{"id":3929,"date":"2025-07-03T13:57:47","date_gmt":"2025-07-03T13:57:47","guid":{"rendered":"https:\/\/usamedicarestore.com\/index.php\/2025\/07\/03\/a-striking-trend-after-texas-banned-abortion-more-women-nearly-bled-to-death-during-miscarriage\/"},"modified":"2025-07-03T13:57:47","modified_gmt":"2025-07-03T13:57:47","slug":"a-striking-trend-after-texas-banned-abortion-more-women-nearly-bled-to-death-during-miscarriage","status":"publish","type":"post","link":"https:\/\/usamedicarestore.com\/index.php\/2025\/07\/03\/a-striking-trend-after-texas-banned-abortion-more-women-nearly-bled-to-death-during-miscarriage\/","title":{"rendered":"A \u2018striking\u2019 trend: After Texas banned abortion, more women nearly bled to death during miscarriage"},"content":{"rendered":"<div data-uri=\"cms.cnn.com\/_components\/action-bar\/instances\/cmckul8j4000r26nnghq0eed0@published\" data-label-id-prefix=\"action-bar-start-of-article\" class=\"action-bar\" 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class=\"social-share_labelled-list__share\" data-url=\"https:\/\/www.cnn.com\/2025\/07\/02\/health\/texas-miscarriage-propublica\" data-type=\"copy\" aria-label=\"copy link to clipboard\" title=\"Copy link to clipboard\">                                <span class=\"social-share_labelled-list__share-links--label\">Link<\/span>        <\/button>        <\/p>\n<div class=\"social-share_labelled-list__copied\" data-type=\"message\">                        Link Copied!        <\/div>\n<\/div>\n<p>    <button class=\"social-share_labelled-list__open\" data-type=\"open\" aria-label=\"open social share\" title=\"Open social share\">            <\/button>    <button class=\"social-share_labelled-list__close\" data-type=\"close\" aria-label=\"close social share\" title=\"Close social share\">            <\/button><\/div>\n<\/div>\n<\/div>\n<div class=\"action-bar__buttons\">            <button class=\"action-bar__button\" data-title=\"follow\">                                        Follow            <\/button>            <button class=\"action-bar__button\" data-title=\"share options\">                                <\/button>    <\/div>\n<\/div>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckul8j4000t26nn2i1m69o4@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            <em>This story was originally published by <\/em><em>ProPublica<\/em><em>, a nonprofit newsroom that investigates abuses of power. Sign up to receive <\/em><em>its biggest stories<\/em><em> as soon as they\u2019re published.<\/em>    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckula1800003b6mukuy2rj0@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            Before states banned abortion, one of the gravest outcomes of early miscarriage could easily be avoided: Doctors could offer a dilation and curettage procedure, which quickly empties the uterus and allows it to close, protecting against a life-threatening hemorrhage.    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckunlwl000a3b6m6ilaphjl@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            But because the procedures, known as D&amp;Cs, are also used to end pregnancies, they have gotten tangled up in state legislation that restricts abortion. Reports now abound of doctors hesitating to provide them and women who are bleeding heavily being discharged from emergency rooms without care, only to return in such dire condition that they need blood transfusions to survive. As ProPublica reported last year, one woman died of hemorrhage after 10 hours in a Houston hospital that didn\u2019t perform the procedure.    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckunlwl000b3b6m38uekar7@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            Now, a new ProPublica data analysis adds empirical weight to the mounting evidence that abortion bans have made the common experience of miscarriage \u2014 which occurs in up to 30% of pregnancies \u2014 far more dangerous. It is based on hospital discharge data from Texas, the largest state to ban abortion, and captures emergency department visits from 2017 to 2023, the most recent year available.    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckunlwl000c3b6m59ujxqw6@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            After Texas made performing abortions a felony in August 2022, ProPublica found, the number of blood transfusions during emergency room visits for first-trimester miscarriage shot up by 54%.    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckumrfu00073b6mvgk67kgf@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            The number of emergency room visits for early miscarriage also rose, by 25%, compared with the three years before the COVID-19 pandemic \u2014 a sign that women who didn\u2019t receive D&amp;Cs initially may be returning to hospitals in worse condition, more than a dozen experts told ProPublica.    