{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T07:06:14Z","timestamp":1782975974489,"version":"3.54.5"},"reference-count":23,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:p>\n                    The Supreme Court\u2019s\n                    <jats:italic toggle=\"yes\">Dobbs<\/jats:italic>\n                    decision in June 2022, which overturned the federal protection of abortion, has been associated with increases in patient requests for female permanent contraception (i.e., tubal ligation, salpingectomy). Our objective is to understand perspectives of postpartum patients and their delivering obstetrician\u2013gynecologists on the impact of\n                    <jats:italic toggle=\"yes\">Dobbs<\/jats:italic>\n                    on patient decision-making surrounding permanent contraception. From March 2022 to January 2023, we interviewed postpartum women with a documented desire for permanent contraception (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 81) and their delivering obstetrician\u2013gynecologist (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 67) at four hospitals in the United States. Participants included in this analysis were interviewed after the Dobbs decision was released in June 2022 and commented on the impact of Dobbs on the patient\u2019s decision to request permanent contraception. We used rapid qualitative analysis to create initial key themes and subthemes related to discussions of\n                    <jats:italic toggle=\"yes\">Dobbs<\/jats:italic>\n                    , which were further refined using thematic analysis. Twenty-three patients and 15 clinicians commented on the impact of\n                    <jats:italic toggle=\"yes\">Dobbs<\/jats:italic>\n                    on permanent contraception decision-making. Several clinicians described an increase in permanent contraception demand, especially by young patients. Some patients said the ruling influenced their decision to get permanent contraception. Several patients suggested feelings of threat against reproductive autonomy and asserted that women should be able to make their own reproductive health decisions. Some clinicians reported a renewed dedication of the clinical community to meet reproductive health needs, including permanent contraception fulfillment. Several patients and clinicians indicated that the impact of\n                    <jats:italic toggle=\"yes\">Dobbs<\/jats:italic>\n                    on permanent contraception decision-making was dependent on the level of abortion protection in their state. Clinicians should be aware that abortion restrictions from\n                    <jats:italic toggle=\"yes\">Dobbs<\/jats:italic>\n                    may impact patient decision-making surrounding postpartum permanent contraception. In the presence of abortion restrictions, clinicians should help ensure patients have accurate information about their contraceptive options to support their reproductive autonomy.\n                  <\/jats:p>","DOI":"10.1089\/jwh.2024.0425","type":"journal-article","created":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T15:55:27Z","timestamp":1749657327000},"page":"817-822","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["How the\n                    <i>Dobbs<\/i>\n                    Decision Shapes Postpartum Permanent Contraception Decision-Making Among Birthing People and Their OB-GYNs"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9070-5343","authenticated-orcid":false,"given":"Suzanna","family":"Larkin","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brooke W.","family":"Bullington","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Gillings School of Global Public Health, Chapel Hill, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen A.","family":"Berg","sequence":"additional","affiliation":[{"name":"Center for Health Care Research &amp; Policy, Population Health Research Institute, MetroHealth Medical System, Cleveland, Ohio, USA."},{"name":"Department of Obstetrics and Gynecology, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kari","family":"White","sequence":"additional","affiliation":[{"name":"Department of Sociology, Steve Hicks School of Social Work, University of Texas at Austin, Austin Texas, USA."},{"name":"Resound Research for Reproductive Health, Austin, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Boozer","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tania","family":"Serna","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of California San Francisco, San Francisco California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily S.","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L.","family":"Bailit","sequence":"additional","affiliation":[{"name":"School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kavita Shah","family":"Arora","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,10]]},"reference":[{"key":"e_1_3_5_2_2","volume-title":"Dobbs, State Health Officer of the Mississippi Department of Health v","author":"Supreme Court of the United States","year":"2022","unstructured":"Supreme Court of the United States. Dobbs, State Health Officer of the Mississippi Department of Health v. Jackson Women\u2019s Health Organization. 2022 Jun 24."},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1080\/26410397.2022.2135574"},{"key":"e_1_3_5_4_2","unstructured":"Bolton A Juhlin E. More people are opting to get sterilized\u2014and some are being turned away. NPR. 2022 Jul 29. Available from: https:\/\/www.npr.org\/sections\/health-shots\/2022\/07\/29\/1113573995\/more-people-are-opting-to-get-sterilized-and-some-are-being-turned-away"},{"key":"e_1_3_5_5_2","unstructured":"Browne G. Permanent birth control is in demand in the US\u2014but hard to get. Available from: Wired 2022 Jul 6. Available from: https:\/\/www.wired.com\/story\/permanent-birth-control-iuds-post-roe\/"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.30582"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2023.08.722"},{"issue":"388","key":"e_1_3_5_8_2","first-page":"1","article-title":"Current contraceptive status among women aged 15-49: United States, 2017-2019","volume":"388","author":"Daniels K","year":"2020","unstructured":"Daniels K, , Abma JC. Current contraceptive status among women aged 15-49: United States, 2017-2019. NCHS Data Brief, 2020; 388(388):1\u20138. https:\/\/pubmed.ncbi.nlm.nih.gov\/33151146\/","journal-title":"NCHS Data Brief"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2023.109995"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1080\/02646838.2016.1169397"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogc.2024.102362"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-022-07433-4"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1313325"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S169674"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1089\/heq.2020.0025"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2018.07.004"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2005.10.014"},{"key":"e_1_3_5_18_2","unstructured":"NVivo. Lumivero; 2023."},{"key":"e_1_3_5_19_1","unstructured":"18.Center for Reproductive Rights. After roe fell: Abortion laws by state [Internet]. 2023. Available from: https:\/\/reproductiverights.org\/maps\/abortion-laws-by-state\/ [Last accessed: December4 2023]."},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/10901981221125430"},{"key":"e_1_3_5_21_2","unstructured":"Frederiksen B Ranji U Gomez I et al. A National Survey of OBGYNs\u2019 experiences after dobbs [Internet]. KFF; 2023. Available from: https:\/\/www.kff.org\/womens-health-policy\/report\/a-national-survey-of-obgyns-experiences-after-dobbs\/ [Last accessed: August9 2024]."},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2023.110211"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2022.02.031"},{"key":"e_1_3_5_24_2","doi-asserted-by":"publisher","DOI":"10.1086\/727435"}],"container-title":["Journal of Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/jwh.2024.0425","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jwh.2024.0425","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jwh.2024.0425","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T06:28:40Z","timestamp":1782973720000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/jwh.2024.0425"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":23,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1089\/jwh.2024.0425"],"URL":"https:\/\/doi.org\/10.1089\/jwh.2024.0425","relation":{},"ISSN":["1540-9996","1931-843X"],"issn-type":[{"value":"1540-9996","type":"print"},{"value":"1931-843X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6]]}}}