Abortion laws spark profound changes in other medical care

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Abortion laws spark profound changes in other medical care
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Abortion restrictions in a number of states and the Supreme Court’s decision to overturn Roe v. Wade are having profound repercussions in reproductive medicine as well as in other areas of medical care.

A sexual assault survivor chooses sterilization so that if she is ever attacked again, she won’t be forced to give birth to a rapist’s baby. An obstetrician delays inducing a miscarriage until a woman with severe pregnancy complications seems “sick enough.” A lupus patient must stop taking medication that controls her illness because it can also cause miscarriages.

“It was like, the mom’s life is in danger, we must evacuate the uterus by whatever means that may be,” he said. “Whether it’s surgical or medical — that’s the treatment.’ “We physically watched her get sicker and sicker and sicker” until the fetal heartbeat stopped the next day, “and then we could intervene,’ he said. The patient developed complications, required surgery, lost multiple liters of blood and had to be put on a breathing machine “all because we were essentially 24 hours behind.’

The decision to proceed with treatment was hers — abortion is still legal in Illinois. In fact, the state provides greater access to abortion than most others, and has been flooded with patients seeking abortions following the recent Supreme Court decision. Dr. Tyler Handcock, an Austin OB-GYN, said his clinic has heard from hundreds of patients seeking sterilization since the Supreme Court’s June 24 decision. Many choose this route because they fear long-acting birth control or other contraceptives could also become targets, he said.

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