ArticleJAMA network open2025
Caller Volume and Gestational Length at an Abortion Fund After Dobbs.
Article in JAMA network open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
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.
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Who cites it
3 citing papers in PubMed.
- Out-of-State Travel for Abortion Care Before and After the Dobbs v Jackson Decision.JAMA network open · 2026Article
- Later Abortion Care Availability, Quoted Self-Pay Prices, and State Medicaid Acceptance.JAMA network open · 2026Article
- Post-American journal of public health · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Importance: Since the Supreme Court's 2022 decision in Dobbs v Jackson Women's Health Organization, state legislatures have enacted laws severely restricting abortion. Facility case studies have reported post-Dobbs increases in patient volume and gestational length at abortion. Objective: To understand changes from before to after the Dobbs decision in the overall volume of callers and gestational length of their pregnancies at a large, regional abortion fund. Design, Setting, and Participants: This cross-sectional study used data from monthly caller records (June 2016-June 2024) from the District of Columbia Abortion Fund (DCAF) using interrupted time series analyses with segmented regression. DCAF serves the Washington, DC, area, which is unique in its absence of gestational restrictions, service availability, and proximity to states with post-Dobbs restrictions. Data were analyzed from November 2024 through August 2025. Exposure: Time in months, with change points and discontinuities after the Dobbs decision. To contextualize trends, change points and discontinuities were examined at the onset of the COVID-19 pandemic, the enactment of a 6-week abortion ban in Texas, and the enactment of a 12-week ban in North Carolina. Main Outcomes and Measures: Overall call volume and gestational length of callers, measured dichotomously (first trimester vs ≥13 weeks) and continuously (weeks' gestation). Results: Among 43 351 DCAF caller records, 31% had pregnancies at 13 weeks' gestation or greater. After the Dobbs decision, there was a sudden and substantial reversal of a prior 6-year trend of increasing call volume, as indicated by both an immediate drop (from 721 to 663 callers per month; coefficient, -10.7% [95% CI, -16.8% to -4.7%]), and a continued decrease over the subsequent year (coefficient, -12.7% [95% CI, -13.6% to -11.6%] per month). Concurrently, there was a sharp increase in the proportion of callers whose pregnancies were at 13 weeks' gestation or later, from approximately 22% just before Dobbs to 32% the month after the Dobbs decision (odds ratio [OR], 1.61 [95% CI, 1.39 to 1.87]); this increase continued (OR per month, 1.07 [95% CI, 1.06 to 1.09]), reaching a peak of 53% per year post-Dobbs. Both trends reversed after the enactment of North Carolina's 12-week ban. Conclusions and Relevance: In this cross-sectional study of caller records at a large abortion fund, there were immediate and lasting changes in the volume and gestational length of callers following the Dobbs decision, suggesting differential redistribution of access or care-seeking by trimester and/or delays in presentation for care.
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