High Risk Pregnancy | Uncertainty hangs over a potential Row-post world

(Phoenix, Arizona) Brianna was seven weeks pregnant when she began to think that she could not survive on her due date. She has a narrow respiratory tract, was badly scarred by surgery as a child, and as her pregnancy progresses she begins to have difficulty breathing and is forced to breathe.

Updated yesterday at 8:46 am

Jack Healy
New York Times

She did not plan to become pregnant at the age of 30 and said that her doctor had warned her that the pregnancy was high risk and could be life threatening. This month, she rushed to her home in Phoenix for an abortion, fearing that if the Supreme Court acted in her favor, she would lose that option.

“I probably wouldn’t have finished it, or I would have died,” said Brianna, a caretaker who asked to be identified only by her first name. “It definitely saved my life.”

Photo by Caitlin O’Hara, New York Times

Brianna, a healthcare assistant in Arizona, had an abortion to end a high-risk pregnancy that could endanger her life.

What a stop Roy v. Wade ?

Stop Roy v. Wade The law was passed by the United States Supreme Court on January 22, 1973. According to the court, the right to respect private life guaranteed by the constitution also applies to abortion.

In 1969, Norma McCurvey, aka Jane Rowe, was pregnant with her third child and wanted an abortion. Texas law does not allow him, so he asked attorneys Linda Coffey and Sarah Weddington to represent him. The two lawyers are converting the case into class action. When three federal court judges ruled that Texas law was unconstitutional, Norma McCormack was born and then left the child for adoption. The state of Texas appealed the decision, and it was the Supreme Court that ultimately ruled that a woman could terminate her pregnancy in the first trimester without state intervention.

Source: Britannica

With the Supreme Court expected to soon overturn the 50-year-old precedent and strike at the right to abortion, pregnancies like Brianna, which is at risk due to serious treatment, are becoming a critical point in the fight for women’s health.

Arizona is one of about 20 states where abortion can be banned or severely restricted after Supreme Court intervention. A century-old law, which can be enforced if the verdict is overturned Roy v. Wade, Will prohibit women from having abortions “unless it is necessary to save their lives”. A new ban on abortion, enacted in March after 15 weeks, provides a waiver for medical emergencies.

Similar exceptions exist in almost every state where abortion is prohibited. For abortion rights activists, however, these clauses are too narrow – or too vague – to put women’s lives at risk.

Women with high-risk pregnancies and their doctors are already considering what medical barriers they need to overcome in order to legalize abortion.

DD Leila Jahedi, a Tennessee Maternal-Fetal Medicine Physician who specializes in high-risk pregnancies and abortions, wonders, “How much should a person die? Should I just watch someone bleed? Or go to jail after attending and reporting? I do not know. A

Opponents of abortion say such speculation is excessive and doctors are trained to make life and death decisions every day. They are more likely to make mistakes in protecting the mother than the fetus, they say.

“Exceptions to health allow abortion up to the moment of birth,” said Kathy Herod, president of the Conservative Center for Arizona Policy. “Mother’s life means preventing mother’s death. A

Photo by Nancy Andrews, New York Times

Tracy Miller wants to get a more reliable test of her amniotic fluid to determine if she should stop her pregnancy, but she says she can’t get the test she needs until she is 16 weeks pregnant. A stage of development where abortion will be banned in many states

Where to draw the line?

The problem can be particularly complex in pregnancy where the fetus is unlikely to survive. Continuing these pregnancies can endanger a woman’s health, but doctors say that in many cases serious prenatal abnormalities cannot be confirmed after the first trimester, when most abortions are prohibited in these states. Forcing a stillborn baby to die is not only a physical reaction, it also harms a woman’s mental health and, according to some doctors, can be life threatening.

But only five states where abortion is prohibited and whose legislators are controlled by Republicans – South Carolina, Louisiana, Utah, Mississippi and Georgia – are exceptions to fatal fetal malformations, according to Gutmachar. Institute, a research group that supports the right to abortion. Other states make no exception in cases where the fetus is unlikely to survive. And some state laws, including Ohio and Arizona, specifically prohibit abortions based on diagnoses of Down syndrome or other non-fatal conditions.

In the run-up to the court ruling, maternal-fetal medicine experts are scrambling to understand the vague new standards in their state. They want to determine what is legally allowed abortion in Ro-America. Glossy cancer patient? A pregnancy where the fetus has a 10% chance of surviving outside the womb?

There is no clear dividing line between medicine and science that says, “Well, you’re officially dying.”r Jane Villavicencio, of the American College of Obstetricians and Gynecologists.

If doctors avoid medically necessary abortions for fear of obscuring the law, more women will have high-risk pregnancies or delay termination until they can move to another state. They say the effects will be most severe on low-income women and on black, Hispanic and Indigenous peoples, whose pregnancy mortality rates are already three times higher than white women.

Life-related exceptions

Opponents of abortion have defended narrow “life” exceptions, saying laws would protect the fetus when allowing women to have an abortion in a medical emergency – a situation that would result in “a major physical activity barrier”, according to several state abortion prohibitions. .

Michigan Republican anti-abortion representative Beau LaFev has defended laws that provide no exceptions to severe fetal abnormalities, saying abortions were used to eliminate rare and disabled fetuses. Mr Lafev was born with a congenital defect that required multiple surgeries, and at 18 months old, his left leg was amputated.

Democrats want me to have an abortion, and I think killing people just because they have a disability should be immoral and illegal. It is not empathy.

Michigan Republican Rep. Beau LaFev

But women who would otherwise want to conceive due to treatment say the laws will only increase the pain and confusion of the painful experience. Since the Supreme Court has overturned the draft judgment Roy v. Wade Leaked, in May, many women went to message boards and support groups to express their frustration and ask questions.

In more than a dozen interviews, women who have had their pregnancies terminated for medical reasons said they have felt like outsiders in the long-forgotten abortion access debate. Now, they say, their case illustrates the rift between the drafting of abortion restrictions and the heartbreaking reality of how a pregnancy is uncovered. (Most spoke on the condition that they be identified only by the first name.)

Hannah, 33, of Ann Arbor, Michigan, received a serious diagnosis of her pregnancy the day after the Supreme Court’s draft judgment was announced. She and her husband were thrilled to have their first child. But genetic screening and an ultrasound revealed that her baby had fluid in her brain, severe swelling all over her body and a heart defect that would require extensive surgery and could kill her.

While trying to exploit the news, Hannah considered her legal options. In Michigan, a law is still in force in 1931 that prohibits all abortions, even though it was blocked by a state judge. The law makes no exceptions for catastrophic fetal malformations.

I was just terrified. Does this mean that when we make a decision, I can’t do it? Does that mean I have to go to another state?

Hannah, who had to have an abortion for medical reasons

Like many women who have had an abortion for medical reasons, Hannah has decided to have an abortion and other women who have had an abortion because they cannot afford to have a child, that they are too young, that they are not ready or that they have not differentiated between abortions. Any other reason.

“Nobody does it by chance,” he said. This type of termination of pregnancy can make people realize a lot when the baby is not working, that there will be no standard of living. But my abortion is no more legal than anyone else. All women should have access to it. A

This article was originally published New York Times.

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    DD Alice Mark, a medical adviser to the National Abortion Federation, said a patient from Texas drove 10 hours to New Mexico to terminate a dangerous abortion, where a fetus was implanted outside the uterus.

    Source: New York Times

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