Changes in abortion provider practices in response to the Partial-Birth Abortion Ban Act of 2003☆
Received 31 August 2008; received in revised form 6 November 2008; accepted 17 November 2008. published online 19 January 2009.
Abstract
Background
The April 2007 Supreme Court Gonzalez v. Gonzalez v. Carhart decision upheld the Partial-Birth Abortion Ban Act of 2003. We conducted a pilot study that measured the impact of the ban in one state with a diverse pool of second-trimester abortion providers.
Study Design
A survey was administered via telephone to key informants at each facility in Massachusetts where second-trimester abortions are performed in order to assess clinical and administrative changes following the Supreme Court decision.
Results
Five hospital-based practices introduced injections to induce fetal demise prior to dilation and evacuation for later second-trimester abortions. One site stopped providing dilation and evacuation abortions in the absence of fetal or maternal indications, and another significantly decreased its volume of procedures. Training opportunities were decreased, and costs at three facilities increased.
Conclusions
The Partial-Birth Abortion Ban Act of 2003 resulted in a range of practice changes in Massachusetts, particularly in hospitals. These changes reflect adherence to legal and policy mandates and not the availability of new scientific evidence. Further study to assess the impact of the ban in states with fewer providers is warranted.
aDepartment of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA 02115, USA
bReproductive Health Consultant, Cambridge, MA 02139, USA
cAdvancing New Standards in Reproductive Health, Bixby Center for Global Reproductive Health, University of California, San Francisco, San Francisco, CA 94612, USA
ABSTRACT