Evidence map›Paper›PMID 42374881›Full record

ReviewJournal of pregnancy2026

The Impact of Restrictive Abortion Laws on Medical Residency Applications and Healthcare Access: Implications for Maternal Health Equity.

Brooke Gully, Ellie Whitney, Paige Johnson, Shanna Combs

Abstract readReview
In one paragraph

Review in Journal of pregnancy, 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. Review
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

4 authors.

Brooke GullyDepartment of Medical Education, Anne Burnett Marion School of Medicine at TCU, Fort Worth, Texas, USA.ORCID https://orcid.org/0009-0008-7047-7150
Ellie WhitneyDepartment of Medical Education, Anne Burnett Marion School of Medicine at TCU, Fort Worth, Texas, USA.ORCID https://orcid.org/0009-0006-0722-1908
Paige JohnsonDepartment of Medical Education, Anne Burnett Marion School of Medicine at TCU, Fort Worth, Texas, USA.ORCID https://orcid.org/0009-0003-2891-7769
Shanna CombsDepartment of Obstetrics and Gynecology, Anne Burnett Marion School of Medicine at TCU, Fort Worth, Texas, USA.ORCID https://orcid.org/0000-0002-1663-3975

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The 2022 Supreme Court ruling in Dobbs v. Jackson Women's Health Organization returned regulatory authority over abortion to the states and precipitated a wave of restrictive state-level legislation. This narrative review examines how these state responses have influenced medical residency applications, physician training, and maternal health equity. Existing research indicates that restrictive state laws have contributed to a decline in residency applications to programs in jurisdictions with near-total abortion bans. A growing body of evidence suggests that many medical students, particularly those seeking OBGYN training, prioritize programs in states with fewer restrictions to ensure comprehensive clinical education. These trends may exacerbate existing maternity care deserts by contributing to physician shortages, particularly in underserved and rural areas. The review further explores how the post-Dobbs regulatory environment impacts physician training. Many OBGYN residency programs in restrictive states struggle to provide abortion training, often requiring residents to travel out of state, which creates significant financial and logistical burdens. Additionally, a lack of transparency regarding training availability in these states complicates the ability of prospective residents to assess program offerings. Beyond residency applications, these state-level restrictions have affected practicing physicians, contributing to burnout, legal uncertainties, and ethical dilemmas. Many providers in restrictive jurisdictions report moral distress and legal risks when making clinical decisions, leading some to relocate to states with greater reproductive freedoms. The compounded effects of these laws may widen healthcare disparities, disproportionately affecting marginalized communities, particularly low-income individuals and people of color. Given the limited longitudinal evidence since Dobbs, continued monitoring of OBGYN residency applications, training availability, workforce distribution, and maternal health outcomes is needed to determine the persistence and magnitude of these effects.

Indexed as

Abortion, InducedAbortion, LegalHealth EquityHealth Services AccessibilityInternship and ResidencyMaternal HealthFemaleHumansObstetricsPregnancyUnited States

Identifiers

PMID42374881
PMCPMC13315824

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.