| Changes in abortion provider practices in response to the Partial-Birth Abortion Ban Act of 2003. | |
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MedLine Citation:
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PMID: 19341851 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The April 2007 Supreme Court Gonzalez v. Gonzalez v. Carhart decision upheld the Partial-Birth Abortion Ban Act of 2003. We conducted a pilot study that measured the impact of the ban in one state with a diverse pool of second-trimester abortion providers. STUDY DESIGN: A survey was administered via telephone to key informants at each facility in Massachusetts where second-trimester abortions are performed in order to assess clinical and administrative changes following the Supreme Court decision. RESULTS: Five hospital-based practices introduced injections to induce fetal demise prior to dilation and evacuation for later second-trimester abortions. One site stopped providing dilation and evacuation abortions in the absence of fetal or maternal indications, and another significantly decreased its volume of procedures. Training opportunities were decreased, and costs at three facilities increased. CONCLUSIONS: The Partial-Birth Abortion Ban Act of 2003 resulted in a range of practice changes in Massachusetts, particularly in hospitals. These changes reflect adherence to legal and policy mandates and not the availability of new scientific evidence. Further study to assess the impact of the ban in states with fewer providers is warranted. |
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Authors:
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Lisa Haddad; Susan Yanow; Laurent Delli-Bovi; Kate Cosby; Tracy A Weitz |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2009-01-17 |
Journal Detail:
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Title: Contraception Volume: 79 ISSN: 1879-0518 ISO Abbreviation: Contraception Publication Date: 2009 May |
Date Detail:
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Created Date: 2009-04-03 Completed Date: 2009-07-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0234361 Medline TA: Contraception Country: United States |
Other Details:
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Languages: eng Pagination: 379-84 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA 02115, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abortion, Induced
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legislation & jurisprudence,
methods,
trends* Ambulatory Care Facilities / organization & administration, trends* Female Hospital Administration / trends Humans Pilot Projects Pregnancy Pregnancy Trimester, Second* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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