Experiences of reproductive genetic counselors with abortion regulations in Ohio.


Journal

Journal of genetic counseling
ISSN: 1573-3599
Titre abrégé: J Genet Couns
Pays: United States
ID NLM: 9206865

Informations de publication

Date de publication:
06 2022
Historique:
revised: 22 09 2021
received: 22 12 2020
accepted: 16 10 2021
pubmed: 11 11 2021
medline: 22 6 2022
entrez: 10 11 2021
Statut: ppublish

Résumé

Since 2010, Ohio legislators have passed more than 15 legislative changes related to abortion and abortion providers, and nine procedural abortion clinics have closed. We investigated reproductive genetic counselors' perceptions, attitudes and self-reported practices regarding Ohio's current and proposed abortion regulations. We conducted five focus groups and two telephone interviews in 2019-2020, with a total of 19 reproductive genetic counselors. Participants discussed difficulties keeping current on abortion legislation and clinics' and hospitals' policies, resulting in anticipatory anxiety and leading to additional work to discuss the laws with patients. Participants articulated that practices of reproductive genetic counseling-and patient advocacy-are impeded by the legislation. Genetic counselors perceive negative impacts on patients' autonomy, particularly reflective of healthcare disparities of marginalized groups, which may contribute to frustration and anger. Ultimately, the mental and emotional burden on genetic counselors created by abortion legislation contributes to compassion fatigue and burnout. Our findings show that Ohio's abortion regulations negatively impact reproductive genetic counselors and their relationships with their patients. Repealing existing abortion regulations and preventing future restrictive legislation may ameliorate the negative effects of regulations on reproductive genetic counselors and their patients. In the event that these laws remain, innovative communication tools and proactive professional society advocacy are potential means to mitigate the negative impact on reproductive genetic counselors.

Identifiants

pubmed: 34755409
doi: 10.1002/jgc4.1531
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

641-652

Informations de copyright

© 2021 National Society of Genetic Counselors.

Références

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Auteurs

Anne C Heuerman (AC)

Division of Human Genetics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Genetic Counseling Graduate Program, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Reproductive Genetics Program, Department of Maternal Fetal Medicine, Beaumont Health, Royal Oak, Michigan, USA.

Danielle Bessett (D)

Department of Sociology, University of Cincinnati, Cincinnati, Ohio, USA.

Armand H Matheny Antommaria (AH)

Ethics Center, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.

Leandra K Tolusso (LK)

Division of Human Genetics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.

Nicki Smith (N)

Seton Center, Good Samaritan Hospital, TriHealth Hospital Systems, Cincinnati, Ohio, USA.

Alison H Norris (AH)

College of Public Health, The Ohio State University, Columbus, Ohio, USA.

Michelle L McGowan (ML)

Ethics Center, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Department of Women's, Gender & Sexuality Studies, University of Cincinnati, Cincinnati, Ohio, USA.

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