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miscarriage
Third Death Tied to Texas Abortion Ban as 'Stigma and Fear' Disrupt Miscarriage Care
"The only reason she is not with us is because of Donald Trump, Greg Abbott, and every single Republican politician who helped put Texas' abortion ban in place," said one advocacy group.
Nov 26, 2024
Friends and family of Porsha Ngumezi, a 35-year-old mother of two in Houston, were stunned last year to learn that she had died in a hospital after suffering a miscarriage when she was 11 weeks pregnant—and medical experts who spoke to the investigative outlet ProPublicaon Monday had the same reaction.
"All she needed was a [dilation and curettage]," one friend told Ngumezi's grieving husband, Hope Ngumezi, referring to a standard procedure which is often given to pregnant patients who have first-trimester miscarriages. Commonly called a D&C, it is also diagnose or treat other health conditions and provide abortion care.
Dr. Daniel Grossman, an obstetrics and gynecology professor at University of California, San Francisco, toldProPublica that "at every point" of Ngumezi's visit to Houston Methodist Sugar Land, a hospital outside Houston, medical providers' response to her case was "kind of shocking."
"She is having significant blood loss and the physician didn't move toward aspiration," Grossman told ProPublica.
Like at least two other Texas women—Nevaeh Crain and Josseli Barnica—Ngumezi's death in June 2023 was the result of the abortion ban that went into effect in Texas in 2022, according to medical experts who reviewed her case.
Ngumezi arrived at the hospital on June 11, 2023 after experiencing heavy bleeding 11 weeks into her pregnancy with her third child. Doctors noted that Ngumezi had a blood-clotting disorder and that she was experiencing "significant bleeding" with large clots.
"Doctors assume that a D&C is not standard in Texas anymore, even in cases where it should be recommended. People are afraid: They see D&C as abortion and abortion as illegal."
An ultrasound showed a "sac-like structure," but no fetus or cardiac activity were detected, indicating that she was having a miscarriage.
But instead of providing a D&C, in which a small tube is inserted into the uterus to gently remove any remaining fetal tissue, doctors took a "wait-and-see approach [that] has become more common under abortion bans," according to the medical experts who spoke to ProPublica.
Dr. Gabrielle Taper, who has worked as an OB-GYN in Austin, told ProPublica that since Texas' abortion ban went into effect in 2022—two months after the right-wing majority on the U.S. Supreme Court overturned Roe v. Wade—there has been "much more hesitation [among doctors] about: When can we intervene, do we have enough evidence to say this is a miscarriage, how long are we going to wait, what will we use to feel definitive?"
For Ngumezi, that hesitation meant that Dr. Andrew Ryan Davis, the obstetrician on duty, prescribed misoprostol to help Ngumezi pass the fetal tissue without a D&C.
Dr. Alison Goulding, another OB-GYN in Houston, told ProPublica that because misoprostol can also be used for women in labor or to treat postpartum bleeding, under Texas' abortion ban, "stigma and fear are there for D&Cs in a way that they are not for misoprostol."
"Doctors assume that a D&C is not standard in Texas anymore, even in cases where it should be recommended," Goulding said. "People are afraid: They see D&C as abortion and abortion as illegal."
But more than a dozen doctors told ProPublica that considering Ngumezi's blood-clotting disorder, doctors should have provided a D&C.
"Misoprostol," reported ProPublica, "is an effective method to complete low-risk miscarriages but is not recommended when a patient is unstable."
Some critics who support abortion bans have dismissed Ngumezi's case—and that of other women who have died because of the laws—as the result of medical malpractice that had nothing to do with recently passed state laws. They claim Texas' law protects women who have miscarriages.
But ProPublica noted that Ngumezi had a similar case to one described on social media by podcast host Ryan Hamilton earlier this year. Hamilton's wife experienced bleeding while miscarrying at 13 weeks, and was prescribed misoprostol and sent home after an ultrasound at Surepoint Emergency Center Stephenville showed no fetal cardiac activity. The bleeding got worse, but an emergency doctor told the couple they couldn't provide a D&C because of "the current stance" in Texas.
Greer Donley, a law professor at University of Pittsburgh, said that "the antiabortion movement wants us to blame the doctors and sometimes that is warranted. But abortion bans are the ultimate cause of this harm."
"When life in prison is the penalty for violating a ban, doctors will understandably be risk averse. And that chill in care will cause death," said Donley.
ProPublica reported that "performing a D&C attracts more attention from colleagues, creating a higher barrier in a state where abortion is illegal."
Doctors, added Goulding, "have to convince everyone that it is legal and won't put them at risk [of prosecution]."
In Ngumezi's case, the bleeding continued after she took misoprostol, and her heart stopped three hours later—a "preventable" death, according to the experts.
"The only reason" Ngumezi died, said Reproductive Justice for All, is that Republican politicians including President-elect Donald Trump helped put Texas' abortion ban in place.
"We are heartbroken and enraged by the tragic, preventable death of Porsha Ngumezi," said Planned Parenthood Texas Votes. "This nightmare reality, where political agendas outweigh patients' lives, has left another family shattered."
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'Terrifying' Ad Shows Deadly Impact of GOP Abortion Bans
The ad was released as Americans learn of a growing number of women who have died because doctors would not provide standard miscarriage and abortion care under state abortion bans.
