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08-06-2024 | Fertility | Commentary

Attitudes, concerns, and perceptions of patients undergoing fertility treatments in an abortion restrictive state in the aftermath of the Roe v. Wade reversal

Authors: Mitra F. Sharifi, Emily E. Spurlin, Naazanene Vatan, Hayley Quinones, E’lysse Santana, Kenan R. Omurtag, Patricia T. Jimenez

Published in: Journal of Assisted Reproduction and Genetics

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Abstract

Purpose

To investigate the abortion views and reproductive concerns of current in vitro fertilization patients after the US Supreme Court Dobbs v. Jackson decision, which overturned the Roe v. Wade decision guaranteeing abortion access.

Methods

This is a cross-sectional survey of English-speaking patients undergoing in vitro fertilization from January to November 2022 at a large academic institution in a state with restricted abortion care. Participants completed a 43-question electronic survey which measured feelings about abortion, future fertility treatments, and embryo disposition both quantitatively and qualitatively.

Results

Of 543 eligible patients, 267 (49%) consented to participate when called and were sent the survey. Of those, 180 (67%) completed it, resulting in a total completion rate of 33%. The majority believe abortion should be legal in the case of birth defects (90.8%) or rape or incest (90.3%). A significant proportion (91.4%) expressed concerns about abortion being illegal in the state that they receive infertility care. They reported some concern about making embryos (89.6%), controlling what happens to them (95.4%), and discarding them (94.4%). Patients wrote about their concerns with pursuing fertility treatments, fear of not having access to needed medical care, and the desire to remain close to states with less restrictive abortion laws.

Conclusions

The evolving political landscape surrounding access to reproductive care has created significant concerns regarding legal regulation of these treatments and the disposition of embryos. By understanding patients’ concerns, health care providers can more effectively advocate for the protection of fertility treatments and patients’ autonomy in embryo disposition.
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Metadata
Title
Attitudes, concerns, and perceptions of patients undergoing fertility treatments in an abortion restrictive state in the aftermath of the Roe v. Wade reversal
Authors
Mitra F. Sharifi
Emily E. Spurlin
Naazanene Vatan
Hayley Quinones
E’lysse Santana
Kenan R. Omurtag
Patricia T. Jimenez
Publication date
08-06-2024
Publisher
Springer US
Published in
Journal of Assisted Reproduction and Genetics
Print ISSN: 1058-0468
Electronic ISSN: 1573-7330
DOI
https://doi.org/10.1007/s10815-024-03145-2