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckunu88000h3b6m8bm9u4oa@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            While that phenomenon can\u2019t be confirmed by the discharge data, which tracks visits rather than individuals, doctors and researchers who reviewed ProPublica\u2019s findings say these spikes, along with the stories patients have shared, paint a troubling picture of the harm that results from unnecessary delays in care.    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckunu88000i3b6mf5jxgihb@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            \u201cThis is striking,\u201d said Dr. Elliott Main, a hemorrhage expert and former medical director for the California Maternal Quality Care Collaborative. \u201cThe trend is very clear.\u201d    <\/p>\n<div data-uri=\"cms.cnn.com\/_components\/related-content\/instances\/cmckvfl3h002i3b6mz4hqkhqr@published\" data-component-name=\"related-content\" class=\"related-content-elevate related-content--article\" data-article-gutter=\"true\">\n<header class=\"related-content__title related-content__title-text\" data-editable=\"content.title\">Related article<\/header>\n<section class=\"related-content__body\">\n<div class=\"related-content__image image__related-content\">\n<div data-uri=\"cms.cnn.com\/_components\/image\/instances\/cmag0ci8m000i28p93pr9am2b@published\" class=\"image-elevate image__hide-placeholder\" data-image-variation=\"image\" data-name=\"20250428_Abortion Deaths Regional Difference_LP_112-PD-EDIT_preview_maxWidth_3000_maxHeight_3000_ppi_72_embedColorProfile_true_quality_95.jpg\" data-component-name=\"image\" data-observe-resizes=\"\" data-breakpoints=\"{&quot;image--eq-extra-small&quot;: 115, &quot;image--eq-small&quot;: 300, &quot;image--eq-large&quot;: 660}\" data-original-ratio=\"0.6666666666666666\" data-original-height=\"2000\" data-original-width=\"3000\" data-url=\"https:\/\/media.cnn.com\/api\/v1\/images\/stellar\/prod\/20250428-abortion-deaths-regional-difference-lp-112-pd-edit-preview-maxwidth-3000-maxheight-3000-ppi-72-embedcolorprofile-true-quality-95.jpg?c=original\" data-editable=\"settings\">\n<div class=\"image__container \" data-image-variation=\"image\" data-breakpoints=\"{&quot;image--eq-extra-small&quot;: 115, &quot;image--eq-small&quot;: 300, &quot;image--show-credits&quot;: 525}\">           <\/div>\n<div class=\"image__metadata-container media__metadata-container\">\n<div class=\"image__metadata media__metadata\">\n<div class=\"image__caption attribution\">    <span data-editable=\"metaCaption\" class=\"inline-placeholder\">Brooklyn Leonard was diagnosed with PPROM when she was 14 weeks pregnant in Houston. It took her five days to get care.<\/span>  <\/div><figcaption class=\"image__credit\">Lexi Parra for ProPublica<\/figcaption><\/div>\n<\/div>\n<\/div>\n<\/div>\n<p class=\"related-content__headline\">        <span class=\"related-content__headline-text\" data-editable=\"content.headline\">Under Texas\u2019 abortion ban, where a pregnant woman lives can determine her risk of developing sepsis<\/span>      <\/p>\n<\/section>\n<\/div>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckunnzv000f3b6mu4ixzguf@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            The data mirrors a sharp rise in cases of sepsis \u2014 a life-threatening reaction to infection \u2014 ProPublica previously identified during second-trimester miscarriage in Texas.    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckuo2ov000n3b6mle5wshti@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            Blood loss is expected during early miscarriage, which usually ends without complication. Some cases, however, can turn deadly very quickly. Main said ProPublica\u2019s analysis suggested to him that \u201cphysicians are sitting on nonviable pregnancies longer and longer before they\u2019re doing a D&amp;C \u2014 until patients are really bleeding.\u201d    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckuo2ov000o3b6muw8sovr3@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            That\u2019s what happened to Sarah De Pablos Velez in Austin last summer. As she was miscarrying and bleeding profusely, she said physicians didn\u2019t explain that she had options for care. Sent home from the emergency room without a D&amp;C two times, she ultimately needed blood transfusions so that she wouldn\u2019t die, according to medical records. \u201cWhat happened to me was just so wrong,\u201d she told ProPublica. \u201cDoctors need to be providing care to pregnant women \u2014 that needs to be a baseline.