The US Supreme Court's ruling in Dobbs v. Jackson reversed nearly 50 years of legal
precedent following the Roe v. Wade decision in 1973. This decision was an assault
on reproductive justice that disproportionately impacts adolescents and young adults.
The decision allowed states to enact laws curtailing induced abortions; in some states
trigger laws had been enacted prior to the overturn of Roe v. Wade leading to an almost
immediate ban on abortions. Some of these laws have been enjoined from enforcement,
but others have gone into effect. Other states are in the process of enacting laws
to protect abortion rights and access. The “abortion landscape” has been described
as fragmented and increasingly polarized. An interactive map, available and regularly
updated by the Guttmacher Institute at https://states.guttmacher.org/policies/, illustrates state-specific abortion policies, describing laws that range from most
restrictive to most protective of abortion rights. Clinicians well know how to access
this information, but accessing comprehensive reproductive healthcare which includes
abortion access has long been a challenge for adolescents and young adults (AYA).
Imagine the 14 year old who is unexpectedly pregnant, and unaware of where to seek
help or what the laws are in her state.
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References
- Abortion Surveillance—United States, 2019.MMWR Surveill Summ. 2021; 70: 1-29
- Medical Management of Abortion.WHO, Editor, Geneva2018
Verma, N., et al., Society of Family Planning Interim Clinical Recommendations: Self-managed Abortion. 2022.
- Medical Impact of Roe Reversal Goes Well Beyond Abortion Clinics, Doctors Say.The New York Times. New York Times, New York, New York2022
- Side Effects Public Media.Indiana's New Abortion Ban May Drive Some Young OB-GYNs to Leave a State Where They're Needed. NPR, Kaiser Health News, 2022
- A Challenge for Antiabortion States: Doctos Reluctant to Work There.The Washington Post. The Washington Post, Washington DC2022
- What New Abortion Bans Mean for the Youngest Patients.The New York Times. New York Times, New York, New York2022
- Declines in Pregnancies among U.S. Adolescents from 2007 to 2017: Behavioral Contributors to the Trend.J Pediatr Adolesc Gynecol. 2022; 35: 676-684
- Affordable Care Act (ACA) implementation and adolescent births by insurance type: An interrupted time series analysis of births between 2009 and 2017 in the United States.J Pediatr Adolesc Gynecol. 2022; 35: 685-691
- Normalizing Normal in Medical Education: A Call to Action.J Pediatr Adolesc Gynecol. 2022; 35: 612-613
- NASPAG Position Statement: Eliminating Period Poverty in Adolescents and Young Adults Living in North America.J Pediatr Adolesc Gynecol. 2022; 35: 609-611
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© 2019 Published by Elsevier Inc. on behalf of North American Society for Pediatric and Adolescent Gynecology.
