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AJPH First Look, published online ahead of print Feb 5, 2009
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AJPH.2007.127530v1
99/4/623    most recent
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April 2009, Vol 99, No. 4 | American Journal of Public Health 623-630
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2007.127530

FRAMING HEALTH MATTERS

Legal Barriers to Second-Trimester Abortion Provision and Public Health Consequences

Bonnie Scott Jones, JD and Tracy A. Weitz, PhD, MPA

Bonnie Scott Jones is with the Center for Reproductive Rights, New York, NY. Tracy A. Weitz is with the Department of Obstetrics, Gynecology, and Reproductive Sciences and Advancing New Standards in Reproductive Health, Bixby Center for Global Reproductive Health, University of California, San Francisco.

Correspondence: Requests for reprints should be sent to Tracy Weitz, PhD, MPA, 1330 Broadway St, Ste 1100, Oakland, CA 94612 (e-mail: weitzt{at}obgyn.ucsf.edu).

Many women need access to abortion care in the second trimester. Most of this care is provided by a small number of specialty clinics, which are increasingly targeted by regulations including bans on so-called partial birth abortion and requirements that the clinic qualify as an ambulatory surgical center. These regulations cause physicians to change their clinical practices or reduce the maximum gestational age at which they perform abortions to avoid legal risks. Ambulatory surgical center requirements significantly increase abortion costs and reduce the availability of abortion services despite the lack of any evidence that using those facilities positively affects health outcomes. Both types of laws threaten to further reduce access to and quality of second-trimester abortion care.






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