Commentary|Articles in Press, 109995

Reproductive justice in post-Roe America: Impact of restricted abortion access on patients seeking permanent contraception

      On June 24, 2022, the United States Supreme Court issued its decision in Dobbs v. Jackson Women’s Health Organization (Dobbs), thereby eliminating the almost 50-year-long federal constitutional right to an abortion. Healthcare clinicians across the country have anecdotally reported an increased demand for permanent contraception procedures following the Dobbs decision. This increased demand may reflect patients’ fear of losing reproductive autonomy [

      Bolton A, Julhin E.More people are opting to get sterilized—and some are being turned away. NPR. Published online July 29, 2022. 〈〉 (accessed August 14, 2022).


      Browne G. Permanent birth control is in demand in the US—but hard to get. Wired. Published online July 6, 2022. 〈〉 (accessed August 14, 2022).

      ]. As more patients seek permanent contraception procedures following the Dobbs decision, several ethical issues emerge regarding (1) disparities in impact, (2) bias and discrimination in accessing permanent contraception, and (3) the practice of obtaining informed consent via shared decision-making in the setting of political restrictions to autonomous decision-making.


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      2. Browne G. Permanent birth control is in demand in the US—but hard to get. Wired. Published online July 6, 2022. 〈〉 (accessed August 14, 2022).

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