Evidence map›Paper›PMID 41849990›Full record

ArticleSexual & reproductive healthcare : official journal of the Swedish Association of Midwives2026

The impact of legislative changes on abortion care: A retrospective study of one hospital system in North Carolina.

Morgan E Johnson, Jessica E Morse, Amy Bryant

Abstract read
In one paragraph

Article in Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives, 2026. 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

3 authors.

Morgan E JohnsonUniversity of North Carolina School of Medicine, 150 Medical Drive, Chapel Hill, NC 27514, USA. Electronic address: Morgan_Johnson@med.unc.edu.
Jessica E MorseUNC Department of Obstetrics & Gynecology, University of North Carolina School of Medicine, Campus Box 7570, Chapel Hill, NC 27599-7570, USA. Electronic address: Jessica_Morse@med.unc.edu.
Amy BryantUNC Department of Obstetrics & Gynecology, University of North Carolina School of Medicine, Campus Box 7570, Chapel Hill, NC 27599-7570, USA. Electronic address: Amy_Bryant@med.unc.edu.

Funding

SHORT-TERM RESEARCH TRAININGT35DK007386 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Evan Samuel Dellon · 1986 to 2026
$4.1M
NIDDK NIH HHS T35 DK007386
6 · The paper itself

Abstract

objectivesNorth Carolina is unique as a southeastern state that provides abortion access for the region and implemented a 12 week ban one year after the Dobbs decision. This study sought to compare demographics, gestational duration (GD), and clinical characteristics of abortion patients across three time frames corresponding to federal and state-level policy changes. We compared in-state to out-of-state patients at one North Carolina hospital system between July 2021 and June 2024. STUDY

designWe conducted a quasi-experimental retrospective cohort study using electronic health record data, comparing patient characteristics and clinical outcomes across three distinct time periods. Analyses were stratified by residency (in-state versus out-of-state) to evaluate differential impacts over time. Patients were grouped by date: the year before Dobbs (July 2021-June 2022), the year after Dobbs (July 2022-June 2023), and the year after SB20 (July 2023-June 2024). We used descriptive statistics and regression models.

resultsOf 929 patients, 291 were pre-Dobbs, 306 were post-Dobbs, and 333 were post-SB20 with average GDs of 14.9, 13.5, and 9.7 weeks, respectively. Out-of-state patients were 1.6 (OR = 1.57, 95% CI 1.04-2.39) times as likely to have a risk factor for an abortion complication. Time frame and state of residence were significant predictors of GD (p < 0.001) but did not predict complications.

conclusionsDespite a 12 week abortion ban in North Carolina, out-of-state patients continued to seek care at a significantly higher GD which is associated with a higher risk of complications in prior literature.

Indexed as

Abortion, InducedAbortion, LegalAdultFemaleGestational AgeHumansNorth CarolinaPregnancyRetrospective StudiesYoung AdultAbortion legislationAbortion-related morbidity and mortalityAccess to abortionPublic health

Identifiers

PMID41849990
PMCPMC13289797

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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.