{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T03:02:33Z","timestamp":1791082953808,"version":"4.1.0"},"reference-count":32,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,11,9]],"date-time":"2021-11-09T00:00:00Z","timestamp":1636416000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Genetic Counseling"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Since 2010, Ohio legislators have passed more than 15 legislative changes related to abortion and abortion providers, and nine procedural abortion clinics have closed. We investigated reproductive genetic counselors\u2019 perceptions, attitudes and self\u2010reported practices regarding Ohio's current and proposed abortion regulations. We conducted five focus groups and two telephone interviews in 2019\u20132020, with a total of 19 reproductive genetic counselors. Participants discussed difficulties keeping current on abortion legislation and clinics\u2019 and hospitals\u2019 policies, resulting in anticipatory anxiety and leading to additional work to discuss the laws with patients. Participants articulated that practices of reproductive genetic counseling\u2014and patient advocacy\u2014are impeded by the legislation. Genetic counselors perceive negative impacts on patients\u2019 autonomy, particularly reflective of healthcare disparities of marginalized groups, which may contribute to frustration and anger. Ultimately, the mental and emotional burden on genetic counselors created by abortion legislation contributes to compassion fatigue and burnout. Our findings show that Ohio's abortion regulations negatively impact reproductive genetic counselors and their relationships with their patients. Repealing existing abortion regulations and preventing future restrictive legislation may ameliorate the negative effects of regulations on reproductive genetic counselors and their patients. In the event that these laws remain, innovative communication tools and proactive professional society advocacy are potential means to mitigate the negative impact on reproductive genetic counselors.<\/jats:p>","DOI":"10.1002\/jgc4.1531","type":"journal-article","created":{"date-parts":[[2021,11,10]],"date-time":"2021-11-10T07:53:51Z","timestamp":1636530831000},"page":"641-652","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Experiences of reproductive genetic counselors with abortion regulations in Ohio"],"prefix":"10.1002","volume":"31","author":[{"given":"Anne C.","family":"Heuerman","sequence":"first","affiliation":[{"name":"Division of Human Genetics Cincinnati Children\u2019s Hospital Medical Center  Cincinnati Ohio USA"},{"name":"Genetic Counseling Graduate Program University of Cincinnati College of Medicine  Cincinnati Ohio USA"},{"name":"Reproductive Genetics Program Department of Maternal Fetal Medicine Beaumont Health, Royal Oak  Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Bessett","sequence":"additional","affiliation":[{"name":"Department of Sociology University of Cincinnati  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armand H.","family":"Matheny Antommaria","sequence":"additional","affiliation":[{"name":"Ethics Center Cincinnati Children\u2019s Hospital Medical Center  Cincinnati Ohio USA"},{"name":"Department of Pediatrics University of Cincinnati College of Medicine  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leandra K.","family":"Tolusso","sequence":"additional","affiliation":[{"name":"Division of Human Genetics Cincinnati Children\u2019s Hospital Medical Center  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicki","family":"Smith","sequence":"additional","affiliation":[{"name":"Seton Center Good Samaritan Hospital TriHealth Hospital Systems  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison H.","family":"Norris","sequence":"additional","affiliation":[{"name":"College of Public Health The Ohio State University  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9040-7562","authenticated-orcid":false,"given":"Michelle L.","family":"McGowan","sequence":"additional","affiliation":[{"name":"Ethics Center Cincinnati Children\u2019s Hospital Medical Center  Cincinnati Ohio USA"},{"name":"Department of Pediatrics University of Cincinnati College of Medicine  Cincinnati Ohio USA"},{"name":"Department of Women\u2019s Gender &amp; Sexuality Studies University of Cincinnati  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,11,9]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Access to reproductive options after prenatal diagnosis\u2014 patient access and physician responsibilities: An updated position statement of the American College of Medical Genetics and Genomics","author":"American College of Medical Genetics","year":"2019"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.2188"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096\u20108628(19971017)72:2<172:AID\u2010AJMG9>3.0.CO;2\u2010X"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1073110520958873"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.5447"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2018.1481033"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10897\u2010017\u20100083\u2010x"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.715"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/aog.0000000000001996"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/gim.2016.97"},{"key":"e_1_2_9_12_1","volume-title":"Abortion Bans in Cases of Sex or Race Selection or Genetic Anomaly","author":"Guttmacher Institute","year":"2019"},{"key":"e_1_2_9_13_1","unstructured":"Guttmacher Institute. (2019b 2016\u201303\u201014).State bans on abortion throughout pregnancy. Available fromhttps:\/\/www.guttmacher.org\/state\u2010policy\/explore\/state\u2010policies\u2010later\u2010abortions"},{"key":"e_1_2_9_14_1","unstructured":"House Bill 79. (2012).No coverage for nontherapeutic abortion. General Assembly 129: Ohio Legislature."},{"key":"e_1_2_9_15_1","unstructured":"House Bill 153. (2011).Am. Sub. HB 153 (pp. 519\u2010520). General Assembly 129: Ohio Legislative Service Commission."},{"key":"e_1_2_9_16_1","unstructured":"House Bill 214. (2018).Prohibit abortion if unborn has or may have down syndrome. general assembly 132: The Ohio Legislature."},{"key":"e_1_2_9_17_1","unstructured":"Hyde Amendment Codification Act S.142 113th Congress (2013\u20102014)."},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1433"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1363\/46e0414"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1363\/psrh.12015"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1120"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2015.03.003"},{"key":"e_1_2_9_23_1","volume-title":"Reproductive Freedom Position Statement","author":"National Society of Genetic Counselors","year":"2010"},{"key":"e_1_2_9_24_1","volume-title":"Prenatal Cell\u2010Free DNA Screening Position Statement","author":"National Society of Genetic Counselors","year":"2018"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2020.305706"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/2041\u2010210X.12860"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1014289418443"},{"key":"e_1_2_9_28_1","unstructured":"Ordinance No. 2021\u2010053. (2021).Ordinance Outlawing Abortion Declaring Lebanon a Sanctuary for the Unborn Making Various Provisions and Findings Providing for Severability Establishing an Effective Date and Declaring an Emergency. City Council of Lebanon Ohio."},{"key":"e_1_2_9_29_1","unstructured":"Preterm\u2010Cleveland et al. v. Amy Acton et al.(2020).Defendants\u2010Appelants' Supplemental Brief on Rehearingen banc(2020) U.S. Court of Appeals for the Sixth Circuit (no. 18\u20103329)."},{"key":"e_1_2_9_30_1","unstructured":"Senate Bill 23. (2019).Prohibit abortion if detectable heartbeat. General Assembly 133: The Ohio Legislature."},{"key":"e_1_2_9_31_1","unstructured":"Senate Bill 127. (2017).Prohibits abortion when gestational age is 20 weeks or more. 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