Obstet Gynecol. 2020 Dec;136(6):e107-e115. doi: 10.1097/AOG.0000000000004176.
Individuals require access to safe, legal abortion. Abortion, although legal, is increasingly out of reach because of numerous restrictions imposed by the government that target patients seeking abortion and their health care practitioners. Insurance coverage restrictions, which take many forms, constitute a substantial barrier to abortion access and increase reproductive health inequities. Adolescents, people of color, those living in rural areas, those with low incomes, and incarcerated people can face disproportionate effects of restrictions on abortion access. Stigma and fear of violence may be less tangible than legislative and financial restrictions, but are powerful barriers to abortion provision nonetheless. The American College of Obstetricians and Gynecologists, along with other medical organizations, opposes such interference with the patient-clinician relationship, affirming the importance of this relationship in the provision of high-quality medical care. This revision includes updates based on new restrictions and litigation related to abortion.
个人需要获得安全、合法的堕胎服务。尽管堕胎是合法的，但由于政府对寻求堕胎的患者及其医疗保健从业者实施了众多限制，堕胎服务越来越难以获得。保险覆盖范围的限制有多种形式，这是堕胎服务获得的重大障碍，并加剧了生殖健康的不平等。青少年、少数族裔、农村地区的人、低收入者和被监禁者可能会受到堕胎限制的不成比例的影响。与立法和财政限制相比，耻辱感和对暴力的恐惧可能不那么明显，但它们仍然是堕胎服务提供的强大障碍。美国妇产科医师学会与其他医疗组织一起反对这种对医患关系的干涉，肯定了这种关系在提供高质量医疗保健方面的重要性。本次修订包括基于与堕胎相关的新限制和诉讼的更新。
