Examining Post-<i>Dobbs</i> Changes in Abortion Use at 3 Southern Michigan Clinics, July 2021‒June 2023.

Abstract

<b>Objectives.</b> To examine changes in abortion service delivery for the years before (July 2021‒June 2022) and after <i>Dobbs v Jackson Women's Health</i> (July 2022‒June 2023) at 3 Planned Parenthood clinics in southern Michigan, when several states enacted laws further restricting abortion access, and Michigan became a destination for individuals in restrictive states. <b>Methods.</b> We used monthly abortion data from 3 Michigan clinics to calculate the mean number of monthly abortions and changes in proportions for gestation, method, and patient state of residence for the 2 time periods. <b>Results.</b> Mean monthly abortions increased from 358 before <i>Dobbs</i> to 575 after <i>Dobbs</i>. Simultaneously, out-of-state patients increased from 383 before <i>Dobbs</i> to 1145 after <i>Dobbs</i> and received a larger share of total abortions. Methods shifted slightly, with medication abortions decreasing from 58% to 53% and procedural abortions at less than 14 weeks increasing from 31% to 36%. Most out-of-state patients came from Indiana and Ohio. <b>Conclusions.</b> The increasing number of out-of-state patients and increased provision of procedural abortions represent both increased need among patients from restrictive states and adaptability among providers in protective states such as Michigan-underscoring changes in care amid the rapidly evolving abortion landscape in the United States. (<i>Am J Public Health</i>. 2026;116(3):351-358. https://doi.org/10.2105/AJPH.2025.308305).