Female Permanent Contraception Procedures Surrounding the Dobbs v. Jackson Ruling at a Single Institution.
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| Title: | Female Permanent Contraception Procedures Surrounding the Dobbs v. Jackson Ruling at a Single Institution. |
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| Authors: | Lulseged, Bethlehem A., Rockwell, Tori L., Wang, Karen C., Sufrin, Carolyn B., Burke, Anne E., Stone, Rebecca L., Frost, Anja S. |
| Source: | Journal of Women's Health (15409996). Jun2025, Vol. 34 Issue 6, p810-816. 7p. |
| Subjects: | Abortion laws, Contraception laws, Abortion in the United States, Family planning, Insurance, Retrospective studies, Chi-squared test, Descriptive statistics, Hospitals, Race, Reproductive rights, Comparative studies |
| Geographic Terms: | United States |
| Abstract: | Introduction: On June 24, 2022, the U.S. Supreme Court ruled against Jackson Women's Health Organization in Dobbs v. Jackson (2022), reversing the constitutional right to abortion. We aimed to describe the number of interval female permanent contraception procedures at a single institution surrounding the Dobbs v. Jackson ruling. Methods: We performed a retrospective chart review of permanent contraception procedures using relevant Current Procedural Terminology codes at one academic institution between June 2019 and May 2023. Contraception procedures across three, year-long preruling and one, year-long postruling periods were compared with one another; they were then also compared to percent changes in hysteroscopy procedures—a representation of average gynecological surgical volume. To reduce the impact of coronavirus, chi-square and difference-in-mean-proportions tests explored significance in the number of procedures during the 6/24/19–6/23/20 preruling and the 6/24/22–5/25/23 postruling period. Results: There were 913 contraception procedures performed: 611 in the preruling period and 302 in the postruling period. A 62.4% increase in procedures occurred between preruling period 1 (n = 186) and the postruling period (n = 302), and a 49.5% increase occurred between the 3-year preruling average (n = 202) and the postruling period. Relative to hysteroscopy procedures, there was a 44.6% and 39.3% increase in contraception procedures between preruling period 1 and the postruling period and the 3-year preruling average and the postruling period, respectively. A higher proportion of White and privately insured patients (p < 0.001, p < 0.001) underwent procedures postruling. Conclusions: Permanent contraception procedures increased following the Dobbs ruling, with differences found by race and insurance type. Further research is needed to explore the causes of increased procedures. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Women's Health (15409996) is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 185862962 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Female Permanent Contraception Procedures Surrounding the Dobbs v. Jackson Ruling at a Single Institution. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Lulseged%2C+Bethlehem+A%2E%22">Lulseged, Bethlehem A.</searchLink><br /><searchLink fieldCode="AR" term="%22Rockwell%2C+Tori+L%2E%22">Rockwell, Tori L.</searchLink><br /><searchLink fieldCode="AR" term="%22Wang%2C+Karen+C%2E%22">Wang, Karen C.</searchLink><br /><searchLink fieldCode="AR" term="%22Sufrin%2C+Carolyn+B%2E%22">Sufrin, Carolyn B.</searchLink><br /><searchLink fieldCode="AR" term="%22Burke%2C+Anne+E%2E%22">Burke, Anne E.</searchLink><br /><searchLink fieldCode="AR" term="%22Stone%2C+Rebecca+L%2E%22">Stone, Rebecca L.</searchLink><br /><searchLink fieldCode="AR" term="%22Frost%2C+Anja+S%2E%22">Frost, Anja S.</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Journal+of+Women's+Health+%2815409996%29%22">Journal of Women's Health (15409996)</searchLink>. Jun2025, Vol. 34 Issue 6, p810-816. 7p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Abortion+laws%22">Abortion laws</searchLink><br /><searchLink fieldCode="DE" term="%22Contraception+laws%22">Contraception laws</searchLink><br /><searchLink fieldCode="DE" term="%22Abortion+in+the+United+States%22">Abortion in the United States</searchLink><br /><searchLink fieldCode="DE" term="%22Family+planning%22">Family planning</searchLink><br /><searchLink fieldCode="DE" term="%22Insurance%22">Insurance</searchLink><br /><searchLink fieldCode="DE" term="%22Retrospective+studies%22">Retrospective studies</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Hospitals%22">Hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22Race%22">Race</searchLink><br /><searchLink fieldCode="DE" term="%22Reproductive+rights%22">Reproductive rights</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Introduction: On June 24, 2022, the U.S. Supreme Court ruled against Jackson Women's Health Organization in Dobbs v. Jackson (2022), reversing the constitutional right to abortion. We aimed to describe the number of interval female permanent contraception procedures at a single institution surrounding the Dobbs v. Jackson ruling. Methods: We performed a retrospective chart review of permanent contraception procedures using relevant Current Procedural Terminology codes at one academic institution between June 2019 and May 2023. Contraception procedures across three, year-long preruling and one, year-long postruling periods were compared with one another; they were then also compared to percent changes in hysteroscopy procedures—a representation of average gynecological surgical volume. To reduce the impact of coronavirus, chi-square and difference-in-mean-proportions tests explored significance in the number of procedures during the 6/24/19–6/23/20 preruling and the 6/24/22–5/25/23 postruling period. Results: There were 913 contraception procedures performed: 611 in the preruling period and 302 in the postruling period. A 62.4% increase in procedures occurred between preruling period 1 (n = 186) and the postruling period (n = 302), and a 49.5% increase occurred between the 3-year preruling average (n = 202) and the postruling period. Relative to hysteroscopy procedures, there was a 44.6% and 39.3% increase in contraception procedures between preruling period 1 and the postruling period and the 3-year preruling average and the postruling period, respectively. A higher proportion of White and privately insured patients (p < 0.001, p < 0.001) underwent procedures postruling. Conclusions: Permanent contraception procedures increased following the Dobbs ruling, with differences found by race and insurance type. Further research is needed to explore the causes of increased procedures. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Journal of Women's Health (15409996) is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1089/jwh.2024.0368 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 7 StartPage: 810 Subjects: – SubjectFull: Abortion laws Type: general – SubjectFull: Contraception laws Type: general – SubjectFull: Abortion in the United States Type: general – SubjectFull: Family planning Type: general – SubjectFull: Insurance Type: general – SubjectFull: Retrospective studies Type: general – SubjectFull: Chi-squared test Type: general – SubjectFull: Descriptive statistics Type: general – SubjectFull: Hospitals Type: general – SubjectFull: Race Type: general – SubjectFull: Reproductive rights Type: general – SubjectFull: Comparative studies Type: general – SubjectFull: United States Type: general Titles: – TitleFull: Female Permanent Contraception Procedures Surrounding the Dobbs v. Jackson Ruling at a Single Institution. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Lulseged, Bethlehem A. – PersonEntity: Name: NameFull: Rockwell, Tori L. – PersonEntity: Name: NameFull: Wang, Karen C. – PersonEntity: Name: NameFull: Sufrin, Carolyn B. – PersonEntity: Name: NameFull: Burke, Anne E. – PersonEntity: Name: NameFull: Stone, Rebecca L. – PersonEntity: Name: NameFull: Frost, Anja S. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 06 Text: Jun2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 15409996 Numbering: – Type: volume Value: 34 – Type: issue Value: 6 Titles: – TitleFull: Journal of Women's Health (15409996) Type: main |
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