy and support advocacy efforts against restrictive abortion legislation.