2023 AES: Hot Topics Symposium | Health Equity in Vulnerable Populations-Navigating Reproductive Health Care in a Changing Political Landscape

Video Transcription

Video Summary

Dr. Karen Dutton, Assistant Professor and Director of Family Planning at Beth Israel Deaconess Medical Center, discussed navigating reproductive healthcare amid a shifting political landscape. She emphasized the impact of legal and logistical barriers on patient care, especially with the Dobbs v. Jackson Women's Health Services decision altering abortion access. Dr. Dutton highlighted the disproportionate effects on marginalized populations and patients with epilepsy, noting higher rates of unplanned pregnancies in these groups. She advocated for comprehensive contraceptive counseling, particularly for epilepsy patients due to interactions between anti-seizure medications and hormonal contraceptives. Dr. Dutton recommended the “One Key Question” screening initiative to assess pregnancy intentions and shared resources, including abortionfinder.org, for unplanned pregnancies and contraception guidance. She underscored the importance of patient autonomy and informed clinical decision-making in providing high-quality care amidst evolving restrictions.

Asset Subtitle

Presenter: Caryn Dutton, MD

Keywords

reproductive healthcare

Dobbs v. Jackson

marginalized populations

epilepsy patients

contraceptive counseling

patient autonomy