\u201d    <\/p>\n<div data-uri=\"cms.cnn.com\/_components\/image\/instances\/cmcl6sanl00073b6modmlpgfb@published\" class=\"image_large-elevate portrait image_large__hide-placeholder\" data-image-variation=\"image_large\" data-name=\"20250619-Panich-Linsman-Abortion-Deaths-Transfusions-0049.jpg\" data-component-name=\"image\" data-observe-resizes=\"\" data-breakpoints=\"{&quot;image_large--eq-extra-small&quot;: 115, &quot;image_large--eq-small&quot;: 300, &quot;image_large--eq-large&quot;: 660}\" data-original-ratio=\"1.3333333333333333\" data-original-height=\"4000\" data-original-width=\"3000\" data-url=\"https:\/\/media.cnn.com\/api\/v1\/images\/stellar\/prod\/20250619-panich-linsman-abortion-deaths-transfusions-0049.jpg?c=original\" data-editable=\"settings\" data-article-gutter=\"true\">\n<div class=\"image_large__container \" data-image-variation=\"image_large\" data-breakpoints=\"{&quot;image_large--eq-extra-small&quot;: 115, &quot;image_large--eq-small&quot;: 300, &quot;image_large--show-credits&quot;: 525}\">           <\/div>\n<div class=\"image_large__metadata-container media__metadata-container\">\n<div class=\"image_large__metadata media__metadata\">\n<div class=\"image_large__caption attribution\">    <span data-editable=\"metaCaption\" class=\"inline-placeholder\">Sarah De Pablos Velez was sent home from an emergency room while bleeding profusely during a miscarriage last year; she ultimately needed blood transfusions to save her life.<\/span>  <\/div><figcaption class=\"image_large__credit\">Ilana Panich-Linsman for ProPublica<\/figcaption><\/div>\n<\/div>\n<\/div>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckunww8000l3b6msfdiapa9@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            After ProPublica exposed preventable deaths following delays in care, the Texas Legislature passed a bill this year to clarify that doctors can provide abortions when a patient is facing a life-threatening emergency, even if it is not imminent.    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckuo5el000r3b6mmqw9qlhb@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            But many Texas doctors say the reform does not address the difficulty of treating women experiencing early miscarriages, which almost always involve blood loss; they say it\u2019s hard to know when the expected bleeding might evolve into a life-threatening emergency \u2014 one that could have been prevented with a D&amp;C. Women can bleed and remain stable for a long time, until they crash.    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckuol7b000w3b6mjmks7cqi@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            Texas forbids abortion at all stages of pregnancy \u2014 even before there is cardiac activity or a visible embryo. And while the law allows doctors to \u201cremove a dead, unborn child,\u201d it can be difficult to determine what that means during early miscarriage, when an array of factors can signal that a pregnancy is not progressing.    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckuol7b000x3b6mlxglhp67@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            An embryo might fail to develop. Cardiac activity may not emerge when it should. Hormone levels might dip or bleeding might increase. Even if a doctor strongly suspects a miscarriage is underway, it can take weeks to conclusively document that a pregnancy has ended, and all the while, a patient might be losing blood.    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckuol7b000y3b6mquijtr3u@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            Some OB-GYNs and emergency room physicians have long been advising patients to complete their miscarriage at home, especially at Catholic hospitals, even if that is not the standard of care. But now, physicians across the state are faced with a law that threatens up to 99 years in prison, and more are making a new calculus around whether to intervene or even tell patients they are likely miscarrying, said Dr. Anitra Beasley, an OB-GYN in Houston. \u201cWhat ends up happening is patients have to present multiple times before a diagnosis can be made,\u201d she added, and some of those patients wind up needing blood transfusions.    <\/p>\n<div data-uri=\"cms.cnn.com\/_components\/related-content\/instances\/cmcl6yx1b002r3b6mk42ayee7@published\" data-component-name=\"related-content\" class=\"related-content-elevate related-content--article\" data-article-gutter=\"true\">\n<header class=\"related-content__title related-content__title-text\" data-editable=\"content.title\">Related article<\/header>\n<section class=\"related-content__body\">\n<div class=\"related-content__image image__related-content\">\n<div data-uri=\"cms.cnn.com\/_components\/image\/instances\/cmbznklqd007o28pb8owh3pqq@published\" class=\"image-elevate image__hide-placeholder\" data-image-variation=\"image\" data-name=\"2025-06-03T202045Z_856766027_RC21D7ALF35Y_RTRMADP_3_USA-TRUMP-ABORTION-HEALTH.jpg\" data-component-name=\"image\" data-observe-resizes=\"\" data-breakpoints=\"{&quot;image--eq-extra-small&quot;: 115, &quot;image--eq-small&quot;: 300, &quot;image--eq-large&quot;: 660}\" data-original-ratio=\"0.6668\" data-original-height=\"1667\" data-original-width=\"2500\" data-url=\"https:\/\/media.cnn.com\/api\/v1\/images\/stellar\/prod\/2025-06-03t202045z-856766027-rc21d7alf35y-rtrmadp-3-usa-trump-abortion-health.jpg?c=original\" data-editable=\"settings\">\n<div class=\"image__container \" data-image-variation=\"image\" data-breakpoints=\"{&quot;image--eq-extra-small&quot;: 115, &quot;image--eq-small&quot;: 300, &quot;image--show-credits&quot;: 525}\">           <\/div>\n<div