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The third option is “expectant management”: waiting for tissue to pass on its own, which can take weeks. These same pills are used for medication abortion. Some other patients also choose D&C’s, considering them emotionally easier than a lingering process at home.Īnother option is medication - usually mifepristone, which weakens the membrane lining the uterus and softens the cervix, followed by misoprostol, which causes contractions. Sarah Prager, an obstetrics and gynecology professor at the University of Washington’s School of Medicine.ĭ&C is recommended when patients are bleeding heavily, are anemic, have blood-clotting issues or certain conditions that make them medically fragile, Dr. In typical early miscarriages, when cardiac activity has stopped, patients should be offered three options to expel tissue, said Dr. In medical records, Amanda’s second miscarriage was also labeled “threatened abortion: established and worsening.” Medical terminology often calls miscarriage “spontaneous abortion,” a designation that can increase patients’ or providers’ concerns about being targeted under abortion bans. Last week, the Biden administration warned that if a pharmacy refuses to fill prescriptions for pills “including medications needed to manage a miscarriage or complications from pregnancy loss, because these medications can also be used to terminate a pregnancy - the pharmacy may be discriminating on the basis of sex.”ĭelays in expelling tissue from a pregnancy that is no longer viable can lead to hemorrhaging, infections, and sometimes life-threatening sepsis, obstetricians say. The uncertain climate has led some doctors and hospitals to worry about being accused of facilitating an abortion, a fear that has also caused some pharmacists to deny or delay filling prescriptions for medication to complete miscarriages, providers and patients say.
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John Seago, the president of Texas Right to Life, said he considers any obstacles miscarriage patients encounter to be “very serious situations.” He blamed such problems on “a breakdown in communication of the law, not the law itself,” adding “I have seen reports of doctors being confused, but that is a failure of our medical associations” to provide clear guidance. The health and safety of our patients is our top priority.” In a statement, the hospital said, “While we are not able to speak about an individual’s case due to privacy laws, our multidisciplinary team of clinicians works together to determine the appropriate treatment plan on an individual case-by-case basis. The hospital declined to discuss whether Texas’s abortion laws have had any impact on its medical care. Surrogacy Industry: Fearful of legal and medical consequences of new abortion laws, gestational surrogates and those working with them are rewriting contracts and changing the way they operate.Struggling to Decode Laws: Doctors’ concerns about complying with new abortion bans left a pregnant Louisiana woman with a fatal diagnosis for her fetus, but no clear path for an abortion.
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Fetal Personhood: A push to grant fetuses the same legal rights as people is gaining momentum, as anti-abortion activists move beyond bans and aim to get the procedure classified as murder.In Idaho: A federal judge blocked part of the state’s abortion ban, a limited but significant victory to the Biden administration after the Justice Department filed a suit over the legislation.“This appears to be miscarriage in process,” the records noted, but suggested waiting to confirm and advised a follow-up in seven days. “She reports having a lot of pain” and “she appears distressed,” the records said. Hospital records that Amanda shared with The New York Times noted that her embryo had no cardiac activity during that visit and on an ultrasound a week earlier. While the laws are technically intended to apply only to abortions, some patients have reported hurdles receiving standard surgical procedures or medication for the loss of desired pregnancies.Īmanda said the hospital didn’t mention the abortion law, but sent her home with instructions to return only if she was bleeding so excessively that her blood filled a diaper more than once an hour. Wade, numerous states are enacting bans or sharp restrictions on abortion. In September 2021, in between Amanda’s two miscarriages, Texas implemented a law banning almost all abortions after six weeks into pregnancy.įollowing the reversal of Roe v. A D&C is the same procedure used for some abortions.