Residents Navigating Moral Distress After the Dobbs v. Jackson Women's Health Organization Decision DOI
Abigail S. Cutler, Emily Claymore, Jema Turk

et al.

Deleted Journal, Journal Year: 2025, Volume and Issue: 2(2), P. e074 - e074

Published: April 1, 2025

OBJECTIVE: To identify and examine strategies used by obstetrics gynecology residents in abortion-restricted states to mitigate moral distress. METHODS: We analyzed one-on-one, semi-structured interviews with 21 distress related training environments. RESULTS: identified four themes that summarize the have experienced while settings: maximizing clinical care, supplementing education, engaging advocacy, obtaining emotional support. Across all themes, participants described individual institutional efforts helped distress, as well strengths limitations of strategies. Faculty leaders played a particularly pivotal role mediating effect residents' CONCLUSION: Strategies combat from varying effectiveness. The faculty leadership appears especially important resident success it.

Language: Английский

Medical uncertainty in the shadow of Dobbs: Treating obstetric complications in a new reproductive frontier DOI Creative Commons
Mara Buchbinder, Kavita Shah Arora, Samantha M. McKetchnie

et al.

Social Science & Medicine, Journal Year: 2025, Volume and Issue: 369, P. 117856 - 117856

Published: Feb. 14, 2025

Recent changes to United States medical practice following the U.S. Supreme Court's decision in Dobbs v Jackson Woman's Health Organization have led new forms of uncertainty arising from interpretation and implementation state law. Post-Dobbs legal restrictions are particularly challenging because they entail multiple that intensify when combined, with risks pregnant patients clinicians who care for them. In this article, we identify describe three distinct types obstetrician-gynecologists (OB-GYNs) states abortion bans encounter caring an obstetric complication known as preterm prelabor (or premature) rupture membranes (PPROM, i.e., 'water breaking'). PPROM represents a paradigmatic case which prognostic, legal, existential coalesce, leading stress discomfort both Focusing on OB-GYNs, each these turn, then elaborate study show how operate tandem over time. doing so, add growing body literature highlighting relationship between structural conditions shaping medicine practice. Whereas evidence-based is organized around logic reducing uncertainty, find so far more difficult arises politics opposed clinical factors.

Language: Английский

Citations

0
Residents Navigating Moral Distress After the Dobbs v. Jackson Women's Health Organization Decision DOI
Abigail S. Cutler, Emily Claymore, Jema Turk

et al.

Deleted Journal, Journal Year: 2025, Volume and Issue: 2(2), P. e074 - e074

Published: April 1, 2025

OBJECTIVE: To identify and examine strategies used by obstetrics gynecology residents in abortion-restricted states to mitigate moral distress. METHODS: We analyzed one-on-one, semi-structured interviews with 21 distress related training environments. RESULTS: identified four themes that summarize the have experienced while settings: maximizing clinical care, supplementing education, engaging advocacy, obtaining emotional support. Across all themes, participants described individual institutional efforts helped distress, as well strengths limitations of strategies. Faculty leaders played a particularly pivotal role mediating effect residents' CONCLUSION: Strategies combat from varying effectiveness. The faculty leadership appears especially important resident success it.

Language: Английский

Citations

0