{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T22:04:10Z","timestamp":1784153050369,"version":"3.55.0"},"reference-count":31,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"National Institute of Child Health and Human Development","award":["R01HD103286"],"award-info":[{"award-number":["R01HD103286"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Women's Health Reports"],"published-print":{"date-parts":[[2026,3]]},"abstract":"\n Background:<\/jats:title>\n \n The\n Dobbs v. Jackson<\/jats:italic>\n Supreme Court decision overturned\n Roe v. Wade<\/jats:italic>\n and federal abortion protections, resulting in nearly half of U.S. states banning or significantly restricting abortion. Qualitative data are needed to understand how abortion restrictions influence pregnancy perceptions and experiences.\n <\/jats:p>\n <\/jats:sec>\n \n Objectives:<\/jats:title>\n \n This study describes pregnancy perceptions and experiences before and after\n Dobbs<\/jats:italic>\n , across states with abortion restrictions and protections, and across individual-level differences in income and age.\n <\/jats:p>\n <\/jats:sec>\n \n Design and Methods:<\/jats:title>\n \n We conducted in-depth interviews with people during pregnancy (\n n<\/jats:italic>\n = 31, 28 pre-\n Dobbs<\/jats:italic>\n ) and a subset of those individuals again during the postpregnancy period (\n n<\/jats:italic>\n = 14, all post-\n Dobbs<\/jats:italic>\n ) from October 2021 to August 2023. All interviews were recorded, transcribed, concept mapped, and coded using MAXQDA 2022. We also conducted across-group comparisons by state abortion policy, income, and age.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Before\n Dobbs<\/jats:italic>\n , participants described how abortion accessibility was already compromised in some states. After abortion was banned in restrictive states, participants described feeling dehumanized, criminalized, that their reproductive autonomy was constrained, and that pregnancy carried real risks to their lives. In protective states, participants were grateful they had abortion access but lacked awareness and knowledge about abortion access in other states. Participants explained that\n Dobbs<\/jats:italic>\n and abortion restrictions are harming perinatal wellbeing, even for wanted pregnancies. Group comparisons demonstrated that lower income and younger people described greater impacts related to abortion availability.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n \n Post-\n Dobbs<\/jats:italic>\n abortion restrictions are negatively impacting the mental and physical well-being of pregnant people, even those with wanted pregnancies.\n Dobbs<\/jats:italic>\n could exacerbate existing health inequities for younger and lower-income people.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/26884844261465229","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T04:25:23Z","timestamp":1784003123000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cIf Something Goes Sideways with This, I\u2019m Risking my Life\u201d<\/i>\n : Pregnancy Experiences During the Fall of\n Roe v. Wade<\/i>"],"prefix":"10.1177","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9534-2457","authenticated-orcid":false,"given":"Elizabeth A.","family":"Mosley","sequence":"first","affiliation":[{"name":"Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA."},{"name":"CONVERGE: Toward Sexual and Reproductive Health Equity, University of Pittsburgh, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan E.","family":"Hamm","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA."},{"name":"Center for Biostatistics and Qualitative Methodology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flor A.","family":"Cameron","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA."},{"name":"Center for Biostatistics and Qualitative Methodology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Dehlendorf","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, University of California-San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa S.","family":"Callegari","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Washington, Seattle, Washington, USA."},{"name":"Department of Veterans Affairs (VA), Puget Sound Health Care System, Seattle, Washington, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikki","family":"Zite","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Tennessee-Knoxville Graduate School of Medicine, Knoxville, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Galen","family":"Switzer","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2571-0984","authenticated-orcid":false,"given":"Nicole","family":"Luche","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA."},{"name":"CONVERGE: Toward Sexual and Reproductive Health Equity, University of Pittsburgh, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michaella","family":"Wu","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA."},{"name":"CONVERGE: Toward Sexual and Reproductive Health Equity, University of Pittsburgh, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Gregory","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA."},{"name":"CONVERGE: Toward Sexual and Reproductive Health Equity, University of Pittsburgh, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonya","family":"Borrero","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA."},{"name":"CONVERGE: Toward Sexual and Reproductive Health Equity, University of Pittsburgh, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,13]]},"reference":[{"key":"e_1_3_6_2_2","unstructured":"Center for Reproductive Rights. After roe fell. 2024. Available from: https:\/\/reproductiverights.org\/maps\/what-if-roe-fell\/ [Last accessed: May22 2024]."