ArticlePregnancy (Hoboken, N.J.)2026
Crisis pregnancy center messaging in the post-Dobbs era.
Article in Pregnancy (Hoboken, N.J.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Crisis Pregnancy Centers (CPCs) have expanded their digital presence using social media to promote services, advance ideological messages, and disseminate potentially medically inaccurate claims. Despite extensive use of platforms such as Instagram for outreach, little empirical work has examined the content and engagement patterns of CPC-related posts. We systematically analyzed Instagram posts to identify key themes, assess engagement patterns, and determine factors influencing the reach and impact of CPC-related content. Methods: We conducted a mixed-methods content analysis of publicly available Instagram posts published between June 24, 2022 and October 15, 2025. A total of 716 posts met inclusion criteria. Posts were coded using an iteratively developed codebook that yielded four overarching themes and 13 subthemes. Hashtags were classified into service, wellness, advocacy/identity, and location categories. Engagement outcomes (likes and comments) were log-transformed to address skew. Multivariable ordinary least squares (OLS) regression models estimated associations between content characteristics and engagement, controlling for account features, post timing, and hashtag use. Results: Service Promotion & Outreach was the most common theme (49%), followed by Emotional Appeals (23%), Ideological Messaging (18%), and Misinformation & Misrepresentation (10%). Posts containing misinformation or misrepresentation received significantly higher engagement, with a 46% increase in predicted likes compared with Service Promotion & Outreach posts ( Conclusions: On Instagram, CPC posts containing misinformation and misrepresentation received disproportionately higher engagement compared to service-oriented content. These findings highlight the visibility advantage of misleading content in reproductive health contexts. They also underscore the need for proactive public health communication strategies that counter misinformation in the reproductive health ecosystem.
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Registered trials
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.