Navigating the Impact of the Dobbs Decision: Perspectives from Pediatric Surgeons on Reproductive Healthcare

Author:

Brar Amanpreet1,Mannava Sindhu V2,Patwardhan Utsav M3,Sullins Veronica F4,Berdan Elizabeth A5,Greves Cole D6,Gow Kenneth W7,Carlisle Erica8,Tsao KuoJen9,Hunter Catherine10,Baerg Joanne E11,Knod J Leslie12

Affiliation:

1. From the Department of Surgery, University of Michigan, Ann Arbor, MI (Brar)

2. Department of Surgery, Indiana University School of Medicine, Indianapolis, IN (Mannava)

3. Division of Pediatric Surgery, Rady Children’s Hospital San Diego, San Diego, CA (Patwardhan)

4. Division of Pediatric Surgery, University of California, Los Angeles, CA (Sullins)

5. General Pediatric and Thoracic Surgery, Mary Bridge Children’s Hospital and Health Center, Tacoma, WA (Berdan)

6. Division of Maternal-Fetal Medicine, Orlando Health Winnie Palmer Hospital for Women & Babies, Orlando, FL (Greves)

7. Division of General and Thoracic Surgery, Seattle Children’s Hospital, Seattle, WA (Gow)

8. Division of Pediatric Surgery, The University of Iowa Stead Family Children’s Hospital, Iowa City, IA (Carlisle)

9. Division of General and Thoracic Pediatric Surgery, The University of Texas Health Science Center at Houston, Houston, TX (Tsao)

10. Division of Pediatric Surgery, Oklahoma Children’s Hospital, Oklahoma City, OK (Hunter)

11. Division of Pediatric Surgery, Presbyterian Healthcare Services, Albuquerque, NM (Baerg)

12. Division of Pediatric General and Thoracic Surgery, Connecticut Children’s Medical Center, Hartford, CT (Knod).

Abstract

Nationwide abortion restrictions resulting from the Dobbs v Jackson Women’s Health Organization (2022) decision have generated confusion and uncertainty among healthcare professionals, with concerns for liability impacting clinical decision-making and outcomes. The impact on pediatric surgery can be seen in prenatal counseling for fetal anomaly cases, counseling for fetal intervention, and recommendations for pregnant children and adolescents who seek termination. It is essential that all physicians and healthcare team members understand the legal implications on their clinical practices, engage with resources and organizations that can help navigate these circumstances, and consider advocating for patients and themselves. Pediatric surgeons must consider the impact of these changing laws on their ability to provide comprehensive and ethical care and counseling to all patients.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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