Nov 03, 2024
"Dr. Davis, what do I do?" asks a man frantically, kneeling near his partner as she writhes in pain on the floor.
"John, she needs an abortion, or she's going to die from the pregnancy," answers the doctor over the phone.
But a Republican congressman suddenly appears and tells the man, "That's not happening," explaining that abortion care is now banned because the GOP is in control of the government.
The scenario plays out in the latest ad from Progress Action Fund, a Democratic political action committee that's produced a number of viral videos focusing on how Republican presidential candidate Donald Trump's policies and those outlined in the right-wing agenda Project 2025 would impact both men and women's ability to make private decisions.
In the ad, the Republican lawmaker tells the man, "I won the last election, so it's my decision" whether the woman is able to receive the standard care needed to end her pregnancy.
"Don't worry, you can still have children," he tells the man. "Just not with her."
Watch:
The ad went viral on social media late Saturday, the day after ProPublica reported on Nevaeh Crain, an 18-year-old in Texas who died last year at six months pregnant, when she was diagnosed with sepsis—a fast-moving and potentially deadly condition that can result from an infection.
Because of Texas' six-week abortion ban, which threatens doctors with prison time if they terminate a pregnancy before a fetal heartbeat has stopped, Crain made three emergency room visits and was required to have multiple ultrasounds as she became increasingly ill. By the time doctors confirmed "fetal demise," Crain's organs had begun failing. She died hours later.
The investigative outlet has also reported on the deaths of another woman in Texas—Josseli Barnica—and two women in Georgia, Amber Nicole Thurman and Candi Miller—from state abortion bans since Roe v. Wade was overturned in 2022.
"This is a healthcare crisis and Donald Trump is the architect of this crisis," said Vice President Kamala Harris, the Democratic presidential nominee, after the two Georgia women's deaths came to light in September.
Abortion bans and restrictions like those in Texas now exist in 21 states. Both Trump and his running mate, Sen. JD Vance (R-Ohio) have expressed support for a nationwide ban on abortion care—a position from which they have both attempted to distance themselves as polls have increasingly shown a majority of voters support access to abortion care.
Other viral ads by Progress Action Fund have been more risqué and have even used absurdist humor to warn voters about Project 2025's proposal to ban pornography and emergency contraception.
With two days to go until Election Day, the "terrifying but important" ad released Saturday shows that "MAGA abortion bans are killing our wives, mothers, sisters, and daughters," said nonprofit progressive advocacy group DemCast.
"They're willing to risk your wife's heartbeat," said Eleven Films, a progressive film production company. "Are you?"
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Ohio Woman Won't Be Charged After Miscarriage But 'This Doesn't Undo the Harm'
"Criminalizing a woman for miscarrying at home shouldn't have happened in the first place," said SisterSong. "Our fight for reproductive justice isn't over."
Jan 11, 2024
While welcoming that an Ohio woman who miscarried a nonviable fetus last year won't face a felony charge of abuse of a corpse, reproductive rights advocates on Thursday highlighted Brittany Watts' experience as further proof that, as Jane's Due Process put it, "pregnant people still live with the threat of prosecution in the current oppressive environment."
The Trumbull County grand jury's decision to not indict Watts—who miscarried at her Warren home in September at just over 21 weeks pregnant—comes after the 34-year-old's case garnered national attention amid battles over reproductive freedom that have ramped up in the wake of the U.S. Supreme Court's June 2022 ruling in Dobbs v. Jackson Women's Health Organization.
"Let's be clear that this doesn't undo the harm, and the case shouldn't have been pursued in the first place," the group Pregnancy Justice said after the grand jury's decision. "This is why advocacy matters. As long as prosecutors feel obligated to criminalize pregnancy, there will be more cases like Brittany's. When we fight collectively, we can win."
SisterSong similarly declared that "we're relieved Brittany Watts will NOT be criminalized for having a miscarriage. It's wild to us that we even have to say something like that, because... criminalizing a woman for miscarrying at home shouldn't have happened in the first place."
"Our fight for reproductive justice isn't over," the organization stressed. "We will continue to demand a world where we have the autonomy to make decisions about our bodies."
The Afiya Center pointed out that Black women like Watts face "a higher risk of maternal mortality and morbidity."
"Let’s be clear—Brittany Watts should never have been charged with a felony because of her pregnancy outcome," the center said. "The criminalization of Black folk who miscarry sets a dangerous tone and poses a threat to the health of ALL Black pregnant folk."
Watts and her attorney, Traci Timko, also emphasized the need for broader change on Thursday.
"From the start of this case, I have argued that the charge was not supported by Ohio law and that Brittany was being demonized for something that takes place in the privacy of women's homes regularly," Timko said in a statement. "No matter how shocking or disturbing it may sound when presented in a public forum, it is simply the devastating reality of miscarriage.”
"We thank the public for the outpouring of love and support Brittany received. To the countless women who reached out to share their own devastating stories of pregnancy loss—Brittany read every one of them and felt a sisterhood to each of you," the lawyer said. "The emails, letters, calls, donations, and prayers—they all played a part in empowering and getting her through each day. It is our hope and intention to make sure that Brittany's story is an impetus to change."
The Associated Pressreported that while speaking at a pre-planned event on Thursday, Watts said: "I want to thank my community—Warren. Warren, Ohio. I was born here. I was raised here. I graduated high school here, and I'm going to continue to stay here because I have to continue to fight."
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