Massachusetts' Parental Consent Law and Procedural Timing Among Adolescents Undergoing Abortion

Janiak, Elizabeth; Fulcher, Isabel R.; Cottrill, Alischer A.; Tantoco, Nicole; Mason, Ashley H.; Fortin, Jennifer; Sabino, Jamie; Goldberg, Alisa B.

doi:10.1097/aog.0000000000003190

Cited by 18 publications

(14 citation statements)

References 28 publications

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“…Judicial bypass has been shown to have a myriad of adverse effects on young people, including clinically significant delays in abortion care. 6 Our analysis further demonstrates the impact of these laws by quantifying the high financial cost of their enforcement.…”

Section: Discussionmentioning

confidence: 83%

“…Literature on judicial bypass is limited, but prior research has found the process to be associated with out-of-state travel for abortion, 4 , 5 psychological distress among young people who have undergone the process, and clinically significant delays in abortion care. 3 , 6 , 7 Our prior research demonstrated that Massachusetts' parental involvement law delays care for minors seeking abortion. 6 …”

Section: Introductionmentioning

confidence: 99%

“…3 , 6 , 7 Our prior research demonstrated that Massachusetts' parental involvement law delays care for minors seeking abortion. 6 …”

Section: Introductionmentioning

confidence: 99%

“…Those who obtain judicial bypass have an average additional delay of 6.1 days compared with those with parental consent, but for one in five minors receiving bypass, this process takes 21 days or longer. 6 Delays from parental involvement laws may result in costlier abortion procedures for some young people. In addition, there are direct costs associated with obtaining judicial bypass, such as missed schooling, lost wages, and transportation costs.…”

Section: Introductionmentioning

confidence: 99%

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The Financial Burden of Antiquated Laws: The Case of Massachusetts' Parental Involvement Law for Abortion

Gilbert

Fulcher

Cottrill

et al. 2021

Women's Health Reports

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Background: A majority of U.S. states enforce parental involvement laws that require minors seeking abortion to obtain parental consent, or else obtain judicial bypass through the court system. Although such laws are widespread, the financial cost of their enforcement has yet to be documented. Methods: We used data from a retrospective observational cohort study among adolescents (aged ≤17 years old) who sought abortion services at Planned Parenthood League of Massachusetts (PPLM) between 2010 and 2016. We assessed the direct financial burden of judicial bypass among 449 minors accounting for direct public legal costs, private professional costs, cost of lost school, and cost to the young person. Results: The total added cost of judicial bypass in our cohort amounted to $374,982.04 (median cost of $705.14 per abortion). The direct out-of-pocket cost amounted to $84,370.23 ($179.89 per abortion). The majority of this cost was due to increased average procedure costs solely due to delays in care incurred by judicial bypass (range $0 to $5,200.50). In total, 74% of minors in our cohort were insured through Medicaid at the time of their abortion. Additional out-of-pocket costs for bypass were 20.2% of their household's maximum monthly income. Conclusions: These analyses show that judicial bypass as a function of parental involvement laws correlates with increased costs to individual minors and to the public, with the heaviest burden placed on minors of low socioeconomic status.

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Section: Discussionmentioning

confidence: 83%

Section: Introductionmentioning

confidence: 99%

“…3 , 6 , 7 Our prior research demonstrated that Massachusetts' parental involvement law delays care for minors seeking abortion. 6 …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Financial Burden of Antiquated Laws: The Case of Massachusetts' Parental Involvement Law for Abortion

Gilbert

Fulcher

Cottrill

et al. 2021

Women's Health Reports

Self Cite

View full text Add to dashboard Cite

show abstract

“…Its mechanism is mostly due to the enhancement of coagulation function and the decrease of brinolysis, which leads to the formation of uterine spiral artery or villous vessel thrombosis, and decrease in endometrial receptivity and placental perfusion, leading to spontaneous abortion 26 . Correcting the abnormal increase in uterine artery blood ow resistance within 10 weeks of gestation can improve the pregnancy outcome 27,28 . This also suggests that to improve the adverse pregnancy outcome, we can start improving uterine artery perfusion.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of Retinal Image in Women with Recurrent Spontaneous Abortion

Wu¹,

Wang²,

Li³

et al. 2022

Preprint

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Purpose To identify the characteristics of retinal image in women with recurrent spontaneous abortion (RSA). Methods A case-control study was conducted in the Shenzhen Maternity & Child Healthcare Hospital. Eighty women who were diagnosed RSA were recruited. Those women who were age matched with the RSA group and experienced a successful birth history were chosen as the control group. Retinal images were collected and characteristics were analysed. Multivariable logistic model was built to identify the characteristics of retinal image. Results Compared to the control group, the patients with RSA had higher CRAE (P = 0.02), Vasym(P < 0.0001) and Aasym(P = 0.002), larger Aangle(P = 0.035), BCA(P < 0.0001) and more obvious Nicking(P = 0.001) and occlusion( P = 0.001) in the retinal artery, but lower AVR(P = 0.314) in retinal characteristics. The area under the ROC curve of the multivariable logistic regression was 0.8541 (95% C.I. 0.796–0.912). Conclusions Compared to the Normal pregnancy women, those with RSA had special retinal characteristics, which might provide useful information for RSA identification.

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The effects of different abortion policy environments on women's health

Macleod¹,

Lavelanet

Liquitay

et al. 2023

Cochrane Database of Systematic Reviews

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Massachusetts' Parental Consent Law and Procedural Timing Among Adolescents Undergoing Abortion

Abstract: Massachusetts' abortion parental consent law is associated with clinically significant delays, which may constrain options available for the clinical management of minors undergoing abortion.

Cited by 18 publications

References 28 publications

The Financial Burden of Antiquated Laws: The Case of Massachusetts' Parental Involvement Law for Abortion

The Financial Burden of Antiquated Laws: The Case of Massachusetts' Parental Involvement Law for Abortion

Characteristics of Retinal Image in Women with Recurrent Spontaneous Abortion

The effects of different abortion policy environments on women's health

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