Managing miscarriage has similarities to terminating a pregnancy, and with new state restrictions on abortion, physicians are afraid to provide necessary procedures.
. “We manually dilate with instruments to access the inside of the uterus. For cases below 16 weeks, we’ll use an aspiration technique, like a vacuum,” Shah says.
State abortion bans have also limited how physicians can manage ectopic pregnancies in which the embryo implants outside the uterus. Although the fetus has no chance of survival, some physicians have had to wait until there areShah says she is also aware of physicians needing approval from hospital administration before treating an ectopic pregnancy or needing another physician to sign off on the treatment plan before proceeding.
After the laws went into effect, patients were only counseled on expectant management. Of the patients who met the criteria for needing medical care, 57 percent experienced hemorrhaging or infections. And 20 percent had fetal parts or the umbilical cord sagging into their vagina.
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