class=\"image__metadata-container media__metadata-container\">\n<div class=\"image__metadata media__metadata\">\n<div class=\"image__caption attribution\">    <span data-editable=\"metaCaption\" class=\"inline-placeholder\">FILE PHOTO: Abortion rights supporters hold placards on the day the Supreme Court justices hear oral arguments over the legality of Idaho&#8217;s Republican-backed, near-total abortion ban in medical-emergency situations, at the U.S. Supreme Court in Washington, U.S., April 24, 2024. REUTERS\/Kevin Lamarque\/File Photo<\/span>  <\/div><figcaption class=\"image__credit\">Kevin Lamarque\/Reuters<\/figcaption><\/div>\n<\/div>\n<\/div>\n<\/div>\n<p class=\"related-content__headline\">        <span class=\"related-content__headline-text\" data-editable=\"content.headline\">Trump administration\u2019s guidance on emergency care law adds to \u2018chaos,\u2019 not clarity, in states with strict abortion laws, some doctors say<\/span>      <\/p>\n<\/section>\n<\/div>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckuoacp000u3b6mdlnip368@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            While they can be lifesaving, transfusions do not stop the bleeding, experts told ProPublica, and they can introduce complications, such as severe allergic reactions, autoimmune disorders or, in rare events, blood cancer. The dangers of hemorrhage are far greater, from organ failure to kidney damage to loss of sensation in the fingers and toes. \u201cThere\u2019s a finite amount of blood,\u201d said Dr. Sarah Prager, a professor of obstetrics and gynecology at the University of Washington. \u201cAnd when it all comes out, you\u2019re dead.\u201d    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckuowu200133b6m739poqjq@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            ProPublica\u2019s findings about the rise in blood transfusions make clear that women who experience early miscarriages in abortion ban states are living in a more dangerous medical climate than many believe, said Amanda Nagle, a doctoral student investigating the same blood transfusion data for a forthcoming paper in the American Journal of Public Health.    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckuowu200143b6mq9dlmq6n@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            \u201cIf people are seeking care at an emergency department,\u201d Nagle said, \u201cthere are serious health risks to delaying that care.\u201d    <\/p>\n<h3 class=\"subheader inline-placeholder subheader-elevate vossi-subheader vossi-subheader--size-h3\" data-editable=\"text\" data-uri=\"cms.cnn.com\/_components\/subheader\/instances\/cmckuowzp001c3b6m6n4j3fex@published\" data-component-name=\"subheader\" id=\"waiting-for-certainty\" data-article-gutter=\"true\">        Waiting for certainty<\/h3>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckuowu200153b6m59599tls@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            In some clinics and hospitals across Texas, the pressure to definitively diagnose a miscarriage has led to delays in offering D&amp;Cs.    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckuowu200163b6m9d9zedwu@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            Considering the chance of criminal prosecution, some doctors now default to what many pregnancy loss experts view as an overly cautious method for diagnosing miscarriage: ultrasound images alone, using criteria from the Society of Radiologists in Ultrasound. Relying only on images to diagnose \u2014 and discounting other factors, like lab results or clinical symptoms \u2014 can take days or even weeks.    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckuowu200173b6msscuqtev@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            Dr. Gabrielle Taper was a resident at a Catholic hospital in Austin when the ban was enacted, and a culture of fear took hold among her colleagues, she told ProPublica. \u201cWe started asking, \u2018Are we certain that we can document that we\u2019ve met the radiology guidelines?\u2019 as opposed to just treating the patient in front of us,\u201d she said.    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckuowu200183b6mc0prr7ca@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            If they couldn\u2019t show that the likely miscarriage met the criteria, they often felt they had to discharge patients without offering a D&amp;C. \u201cPeople are already in distress, and you are giving them confusion, a false sense of hope,\u201d she told ProPublica. \u201cHaving to send a patient home knowing they may bleed so much they would need a blood transfusion \u2014 when I know there are procedures I could do or medicine I could offer \u2014 is just excruciating.\u201d    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckuowu200193b6msg54v6vd@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            The hospital where she worked did not respond to ProPublica\u2019s request for comment.    <\/p>\n<div data-uri=\"cms.cnn.com\/_components\/related-content\/instances\/cmcl6xwaj002o3b6mnn39roxu@published\" data-component-name=\"related-content\" class=\"related-content-elevate related-content--article\" data-article-gutter=\"true\">\n<header class=\"related-content__title related-content__title-text\" data-editable=\"content.title\">Related article<\/header>\n<section class=\"related-content__body\">\n<div class=\"related-content__image image__related-content\">\n<div data-uri=\"cms.cnn.com\/_components\/image\/instances\/cmc55t5gb00ak26p5fuhs2s47@published\" class=\"image-elevate image__hide-placeholder\" data-image-variation=\"image\" data-name=\"20250620-abortion-travel-card___exlargetease.png\" data-component-name=\"image\" data-observe-resizes=\"\" data-breakpoints=\"{&quot;image--eq-extra-small&quot;: 115, &quot;image--eq-small&quot;: 300, &quot;image--eq-large&quot;: 660}\" data-original-ratio=\"0.5625\" data-original-height=\"900\" data-original-width=\"1600\" data-url=\"https:\/\/media.cnn.com\/api\/v1\/images\/stellar\/prod\/20250620-abortion-travel-card-exlargetease-20250620192733607.png?c=original\" data-editable=\"settings\">\n<div class=\"image__container \" data-image-variation=\"image\" data-breakpoints=\"{&quot;image--eq-extra-small&quot;: 115, &quot;image--eq-small&quot;: 300, &quot;image--show-credits&quot;: 525}\">           <\/div>\n<div class=\"image__metadata-container media__metadata-container\">\n<div class=\"image__metadata media__metadata\">\n<div class=\"image__caption attribution\">    <span data-editable=\"metaCaption\" class=\"inline-placeholder\"><\/span>  <\/div><figcaption class=\"image__credit\">CNN<\/figcaption><\/div>\n<\/div>\n<\/div>\n<\/div>\n<p class=\"related-content__headline\">        <span class=\"related-content__headline-text\" data-editable=\"content.headline\">Tens of thousands of women traveled for abortion care again last year as state policies continue to shift<\/span>      <\/p>\n<\/section>\n<\/div>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckuowu2001a3b6mvwpm2zni@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            The American College of Obstetricians and Gynecologists does not recommend this approach, advising doctors instead to review the ultrasound as one piece of information among many and counsel patients on all their options.    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckuowu2001b3b6mijwl1uhs@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            The Society of Radiologists in Ultrasound said that the guidelines \u201care not meant to apply in the setting of a life-threatening situation, such as heavy bleeding,\u201d but did not respond to a question about whether it agreed with ACOG that doctors should use a combination of ultrasound images and clinical judgment to assess a pregnancy loss.    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckuomv000113b6mdcvcorhm@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            Dr. Courtney A. Schreiber, an obstetrics and gynecology professor and expert in early pregnancy care, said that even if a patient wants to let a likely miscarriage complete at home, the medical team should still explain different management options, including medication to speed up the process or a D&amp;C, should symptoms like bleeding get worse.    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckup456001h3b6mjfr99fl8@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            \u201cIt\u2019s our obligation to share information, help manage expectations and keep women safe,\u201d she said.    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckup456001i3b6mslwl98n3@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            What happened to Porsha Ngumezi shows how dangerous it can be to delay care, according to more than a dozen doctors who previously reviewed a detailed summary of her case for ProPublica.    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckup456001j3b6mpprelxcb@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            When the mother of two showed up bleeding at Houston Methodist Sugar Land in June 2023, at 11 weeks pregnant, her sonogram suggested an \u201congoing miscarriage\u201d was \u201clikely,\u201d her doctor noted. She had no previous ultrasounds to compare it with, and the radiologist did not locate an embryo or fetus \u2014 which Ngumezi said she thought she had passed in a toilet; her doctors did not make a definitive diagnosis, calling it a pregnancy of \u201cunknown location.\u201d After hours bleeding, passing \u201cclots the size of grapefruit,\u201d according to a nurse\u2019s notes, she received two blood transfusions \u2014 a short-term remedy. But she did not get a procedure to empty her uterus, which medical experts agree is the most effective way to stop the bleeding. Hours later, she died of hemorrhage, leaving behind her husband and young sons.    <\/p>\n<div data-uri=\"cms.cnn.com\/_components\/image\/instances\/cmcl6t11x00093b6mm8vvyct5@published\" class=\"image_large-elevate image_large__hide-placeholder\" data-image-variation=\"image_large\" data-name=\"20241118-Villasana-Abortion-Deaths-39.jpg\" data-component-name=\"image\" data-observe-resizes=\"\" data-breakpoints=\"{&quot;image_large--eq-extra-small&quot;: 115, &quot;image_large--eq-small&quot;: 300, &quot;image_large--eq-large&quot;: 660}\" data-original-ratio=\"0.6666666666666666\" data-original-height=\"2000\" data-original-width=\"3000\" data-url=\"https:\/\/media.cnn.com\/api\/v1\/images\/stellar\/prod\/20241118-villasana-abortion-deaths-39.jpg?c=original\" data-editable=\"settings\" data-article-gutter=\"true\">\n<div class=\"image_large__container \" data-image-variation=\"image_large\" data-breakpoints=\"{&quot;image_large--eq-extra-small&quot;: 115, &quot;image_large--eq-small&quot;: 300, &quot;image_large--show-credits&quot;: 525}\">           <\/div>\n<div class=\"image_large__metadata-container media__metadata-container\">\n<div class=\"image_large__metadata media__metadata\">\n<div class=\"image_large__caption attribution\">    <span data-editable=\"metaCaption\" class=\"inline-placeholder\">Hope Ngumezi holds a photograph of him and his late wife, Porsha, who died in a Houston hospital during a miscarriage in June 2023.<\/span>  <\/div><figcaption class=\"image_large__credit\">Danielle Villasana for ProPublica<\/figcaption><\/div>\n<\/div>\n<\/div>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckuoyu7001f3b6mrjoilkz8@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            Doctors and nurses involved in Ngumezi\u2019s care did not respond to multiple requests for comment for ProPublica\u2019s story last fall, and the hospital did not answer questions about her care when asked about it again for this story. A spokesperson from Methodist Hospital said its OB-GYNs follow ACOG\u2019s miscarriage diagnosis guidelines, which recommend considering clinical factors in addition to ultrasounds.    <\/p>\n<h3 class=\"subheader inline-placeholder subheader-elevate vossi-subheader vossi-subheader--size-h3\" data-editable=\"text\" data-uri=\"cms.cnn.com\/_components\/subheader\/instances\/cmckupcu6001o3b6ma3rt76nk@published\" data-component-name=\"subheader\" id=\"visit-after-visit\" data-article-gutter=\"true\">        Visit after visit<\/h3>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckupcu6001p3b6mgn9jfg4o@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            Even in circumstances in which the abortion ban allows a doctor to intervene \u2014 to treat a life-threatening emergency, for example, or to \u201cremove a dead, unborn baby\u201d \u2014 there\u2019s plenty of evidence, detailed in lawsuits and federal investigations, that doctors in Texas still aren\u2019t offering procedures.    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckupcu6001q3b6mdpjd02oy@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            As soon as Sarah De Pablos Velez, a 30-year-old media director, learned she was pregnant last summer, she began attending regular checkups at St. David\u2019s Women\u2019s Care, in Austin. During her third appointment at about nine weeks, a resident, Dr. Carla Vilardo, and her supervisor, Dr. Cynthia Mingea, reviewed the ultrasound, according to medical records, which indicated her pregnancy wasn\u2019t viable. Instead of being offered treatment for a miscarriage, De Pablos Velez says she was advised to hold out hope and come back for the next checkup.    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckupcu6001r3b6mz51yjxax@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            Five maternal health experts and practicing OB-GYNs who reviewed the records for ProPublica said by that ultrasound visit, doctors would have had enough information to determine that the pregnancy wasn\u2019t viable, even under the most conservative guidelines. If they wanted to be extra sure, they could have done blood work or one more ultrasound during that visit.    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckupcu6001s3b6mmg6pihrn@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            Instead, De Pablos Velez was told to come back in two weeks, according to medical records. During a visit when she should have been nearly 11 weeks pregnant, Mingea wrote in her chart she was \u201cnot optimistic\u201d about the pregnancy\u2019s viability. Still, De Pablos Velez was advised to return in another week to be sure.    <\/p>\n<div data-uri=\"cms.cnn.com\/_components\/related-content\/instances\/cmcl6xamw002m3b6mw5fxixq3@published\" data-component-name=\"related-content\" class=\"related-content-elevate related-content--article\" data-article-gutter=\"true\">\n<header class=\"related-content__title related-content__title-text\" data-editable=\"content.title\">Related article<\/header>\n<section class=\"related-content__body\">\n<div class=\"related-content__image image__related-content\">\n<div data-uri=\"cms.cnn.com\/_components\/image\/instances\/cm7donh4f00652dp9f1rufqkh@published\" class=\"image-elevate image__hide-placeholder\" data-image-variation=\"image\" data-name=\"GettyImages-124205783.jpg\" data-component-name=\"image\" data-observe-resizes=\"\" data-breakpoints=\"{&quot;image--eq-extra-small&quot;: 115, &quot;image--eq-small&quot;: 300, &quot;image--eq-large&quot;: 660}\" data-original-ratio=\"0.6666666666666666\" data-original-height=\"2000\" data-original-width=\"3000\" data-url=\"https:\/\/media.cnn.com\/api\/v1\/images\/stellar\/prod\/gettyimages-124205783.jpg?c=original\" data-editable=\"settings\">\n<div class=\"image__container \" data-image-variation=\"image\" data-breakpoints=\"{&quot;image--eq-extra-small&quot;: 115, &quot;image--eq-small&quot;: 300, &quot;image--show-credits&quot;: 525}\">           <\/div>\n<div class=\"image__metadata-container media__metadata-container\">\n<div class=\"image__metadata media__metadata\">\n<div class=\"image__caption attribution\">    <span data-editable=\"metaCaption\" class=\"inline-placeholder\">New reporting shows that, after the state banned abortion, dozens more pregnant and postpartum women died in Texas hospitals than had in pre-pandemic years, which ProPublica used as a baseline to avoid COVID-19-related distortions.<\/span>  <\/div><figcaption class=\"image__credit\">ER Productions Limited\/Digital Vision\/Getty Images<\/figcaption><\/div>\n<\/div>\n<\/div>\n<\/div>\n<p class=\"related-content__headline\">        <span class=\"related-content__headline-text\" data-editable=\"content.headline\">Texas banned abortion. Then sepsis rates soared.<\/span>      <\/p>\n<\/section>\n<\/div>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckupcu6001t3b6m421075gx@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            Within a few days, when the cramping got so bad she could barely walk, De Pablos Velez went to the emergency room at St. David\u2019s Medical Center, unaware that a D&amp;C could stop the pain and the bleeding. \u201cI\u2019ve never researched what it looks like for women who have a miscarriage,\u201d she told ProPublica. \u201cI always thought you go to the bathroom and have a little bit of blood.\u201d    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckupcu6001u3b6my4zharzq@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            Over two visits to the emergency room, doctors told her that she could complete the miscarriage at home, even as she reported filling up three toilet bowls with blood and a nurse remarked that they needed a janitor to clean the floor, De Pablos Velez and her husband recalled. No obstetrician ever came to assess her condition, according to medical records, and while her hospital chart says \u201call management options have been discussed with the patient and her husband,\u201d De Pablos Velez and her husband both told ProPublica no one offered her a D&amp;C.    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckupcu6001v3b6m6iwwiesa@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            She was told to follow up with her OB at her next appointment in three days. Six hours after discharge, though, she was trying to ride out the pain at home when her husband heard her muttering \u201clightheaded\u201d in the bathroom and ran to her in time to catch her as she collapsed. \u201cShe was pale as a ghost, sweating, convulsing,\u201d said her husband, Sergio De Pablos Velez. \u201cThere was blood on the toilet, the trash can \u2014 like a scene out of a horror movie.\u201d    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckupcu6001w3b6m3zxv6nq3@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            An ambulance rushed her to the hospital, where doctors realized she no longer had enough blood flowing to her organs. She received two blood transfusions. Without them, several doctors who reviewed her records told ProPublica, she would have soon lost her life.    <\/p>\n<div data-uri=\"cms.cnn.com\/_components\/image\/instances\/cmcl6tnj5000b3b6m32he4vzl@published\" class=\"image_large-elevate portrait image_large__hide-placeholder\" data-image-variation=\"image_large\" data-name=\"20250619-Panich-Linsman-Abortion-Deaths-Transfusions-0024.jpg\" data-component-name=\"image\" data-observe-resizes=\"\" data-breakpoints=\"{&quot;image_large--eq-extra-small&quot;: 115, &quot;image_large--eq-small&quot;: 300, &quot;image_large--eq-large&quot;: 660}\" data-original-ratio=\"1.3333333333333333\" data-original-height=\"4000\" data-original-width=\"3000\" data-url=\"https:\/\/media.cnn.com\/api\/v1\/images\/stellar\/prod\/20250619-panich-linsman-abortion-deaths-transfusions-0024.jpg?c=original\" data-editable=\"settings\" data-article-gutter=\"true\">\n<div class=\"image_large__container \" data-image-variation=\"image_large\" data-breakpoints=\"{&quot;image_large--eq-extra-small&quot;: 115, &quot;image_large--eq-small&quot;: 300, &quot;image_large--show-credits&quot;: 525}\">           <\/div>\n<div class=\"image_large__metadata-container media__metadata-container\">\n<div class=\"image_large__metadata media__metadata\">\n<div class=\"image_large__caption attribution\">    <span data-editable=\"metaCaption\" class=\"inline-placeholder\">De Pablos Velez and her husband, Sergio, at home in Austin.