},{"key":"e_1_3_6_3_2","unstructured":"Guttmacher Institute. 100 Days post-roe: At least 66 clinics across 15 US States have stopped offering abortion care | Guttmacher Institute. 2022. Available from: https:\/\/www.guttmacher.org\/2022\/10\/100-days-post-roe-least-66-clinics-across-15-us-states-have-stopped-offering-abortion-care [Last accessed: August5 2024]."},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp2207423"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.2139\/ssrn.4634430"},{"key":"e_1_3_6_6_2","unstructured":"Grossman D Joffe C Kaller S et al. Care post-roe: Documenting cases of poor-quality care since the Dobbs decision. University of California-San Francisco Advancing New Standards in Reproductive Health Texas Policy Evaluation Project; 2023. Available from: https:\/\/www.ansirh.org\/sites\/default\/files\/2023-05\/Care%20Post-Roe%20Preliminary%20Findings.pdf [Last accessed: May18 2023]."},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.12034"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2024.0885"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2022.06.060"},{"key":"e_1_3_6_10_2","unstructured":"Guttmacher Institute G. Interactive map: US abortion policies and access after roe. 2025. Available from: https:\/\/states.guttmacher.org\/policies\/"},{"key":"e_1_3_6_11_2","volume-title":"Qualitative Data Analysis: A Methods Sourcebook","author":"Miles MB","year":"2014","unstructured":"Miles MB, , Huberman AM, , Salda\u00f1a J. Qualitative Data Analysis: A Methods Sourcebook. 3rd ed. California: Sage Publications; 2014.","edition":"3"},{"key":"e_1_3_6_12_2","unstructured":"Ranji U Salganicoff A Sobel L. Dobbs-era abortion bans and restrictions: Early insights about implications for pregnancy loss [Women\u2019s Health Policy]. Kaiser Family Foundation; 2024. Available from: https:\/\/www.kff.org\/womens-health-policy\/issue-brief\/dobbs-era-abortion-bans-and-restrictions-early-insights-about-implications-for-pregnancy-loss\/ [Last accessed: September26 2024]."},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.52109"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2024.0544"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.25599"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2024.0424"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2025.111210"},{"issue":"2","key":"e_1_3_6_18_2","first-page":"qxae016","article-title":"Has the fall of Roe changed contraceptive access and use? New research from four US states offers critical insights","volume":"2","author":"Kavanaugh ML","year":"2024","unstructured":"Kavanaugh ML, , Friedrich-Karnik A. Has the fall of Roe changed contraceptive access and use? New research from four US states offers critical insights. Health Aff Sch, 2024; 2(2):qxae016\u2013q5.","journal-title":"Health Aff Sch"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.28527"},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.1363\/4521013"},{"issue":"9","key":"e_1_3_6_21_2","first-page":"e1\u20138","article-title":"Denial of abortion because of provider gestational age limits in the United States","volume":"104","author":"Upadhyay UD","year":"2014","unstructured":"Upadhyay UD, , Weitz TA, , Jones RK, et al. Denial of abortion because of provider gestational age limits in the United States. Am J Public Health, 2014; 104(9):e1\u20138\u2013e1694.","journal-title":"Am J Public Health"},{"key":"e_1_3_6_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2013.03.001"},{"key":"e_1_3_6_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2022.115547"},{"key":"e_1_3_6_24_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.18865"},{"key":"e_1_3_6_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-025-02902-7"},{"key":"e_1_3_6_26_2","unstructured":"Gomez I Diep K Frederiksen B et al. Abortion experiences knowledge and attitudes among women in the U.S.: Findings from the 2024 KFF women\u2019s health survey. Kaiser Family Foundation; 2024. (Women\u2019s Health Policy). Available from: https:\/\/www.kff.org\/womens-health-policy\/abortion-experiences-knowledge-attitudes-among-u-s-women-2024-womens-health-survey\/ [Last accessed: December4 2025]."},{"key":"e_1_3_6_27_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2022.307091"},{"key":"e_1_3_6_28_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-021-07165-x"},{"key":"e_1_3_6_29_2","doi-asserted-by":"publisher","DOI":"10.1215\/00703370-9585908"},{"key":"e_1_3_6_30_2","doi-asserted-by":"publisher","DOI":"10.1111\/psrh.12250"},{"key":"e_1_3_6_31_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-009-0084-3"},{"key":"e_1_3_6_32_2","doi-asserted-by":"publisher","unstructured":"Maslowsky J Lindberg L Mann ES. Adolescence post-Dobbs: A policy-driven research agenda for minor adolescents and abortion. University of Michigan; 2024. Available from: http:\/\/deepblue.lib.umich.edu\/handle\/2027.42\/193163 doi:10.7302\/22808 [Last accessed: October16 2025].","DOI":"10.7302\/22808"}],"container-title":["Women's Health Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26884844261465229","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/26884844261465229","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26884844261465229","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T21:16:12Z","timestamp":1784150172000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/26884844261465229"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":31,"alternative-id":["10.1177\/26884844261465229"],"URL":"https:\/\/doi.org\/10.1177\/26884844261465229","relation":{},"ISSN":["2688-4844","2688-4844"],"issn-type":[{"value":"2688-4844","type":"print"},{"value":"2688-4844","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"article-number":"26884844261465229"}}