Evidence map›Paper›PMID 40313884›Full record

ReviewHealth affairs scholar2025

Dobbs-driven expansion of perinatal palliative care: a scoping review of the evidence and its limits.

Abigail B Wilpers, Kathie Kobler, Robyn Schafer, Melissa Wilpers, Molly Zeme, Janene Batten, Lucinda Canty, Scott A Lorch

Abstract readReview
In one paragraph

Review in Health affairs scholar, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Abigail B WilpersDepartment of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA 19104, United States.ORCID https://orcid.org/0000-0003-0625-3511
Kathie KoblerCenter for Fetal Care, Advocate Children's Hospital, Chicago, IL 60068, United States.ORCID https://orcid.org/0000-0003-2470-9877
Robyn SchaferDivision of Advanced Nursing Practice, School of Nursing, Rutgers University, Newark, NJ 07107, United States.ORCID https://orcid.org/0000-0003-0938-7726
Melissa WilpersIndependent researcher, Burbank, CA 91505, United States.
Molly ZemeSchool of Medicine, University of California, San Francisco, CA 94143, United States.ORCID https://orcid.org/0009-0002-0071-7477
Janene BattenHarvey Cushing/John Hay Whitney Medical Library, Yale University, New Haven, CT 06510, United States.ORCID https://orcid.org/0000-0003-0121-525X
Lucinda CantyElaine Marieb College of Nursing, University of Massachusetts Amherst, Amherst, MA 01003, United States.ORCID https://orcid.org/0000-0002-5871-7093
Scott A LorchDivision of Neonatology, Children's Hospital of Philadelphia, Philadelphia, PA 19104, United States.ORCID https://orcid.org/0000-0003-3855-6752

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As abortion care restrictions increase, a growing population is continuing pregnancies complicated by life-limiting fetal conditions, making it more critical than ever to evaluate the state of the evidence in perinatal palliative care (PPC). Perinatal palliative care provides interdisciplinary, person-centered care, integrating medical management with psychosocial and bereavement support to enable values-driven decision-making. This scoping review evaluates US-based evidence on the safety, effectiveness, acceptability, and equity of PPC, assessing how these findings relate to growing abortion restrictions. Analysis of 13 studies found that US PPC programs are understudied, with limited evidence on maternal health and neonatal comfort outcomes. Studies lacked use rates for all eligible individuals, preventing assessment of overall PPC uptake. Most PPC patients reported high satisfaction, citing compassionate care, emotional support, and parental validation. However, studies lacked diversity. None examined the experience of receiving PPC due to abortion restrictions. Existing PPC evidence is limited, leaving critical gaps in safety, effectiveness, acceptability, and equity-key factors in assessing whether PPC meets its intended goals and serves diverse populations. Our review highlights that evidence is insufficient to determine whether PPC can adequately support the growing, vulnerable patient population now directed into it by policy rather than choice.

Indexed as

abortionpalliative carereproductive health policy

Identifiers

PMID40313884
PMCPMC12043006

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.