Challenges in the Provision of Lifesaving Care for Pregnant Patients Following the Overturn of Roe v. Wade Proceedings of a Workshop–in Brief (2023) / Chapter Skim
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Challenges in the Provision of Lifesaving Care for Pregnant Patients Following the Overturn of Roe v. Wade: Proceedings of a Workshop - in Brief
Challenges in the Provision of Lifesaving Care for Pregnant Patients Following the Overturn of Roe v. Wade: Proceedings of a Workshop - in Brief
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Dzau, president of the National Academy of considered the myriad of legal, policy, and provider Medicine, acknowledged that clinicians are in a difficult challenges, and the effect of these challenges on the position, tasked with determining how to best care for delivery of care and clinician well-being. The workshop patients when "legal restrictions may conflict with discussion also considered some potential strategies to recommended medical interventions." He explained that ensuring the provision of lifesaving care for individuals this creates real risk for pregnant patients and noted that experiencing pregnancy complications.
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Her presentation touched on the lack of clarity and Spector-Bagdady also gave an overview of the legal consistency in defining and enforcing the exceptions for landscape related to abortion care in Michigan. She lifesaving care in several states that restrict abortion as explained that, when the draft Dobbs decision was leaked well as the confusion and fear of legal repercussions that in May 2022, the state attorney general successfully health providers face when delivering urgently needed filed an injunction to prevent a 1931 state law restricting medical care.
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explained that the challenges they have experienced while navigating her institution is a safety net hospital caring for many changes in state-level abortion laws and delivering patients who do not have financial resources and that health care services for individuals experiencing this "population is being hit hard by these changes." pregnancy complications. The speakers also discussed Florida had a law in place banning abortion after 15 changes they have noted in patients' experiences weeks of pregnancy with an exception to protect the life accessing care.
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at some point during their pregnancy." during pregnancy and explained that, in the cases of Chernoby explained that in states with restrictive some conditions, "Women who have them require abortion laws, there is conflict between those laws and very specialized management during pregnancy, and EMTALA. For example, she said a pregnant patient it can be very serious and dangerous for these women may go to an emergency department with an ectopic during a desired pregnancy." Marshall explained that pregnancy and then have a hospital refuse to provide care managing these conditions for pregnant patients who until the complications advance to a more severe stage.
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communities, other communities of color, trans and nonbinary communities, immigrant communities, Eisenberg shared a study he conducted with colleagues and other communities that have been historically that indicates worsening outcomes for pregnant patients marginalized." in states with restrictive abortion laws. As several states increased abortion restrictions after 2009, "We saw a Gerdts discussed "medication abortion accompaniment," statistically significant increase in maternal mortality a strategy used to provide access to safe abortion care in ratios in those most restrictive states when compared to places with restrictive abortion laws.
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The speakers were asked to Acknowledging the legal risks that pregnant patients comment on strategies for capturing data related to the may face seeking abortion care, speakers were asked to effects of legal restrictions on access to abortion care. reflect on ways clinicians can help reduce these risks.
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, University of California, San Francisco; Andreia Alexander, Indiana University School of Medicine; Elizabeth Ananat, Barnard College, Columbia University; Corale L Brierley, Brierley Consultancy, LLC; Ned Calonge, Colorado School of Public Health; Judy Chang, University of Pittsburgh School of Medicine; Ellen Wright Clayton, Vanderbilt University; Cat Dymond, Atlanta Birth Center; Michelle Bratcher Goodwin, Georgetown University School of Law; Barbara Grosz, Harvard University; Vincent Guilamo-Ramos, Duke University School of Nursing; Lisa Harris, University of Michigan; Paula Johnson, Wellesley College; Justin R
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