Texas abortion law complicates care for high-risk pregnancies

The only way to stop the heavy bleeding is to terminate the pregnancy and contract the uterus, said Dr. moayedi. Time is of the essence. “Every OB-GYN has cared for someone who has died of a hemorrhage,” she said. “If someone bleeds during a miscarriage, how long should I wait?”

Even if the mother’s life is saved, Dr. Moayedi added, she could require an emergency hysterectomy, or removal of the uterus, which would render her infertile.

Other complications that arise when a woman carries twins or multiples can be resolved by a “selective reduction” or abortion of one of the fetuses so that the other has a better chance of living. Failure to do so may kill all fetuses in some circumstances. Selective discounts are prohibited under the new state law.

In other cases, a pregnant woman’s medical needs may conflict with those of her fetus.

Just a few months before the Texas legislature passed the new law, Dr. Robert Gunby Jr., an obstetrician in Dallas, for a pregnant newlywed who suddenly started losing weight. She was diagnosed with aggressive lymphoma, a cancer of the immune system.

An oncologist urged the woman to start treatment immediately, but the chemotherapy regimen was said to have been toxic to the fetus.

“At first she said, ‘I can’t, I want this baby so bad,'” Dr. Gunby himself. “But it was the only choice they had to save this young woman.” She eventually agreed and treatment was started as soon as an abortion was performed.

dr. Palmer, the obstetrician in Fort Worth, said one of her patients was trying to conceive after the new law went into effect, and that she had sex with her partner.

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