Sick enough

There literally are Savita Halappanavar cases happening in the US now. Lindsey Tanner at the Associated Press reports:

Even in medical emergencies, doctors are sometimes declining immediate treatment. In the past week, an Ohio abortion clinic received calls from two women with ectopic pregnancies — when an embryo grows outside the uterus and can’t be saved — who said their doctors wouldn’t treat them. Ectopic pregnancies often become life-threatening emergencies and abortion clinics aren’t set up to treat them.

In an ectopic pregnancy the fetus is doomed no matter what, so deciding to wait until the woman is hemorrhaging is futile as well as murderous.

Dr. Jessian Munoz, an OBGYN in San Antonio, Texas, who treats high-risk pregnancies, said medical decisions used to be clear cut. “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.’’

Now, he said, doctors whose patients develop pregnancy complications are struggling to determine whether a woman is “sick enough” to justify an abortion. With the fall of Roe v. Wade, “the art of medicine is lost and actually has been replaced by fear,’’ Munoz said.

Munoz said he faced an awful predicament with a recent patient who had started to miscarry and developed a dangerous womb infection. The fetus still had signs of a heartbeat, so an immediate abortion — the usual standard of care — would have been illegal under Texas law.

“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.’’

That’s exactly how the people at University Hospital Galway let Savita Halappanavar die. They watched her get sicker and sicker and sicker and then she died.

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