Society for Maternal-Fetal Medicine Special Statement: Maternal-fetal medicine subspecialist survey on abortion training and service provision

Lappen, Justin R.; Vricella, Laura K.; Andrews, V.; Christensen, Erika Frischknecht; Heuser, Cara; Horvath, Sarah; Johnson, Clark T.; Louis, Judette; Luchowski, Alicia T.; Norton, Mary E.; Sagaser, Katelynn G.; Srinivas, Sindhu K.; Werner, Erika F.; Zahedi-Spung, Leilah

doi:10.1016/j.ajog.2021.04.220

Cited by 8 publications

(6 citation statements)

References 15 publications

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“…[D&E]) training and services are not available in all academic hospitals, 4,5,8 a finding we confirmed in our survey, limiting patients' choice on how to terminate a pregnancy. Twenty-nine percent of our survey respondents who provided D&Es without offering STMA/TTMA were nonehospital based, which might have improved patient access in some cities where hospitals did not provide D&E (R. Renner, unpublished data, 2022).…”

Section: Discussionsupporting

confidence: 55%

Second- and Third-Trimester Medical Abortion Providers and Services in 2019: Results From the Canadian Abortion Provider Survey

Renner

Ennis

Guilbert

et al. 2022

Journal of Obstetrics and Gynaecology Canada

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Section: Discussionsupporting

confidence: 55%

Second- and Third-Trimester Medical Abortion Providers and Services in 2019: Results From the Canadian Abortion Provider Survey

Renner

Ennis

Guilbert

et al. 2022

Journal of Obstetrics and Gynaecology Canada

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“…As of 2017, 89% of all US counties do not have an abortion provider available for their residents ( 4 ). The abortion provider decline is associated with the increasingly restrictive and hostile abortion legislation taking hold in the US ( 4 , 40 ). Over the last decade, there have been 479 abortion restrictions enacted in 33 states, even though abortion is one of the safest medical procedures ( 40 ).…”

Section: Barriers For Providersmentioning

confidence: 99%

Section: Barriers For Providersmentioning

confidence: 99%

“…Surveyed Maternal-Fetal Medicine (MFM) providers stated that individual, institutional, and state-level factors impact their ability to provide abortion care in their practices ( 40 ). Limitations such as abortion public funding, cost, state mandates, waiting periods, and institutional policies impact their ability to provide abortion care ( 40 ). MFM physicians practicing in supportive abortion legislation states reported higher abortion provisions than those physicians practicing in abortion-hostile states, resulting in an unequal geographic distribution and representation of abortion providers and abortion clinics across the US and reduced access to reproductive health services ( 40 ).…”

Section: Barriers For Providersmentioning

confidence: 99%

“…Limitations such as abortion public funding, cost, state mandates, waiting periods, and institutional policies impact their ability to provide abortion care ( 40 ). MFM physicians practicing in supportive abortion legislation states reported higher abortion provisions than those physicians practicing in abortion-hostile states, resulting in an unequal geographic distribution and representation of abortion providers and abortion clinics across the US and reduced access to reproductive health services ( 40 ). The disproportionate distribution of physicians is especially dangerous for high-risk patients whose pregnancies pose impending physical threats to their lives and who are located in areas with reduced or no access to family planning counseling services ( Figure 1 ).…”

Section: Barriers For Providersmentioning

confidence: 99%

See 2 more Smart Citations

The impact of hostile abortion legislation on the United States maternal mortality crisis: a call for increased abortion education

Kheyfets,

Dhaurali,

Feyock

et al. 2023

Front. Public Health

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The growing restrictive abortion policies nationwide and the Supreme Court decision on Dobbs v. Jackson Women’s Health Organization place increasing barriers to abortion access in the United States. These restrictions disproportionately affect low-income people of color, immigrants, and non-English speakers, and have the potential to exacerbate already existing racial inequities in maternal and neonatal outcomes. The United States is facing a Black maternal health crisis where Black birthing people are more than twice as likely to experience maternal mortality and severe maternal morbidity compared to White birthing people. Restrictions creating geographic, transportation, and financial barriers to obtaining an abortion can result in increased rates of maternal death and adverse outcomes across all groups but especially among Black birthing people. Restrictive abortion laws in certain states will decrease already limited training opportunities in abortion care for medical professionals, despite the existing abortion provider shortage. There is an immediate need for federal legislation codifying broad abortion care access into law and expanding access to abortion training across medical education. This commentary explores the impact of restrictive abortion laws on the Black maternal health crisis through multiple pathways in a logic model. By identifying current barriers to abortion education in medical school and residency, we created a list of action items to expand abortion education and access.

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Reproductive justice advocacy efforts among genetic counselors and family planning providers

Johnstonbaugh,

Lee,

Semesky

et al. 2023

Journal of Genetic Counseling

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Throughout all areas of medical practice, genetic counselors (GCs) occupy a key position in promoting patients' personal autonomy while facilitating informed medical decision‐making. This professional position aligns with the concept of reproductive justice. Previous literature has attempted to define reproductive advocacy in medicine as well as the potential intersection of genetic counseling and reproductive justice advocacy work, yet limited data exist regarding GCs' perceptions of their role and involvement in reproductive justice advocacy work. This study aimed to identify the perceptions and actions of GCs regarding reproductive justice advocacy measures, as well as explore motivating factors influencing their attitudes and behaviors. Family planning providers, who tend to prioritize reproductive justice and advocacy, were surveyed to be a comparison group. We distributed an anonymous online survey within the National Society of Genetic Counselors (NSGC) and the Society of Family Planning (SFP) consisting of a 10‐item personality inventory and Likert scale questions exploring characteristics and behaviors regarding reproductive justice advocacy. Results from 252 eligible respondents were analyzed using descriptive statistics, Chi‐square, and Mann–Whitney U analyses. NSGC members are significantly less involved in several areas of reproductive justice advocacy, including regular participation in advocacy efforts when compared to SFP members (p = 0.04). The most cited barrier to NSGC members' participation was feeling unsure how to become involved, a significant difference compared to SFP members (p = 0.01). Findings from this study, undertaken in the final days of Roe v. Wade, suggest that GCs want to be more involved in reproductive justice advocacy but are uncertain where to begin. Intersociety collaboration and intra‐society promotion of grassroots reproductive justice efforts may reduce this perceived barrier and others like it.

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Society for Maternal-Fetal Medicine Special Statement: Maternal-fetal medicine subspecialist survey on abortion training and service provision

Cited by 8 publications

References 15 publications

Second- and Third-Trimester Medical Abortion Providers and Services in 2019: Results From the Canadian Abortion Provider Survey

Second- and Third-Trimester Medical Abortion Providers and Services in 2019: Results From the Canadian Abortion Provider Survey

The impact of hostile abortion legislation on the United States maternal mortality crisis: a call for increased abortion education

Reproductive justice advocacy efforts among genetic counselors and family planning providers

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