Doctors in Alabama Already Turn Away Miscarrying Patients. This Will Be America's New Normal. [View all]

[Nevilledog]

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https://slate.com/news-and-politics/2022/05/roe-dobbs-abortion-ban-reproductive-medicine-alabama.html

If you want to understand the future of medical care for pregnant women in a post-Roe world, look no further than what is happening in Alabama. As others have pointed out for Slate, the leaked draft majority opinion in Dobbs v. Jackson Women’s Health Organization paves the way for criminalizing many aspects of pregnancy. While Texas’ abortion ban, S.B. 8, has essentially halted all abortions in the state, Alabama offers a glimpse of a troubling future in which the provision of medical care for pregnant people is deeply intertwined with the cultural attitudes that seek to criminalize “undesirable” pregnancy outcomes.

In the summer of 2020, I got a firsthand experience of these attitudes in action. Three weeks after starting to practice at West Alabama Women’s Center, my application for a medical license was denied and my temporary medical license revoked for what we can’t help but question may have been political reasons. Although I had been hired to offer general gynecological care, the Women’s Center has historically been known as an abortion clinic, and I am open on social media about my views that abortion should be on demand. Because of the eight-month-long process to reverse and reinstate my license, I did not begin to understand how dire health care access was in Alabama until I was able to practice medicine in March 2021.

I was astounded by how often patients were turned away from emergency rooms and their doctor’s offices in the middle of their miscarriages. No wonder Alabama has the third-highest maternal mortality rate in the nation, I initially thought. People are denied urgent medical attention outright, which left me wondering at first if health care providers were simply negligent and not keeping up with their medical education. Or was this lack of care a reflection of discrimination? Eventually, I landed on discrimination as the cause.

But I was wrong. The reality is much worse. Instead, these medical professionals seem to know what they are supposed to do, but choose not to.

I came to this realization when I saw a patient in active miscarriage (bleeding, passing clots, cramping) who had just had an office visit with her primary physician. She was forced to wait more than 48 hours in order to get the results of her bloodwork. Doctors will sometimes check a patient’s levels of HCG, or human chorionic gonadotropin, to help distinguish miscarriages from ongoing pregnancies or ectopic pregnancies. I could not understand why someone with all of the clinical signs of a miscarriage in progress was required to wait for much-needed intervention, all the while bleeding and cramping and suffering.

*snip*