Prenatal Providers’ Perceptions of Texas Policy Change and Reproductive Healthcare

dc.creatorJohnson, Kaelien_US
dc.creatorLemuz, Tiffanyen_US
dc.creatorTerrillion, Ryanen_US
dc.creatorKinard, Ashlynen_US
dc.creatorKline, Nolanen_US
dc.creatorGriner, Staceyen_US
dc.creator.orcid0000-0001-6257-7196 (Johnson, Kaeli)
dc.description.abstractBackground: Stringent healthcare policies and laws can exacerbate pre-existing disparities in access to healthcare. In Texas, there has been a rise in state-level mandates that restrict access to reproductive healthcare, criminally penalize healthcare providers, or limit the scope of practice among prenatal providers. These developments have created a unique environment for clinicians in Texas. Thus, this study aimed to investigate the impact of policy shifts within Texas on the provision of prenatal care by Texas prenatal providers to their pregnant patients. Methods: Texas prenatal providers(n=17;OB/GYNs,/CNMs,/ARNPs/PAs) were recruited from a range of practice settings such as outpatient hospitals, community clinics, and private practices. One-hour in-depth interviews guided by the Consolidated Framework for Implementation Research (CFIR)were conducted with participants. As part of the Outer Setting domain of CFIR, clinicians were asked how recent policy changes in Texas impacted the care of their patients. Interviews were audio-recorded, transcribed, and thematically coded using MAXQDA. Findings: In this analysis, two policy themes surfaced: prenatal COVID vaccines and access to abortion care. Clinicians noticed resistance among their prenatal patients in receiving the COVID vaccine, influenced by Texas’ COVID response and recommendations. They underscored how Texas laws hindered patient access to abortion care, especially within the six-week time frame. Clinicians detailed how these policies heightened the need for documentation and oversight regarding miscarriage and abortion care, including obtaining ethical approval from leadership before delivering care. Implications: The results suggest that prenatal providers perceived the implementation of new policies in Texas as introducing several challenges in their provision of reproductive healthcare. Subsequent research should explore how providers adjust their practices in response to these policy changes when caring for patients.en_US
dc.description.sponsorshipEarly Stage Investigator Granten_US
dc.titlePrenatal Providers’ Perceptions of Texas Policy Change and Reproductive Healthcareen_US