When I train medical students, I emphasize that almost no one knows the time better than the midwife. Every time doctors in my field are informed about a new patient, the first question is: “How many weeks?” The answer affects everything. A pregnant woman who is diagnosed with high blood pressure at about 12 weeks of age usually has chronic hypertension, which is not immediately dangerous. At 37 weeks, a similar blood pressure signals preeclampsia, which poses a direct risk to the patient’s fetus. A patient whose water is cut off one week before delivery, at 39 weeks, will probably have a healthy baby. In the 20th week, someone in the same situation faces a terrible ordeal, which will probably end in infection or loss of pregnancy. The dangers that the patient faces, the treatment options that we can consider, the risks that he may be prepared for. All this develops during the nine months of pregnancy. The only people who understand this better than midwives are our pregnant patients, who count every passing moment in their body.
In contrast, the Supreme Court is apparently ready to rule that this temporal sensitivity is absolutely impossible, at least in the context of non-reproductive rights. Leak design that can predict the Court’s opinion Dobbs v. Jackson Women’s Health Organizationnot only fair Samuel Alito counters Ron vs. WadeA possible 1973 ruling that upholds the right to an abortion but ignores the Court’s previous attempts to bring American law into line with the reality of pregnancy.
It: Pig The court, which ruled that the law should take into account the development of the fetus, set different criteria for the availability of abortions on a quarterly basis. States could not prohibit abortions in the first trimester, they could regulate them to some extent in the second trimester, and they could ban them altogether in the third trimester. In: Casey vs. Planned Parenthoodentered into force in 1992 PigThe court replaced the quarterly system with a focus on viability – the gestational age at which the fetus can survive outside the womb. Case: He stated that until the point of viability, which at that time was considered to be about 24 weeks, states could not place an undue burden on a woman’s fundamental right to abortion. After viability, the state can pursue its interests in the “potential of human life” by regulating or even outlawing abortion.
In the leaked draft, Alito omits two approaches. He describes: Pig as a “developed scheme” that has been developed “without any substantiation of the constitutional text, history or precedent”; Case: the standard of viability as created by the same egg. Her bill concludes that at no time during pregnancy should a person have the power to terminate a pregnancy beyond the control of his or her state legislature. Alito’s logical line treats pregnancy as a binary issue. Either the uterus is occupied by the fetus or it is not. The owner and operator of that uterus do not seem to deserve his attention.
As a doctor who specializes in high-risk pregnancies, I have cared for many patients with complex medical problems. For many of my patients, pregnancy prevents or simply prevents them from receiving proper treatment for their underlying chronic disease. For others, pregnancy is what makes them sick, putting them at risk of permanent damage to their heart or brain. I recently discussed termination with a patient who came to my hospital at 21 weeks’ gestation with multiple organ failure. Her pregnancy was killing her. its end will save his life.
In the United States, more than 90 percent of abortions occur in the first trimester. This pattern is not just logical Pig և: Case:but what the midwives know. The end of pregnancy is medically clearer the sooner the procedure is performed.
Early abortions performed either with medication or by extension or curettage, a technique that gynecologists usually learn in the first year of training, are one of the safest procedures in medicine and are much safer than terminating a pregnancy. (The United States continues the shameful crisis of maternal mortality. End-of-pregnancy pregnancy is one of the most dangerous experiences in the United States. were carried out not in the operating room, but in the office. If the medical abortion is too early, it can be performed safely even at home. Later abortions occur gradually more complicatedև require more time, և often higher-level medical examination, or are they still safer than continuing the pregnancy. Therefore, later abortions are rare. In the United States, only 1.3 percent of abortions occur after 21 weeks. These patients are more likely to be medically vulnerable and under the care of a high-risk pregnancy specialist than those seeking premature abortion. In many such cases, abortion is the tragic result of a terribly wrong desired pregnancy. In some cases, my team’s entire experience is needed to save a patient’s life.
In New York, where I have the right to abortion, it is codified in state law. The forthcoming Supreme Court ruling will probably not affect my ability to propose an abortion. But more than a dozen states have passed laws Abortion is illegal as soon as Pig falls, and bills are being drafted in other states. Many laws allow it Exceptions:Some allow abortion for the general health of the mother. others demand “substantial irreversible disruption” or “imminent danger” of “basic bodily function” before termination becomes legal. In my opinion, these laws pay the least attention to the pregnant patient, instead they seem to be intended to stop the doctor. Is this an emergency enough? Is he sick enough to accept that, or will I be fired? Is he close enough to death, or will I go to jail?
For people who think that every abortion is tantamount to killing a child, any discussion of it can be disturbing. However, I can promise that I և other high-risk pregnancy doctors have a deep understanding of the value of pregnancy. The work of our lives is to help patients achieve a happy outcome: a healthy mother, a healthy child. We are caregivers who stay up all night watching the fetal heartbeat, endlessly examining the results of the ultrasound, crying with our patients when the pregnancy is lost. We understand that expectant parents are sometimes faced with a terrible choice; we do not advise patients with desirable pregnancies to terminate lightly at any stage of pregnancy.
However, every day we see more and more evidence of medical facts being fixed Pig և: Case: but they are absent from Alito’s argument. The early stages of pregnancy are not the same as the later stages. Early abortions are different from late abortions.
For half a century, the United States has had an abortion structure that reflects these truths, and therefore often works for most women. Even from below Pig և: Case:, some of my patients were left without an abortion option when fatal fetal abnormalities were diagnosed during a very late pregnancy. These patients were suffering from unbearable emotional and physical pain. But the problem with Alito’s draft verdict is that he is essentially deciding that the first trimester of pregnancy is no different from the third trimester, allowing states to ban all such abortions with the same level of restrictions.
I will grieve the loss Pig. Most Americans do not realize what we are about to lose. All considerations of medical complexity have been eliminated in Alito’s design, which cares a lot for the “unborn” and very few living things where he grows up. The idea of pregnancy that she offers is sharply և binary. The woman has no constitutional guarantee of autonomy over her body. This is what it looks like when many people who pass a pregnancy law do not understand what it is like to be pregnant. I’m here to tell you it will not end well.
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