Reproductive justice in post-Roe America: Impact of restricted abortion access on patients seeking permanent contraception.

Reproductive justice in post-Roe America: Impact of restricted abortion access on patients seeking permanent contraception.
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后罗伊时代美国的生殖正义:限制堕胎对寻求永久避孕的患者的影响。

DOI:
10.1016/j.contraception.2023.109995
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发表时间:
2023
期刊:
影响因子:
2.9
通讯作者:
Arora,KavitaShah
Arora,KavitaShah
中科院分区:
医学3区
文献类型:
--
作者:
Thornton,Madeline;Arora,KavitaShah

文献摘要

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有趣的是,临床医生报告说,自多布斯诉杰克逊妇女健康组织(多布斯)案判决以来,对永久避孕的需求增加了25例,这26例可能反映了患者对失去生育自主权的恐惧。在这篇评论中,我们依赖于美国永久避孕获得的偏见和歧视的历史来解释和预测Dobbs决定后的潜在结果。这些发现可以塑造临床实践,因为临床医生的目标是平衡满足患者的避孕目标,同时坚持避免生殖胁迫的承诺。我们为31名临床医生的避孕咨询提供了建议,以确保所有32名患者都能公平地获得永久避孕。33
Anecdotally, clinicians have reported an increase in demand for permanent contraception 25 procedures since the Dobbs v. Jackson Women’s Health Organization (Dobbs) decision, which 26 may reflect patients’ fear of losing reproductive autonomy. In this commentary we rely upon the 27 history of bias and discrimination in permanent contraception access in the United States to 28 interpret and predict potential outcomes following the Dobbs decision. These findings can shape 29 clinical practice as clinicians aim to balance meeting a patient’s contraceptive goals while 30 upholding a commitment to avoid reproductive coercion. We provide recommendations for 31 clinicians’ contraceptive counseling to ensure equitable access to permanent contraception for all 32 patients. 33