Most abortion care occurs through 2 pathways: independent clinics and Planned Parenthood affiliates. A minority of care occurs in hospital systems, most often academic centers. Recently, these 3 pathways have been portrayed as having fraught and competitive relationships, particularly in light of differing approaches to abortion restrictions post-Dobbs (1-3). All 3 pathways exist in Portland, ...Read more >

People need abortion care throughout pregnancy. Most abortions take place in the first trimester, but there is a persistent and irreducible need for abortion care after 13 weeks. Research shows that later abortion seekers encounter formidable barriers to care, particularly related to paying for abortion, and that abortion funds have long played a key role ...Read more >

On June 24, 2022, the US Supreme Court issued a landmark decision in the case of Dobbs v Jackson Women’s Health Organization that the US. Constitution does not confer the right to abortion. As of August 2023, 14 states, including Louisiana, have enacted total bans on abortion, and one in three pregnancy-capable people must now travel ...Read more >

Access to abortion in the second and third trimester of pregnancy has become increasingly complex since the Supreme Court’s Dobbs decision in June 2022. With even fewer facilities offering later abortion services and more dispersed across the country than before, pregnant people are faced with traveling considerably farther distances for an abortion. Yet the specific ...Read more >

In 2022, Georgia enacted a law that bans most abortions in the state after approximately six weeks. This law contains exceptions for “medical emergency” and “medically futile pregnancy.” Clinicians in Georgia and other states have struggled to navigate exceptions, which often create confusion and uncertainty. These exceptions raise questions such as what risk of death ...Read more >

On June 24, 2022 the Supreme Court decision in Dobbs v Jackson Women’s Health Organization reversed the constitutional right to abortion previously protected under Roe v Wade. As a result, there is mounting concern that patients diagnosed with PAC in states with restricted access to abortions will not have the option in to terminate their ...Read more >

The Dobbs v Jackson Women’s Health Organization decision in June 2022 has created new burdens and restrictions around the provision of healthcare services that may be considered abortion through restrictive and vague state-level legislation implemented following the decision. Objective measures of the impact of abortion bans following Dobbs on obstetric care and pregnancy-related outcomes from ...Read more >

Alabama has some of the poorest maternal and infant health outcomes in the nation and has been instrumental in politically-charged efforts to restrict access to reproductive rights and services. The 2022 Dobbs ruling led to a near-total abortion ban in Alabama and has potentially exacerbated maternal health crises and healthcare inequities, particularly for marginalized and ...Read more >

We propose a qualitative study, based upon in-depth interviews with maternal-fetal-medicine physicians (MFMs) in three restrictive policy contexts, to understand the impact of state and institutional abortion bans on MFM practices for previable pregnancy complications and how might these deviate from their professional standards of care. Specifically, we ask how MFMs interpret EMTALA in practice, ...Read more >

No-test telehealth abortion care is safe, acceptable, and effective and is one of the few options available for people living in states that ban abortion. Ectopic pregnancy remains a primary source of concern for the telehealth model. Yet, we lack evidence around how ectopics are diagnosed and treated in the no-test telehealth context. We will ...Read more >