<\/span>  <\/div><figcaption class=\"image_large__credit\">Ilana Panich-Linsman for ProPublica<\/figcaption><\/div>\n<\/div>\n<\/div>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckup5yq001m3b6mdhtagrae@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            Vilardo and the doctors who saw De Pablos Velez in the emergency room did not respond to requests to speak with ProPublica or declined to be interviewed. St. David\u2019s Medical Center, which is owned by HCA, the largest for-profit hospital chain in America, said it could not discuss her case unless she signed privacy waivers. The hospital did not respond to ProPublica\u2019s questions even after she submitted them. The De Pablos Velezes say that a hospital patient liaison told them after the ordeal that the hospital would conduct an internal investigation, educate the emergency department on best practices and share the results. It never shared anything. When ProPublica asked about the status of the investigation, neither the liaison nor the hospital responded.    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckupf2h001z3b6megfcq4cy@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            Mingea, who supervised Vilardo\u2019s care during checkups, reviewed the clinic\u2019s records with ProPublica and agreed that De Pablos Velez should have been counseled about miscarriage management options at the clinic, weeks before she ended up in the ER. She said she did not know why she wasn\u2019t but pointed ProPublica to the Society of Radiologists in Ultrasound criteria, which is hanging on the clinic\u2019s wall and is used to teach residents.    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckupkt700223b6mz22d5htj@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            She was adamant that her clinic, which she described as \u201cvery pro-choice \u2014 about as much as we can be in Texas,\u201d regularly provides D&amp;Cs for miscarrying patients. \u201cI feel badly that Sarah had this experience, I really do,\u201d she said. \u201cEverybody deserves to be counseled about all their options.\u201d    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckuq02300273b6my2o2j0f5@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            Doctors had five opportunities to counsel De Pablos Velez about her options and offer her a D&amp;C, said Dr. Jodi Abbott, an associate professor of obstetrics and gynecology at Boston University School of Medicine, who reviewed case records. If they had, the life-or-death risks could have been avoided.    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckuq02300283b6m6mqn8of1@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            De Pablos Velez \u201cbasically received the same care Porsha Ngumezi did, only Porsha died and she survived,\u201d said Abbott. \u201cShe was lucky.\u201d    <\/p>\n<p class=\"paragraph-elevate inline-placeholder vossi-paragraph\" data-uri=\"cms.cnn.com\/_components\/paragraph\/instances\/cmckuq02300293b6mf45czkt9@published\" data-editable=\"text\" data-component-name=\"paragraph\" data-article-gutter=\"true\">            <em>Sophie Chou<\/em><em> contributed data reporting, and <\/em><em>Mariam Elba<\/em><em> contributed research.<\/em>    <\/p>\n<\/p>\n<div>This post appeared first on cnn.com<\/div>\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Maternal health Women&#8217;s health Abortion rights See all topics Facebook Tweet Email Link Link Copied! Follow This story was originally published by ProPublica, a nonprofit newsroom that investigates abuses of power. Sign up to receive its biggest stories as soon as they\u2019re published. Before states banned abortion, one of the gravest outcomes of early miscarriage <\/p>\n","protected":false},"author":1,"featured_media":3930,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[22],"tags":[],"class_list":{"0":"post-3929","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-health-news"},"_links":{"self":[{"href":"https:\/\/usamedicarestore.com\/index.php\/wp-json\/wp\/v2\/posts\/3929","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/usamedicarestore.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/usamedicarestore.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/usamedicarestore.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/usamedicarestore.com\/index.php\/wp-json\/wp\/v2\/comments?post=3929"}],"version-history":[{"count":0,"href":"https:\/\/usamedicarestore.com\/index.php\/wp-json\/wp\/v2\/posts\/3929\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/usamedicarestore.com\/index.php\/wp-json\/wp\/v2\/media\/3930"}],"wp:attachment":[{"href":"https:\/\/usamedicarestore.com\/index.php\/wp-json\/wp\/v2\/media?parent=3929"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/usamedicarestore.com\/index.php\/wp-json\/wp\/v2\/categories?post=3929"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/usamedicarestore.com\/index.php\/wp-json\/wp\/v2\/tags?post=3929"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}