Author: Lizzie Presser, ProPublica

Lizzie Presser covers health, inequality and how policy is experienced at ProPublica. She was previously a contributing writer for The California Sunday Magazine, and her work has appeared in The New Yorker, The Guardian, This American Life and others. Her story “The Dispossessed,” published in partnership with The New Yorker, won the George Polk Award for Magazine Reporting and the John Bartlow Martin Award for Public Interest Magazine Journalism in 2020. She is a two-time finalist for the Livingston Award and the National Magazine Award.

If You’re Pregnant, Here’s What You Should Know About the Medical Procedures That Could Save Your Life

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Abortion laws are affecting how physicians treat pregnancy loss and other complications because the procedures used in these cases are also used for abortions. We spoke to women who survived terrifying experiences, and we interviewed family members of those who died without care. They all felt unprepared as they entered emergency rooms, unaware of how abortion laws were reaching into pregnancy care.

They wished they had known what to expect and how to advocate for themselves and their loved ones.

We created this guide for them and anyone who finds themselves in the same position.

Texas Banned Abortion. Then Sepsis Rates Soared.

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ProPublica’s investigation reveals that Texas’ abortion ban has led to a sharp rise in life-threatening complications, particularly sepsis, for women experiencing pregnancy loss.

Since the ban’s enactment, the rate of sepsis during second-trimester pregnancy loss has surged by over 50 percent, and maternal deaths in Texas hospitals have increased significantly, even as the national maternal mortality rate declined. Doctors cite the law’s vague emergency exception and the threat of legal consequences as key reasons for dangerous delays in care.

While some Texas lawmakers now acknowledge the need for legal clarifications, the Republican-controlled legislature remains divided, with some pushing for even stricter abortion penalties.

A Third Woman Died Under Texas’ Abortion Ban. Doctors Are Avoiding D&Cs and Reaching for Riskier Miscarriage Treatments.

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Wrapping his wife in a blanket as she mourned the loss of her pregnancy at 11 weeks, Hope Ngumezi wondered why no obstetrician was coming to see his wife. Over the course of six hours on June 11, 2023, Porsha Ngumezi had bled so much in the emergency department at Houston Methodist Sugar Land that she’d needed two transfusions. Three hours later, her heart stopped.

The 35-year-old’s death was preventable, according to more than a dozen doctors who reviewed a detailed summary of her case for ProPublica. Some said it raises serious questions about how abortion bans are pressuring doctors to diverge from the standard of care and reach for less-effective options that could expose their patients to more risks. Doctors and patients described similar decisions they’ve witnessed across the state.

Porsha’s is the fifth case ProPublica has reported in which women died after they did not receive a D&C or its second-trimester equivalent, a dilation and evacuation; three of those deaths were in Texas.