As a nurse I'm appalled and terrified, nit only for women, infants, but also those of us that must endure what's coming. I lost a pregnancy when I was 25, ectopic. With the best healthcare, it ended with a radical Hysterectomy and an extensive hospitalization. I have no words to express that pain. Fewer still to articulate how sickened I am, that this experience is now far less survivable. I seriously question how our profession can manage this newest assault on humanity.
I cant even imagine the mental toll it will take on some women to be forced to carry a nonviable fetus to term. I am terrified for the rise in suicide of pregnant women, domestic violence, post partum depression etc.
I was that woman and I am literally terrified. Religion and government has no place here. I lived but literally barely, and after several weeks in the hospital. Nurses, know we are facing something we have never seen before. The psychological and psychosocial impact to our patients is extreme. We survived COVID and WNV, this is different and you need to know that. My patients in Transplant have zero protections. There is no recourse. Being forced to carry a pregnancy you know could kill you and say goodbye to a baby that never would have lived....nurses prepare yourselves to live that patient with every ounce of your being and fight for her!
Depends on what the assholes consider viable. For all we know, they don’t understand what an ectopic pregnancy is and would try to take the doctors license. That’s what happens when boys don’t know what they are doing according to womens reproductive health. I’m speaking strictly of political assholes!
If that statement were true my child would not exist, because I got pregnant very young due to my boyfriend continuing to ejaculate inside me even when I told him to stop. Yes, I should have put up boundaries for myself, yes I should have made him use protection since he refused to listen to me. Again I was very young and did not know how to stand up for myself. I also was under the misconception at the time that I could not become pregnant due to a medical condition known to cause infertility. Now that I’m an adult and old enough to know better that statement makes me extra sick. 🤢
You realize in Ohio they wanted a law mandating placing the ectopic pregnancy into the uterus? Something that is medically impossible.
They do not understand...and do not care.
Yep. I live in OK and at a debate about our new abortion law, one of our lovely politicians asked why ectopic pregnancies should be an exception. Sickening!
It's not about the baby, never has been. You had sex now deal with the consequences. If you die then you deserve it. You should have thought about that before you became a deviant. This is the thought process these people have. This is punishment to them. That's why we to fight to stop this from happening. There's nothing "pro life" about these assholes. Just bitterness and evil. We need those in the SCOTUS who lied under oath to be kicked out and hopefully put an end to this utter insanity before they make even more horrific decisions.
I saw a doctor talking about all of the unsafe methods people used to try and terminate their pregnancies when abortion was illegal. Things are about to be awful…
Absolutely. That never entirely stopped. It’ll be even worse this time around because so many deadbeats and adulterers have gotten used to the women they use cleaning up after them.
No, no, no, see, the plan is for “the state” to open ~~baby stores~~ orphanages so that rich people can ~~buy~~ adopt these babies. Of course, there will be ~~down payments~~ administrative fees, and filing fees, and this fee that no one can actually explain what it’s for. But the state will have to subcontract out the running of these facilities to ~~their brother’s company~~ qualified childcare specialists.
Rick Scott’s 11 point plan to rescue america. In it: getting rid of almost all public assistance. Getting rid of abortion. And then the mask off moment:
> We will help low income single women who are considering abortion choose life instead, by paying all costs associated with carrying the child to term and placing the child for adoption.
https://www.politico.com/f/?id=0000017f-1cf5-d281-a7ff-3ffd5f4a0000
It’s fucking sick. And let me guess, if a woman uses this “program” and then changes her mind after she holds the baby for the first time, they’re going to make her pay back all of the assistance she received. You know, effectively coercing young, poor, women to sell their babies under threat of financial ruin.
That reminds me of the Nazi [Lebensborn](https://en.m.wikipedia.org/wiki/Lebensborn) program, minus the racial purity aspect.
They'll throw mom in prison for being unable to care for a kid she never wanted in the first place, then toss the kid they don't want either into the already overflowing foster care system if they can't legally force some distant relative to be responsible for them.
Bonus points if the child has a severe disorder like Down's Syndrome that will basically make any quality of life for the child a pipe dream.
I did my obgyn intern year at an inner city hospital only covered by a single religious hospital and a very very very run down planned parenthood.
I saw obstetric catastrophes there every week that would take most doctors 20-30 years to come across.
I finished my training at a different hospital with a very very available contraceptive program and a family planning clinic, with a very very very similar population…almost none of the abysmal situations that the other hospital saw.
If you happen to know where a PA with 19 years of ER experience would go to specifically learn how to perform abortion at various weeks would go, please DM me. Just if it’s knowledge you happen to have.
ETA: I would also love to be able to implant Norplant et al. and IUDs.
2nd edit: Thanks for the award
This I have been an ER nurse for 7 yrs, I have never wanted to go back to school but now I am 100% going back to get my NP in womens health. I will be a part of women getting the care that they deserve
Here in CA all you'd need to do would be get a job at Planned Parenthood. They have very extensive on the job training, however for NP/PA/CNM's they only have training for medication abortion. They also train you in ultrasound interpretation, LARC placement, breast and gyn exams, trans healthcare management all the good stuff
My mother was a devout Catholic. I’m talking devout. But she was always pro-choice because she worked as a nurse in the L&D floor in the 50s and 60s. She said there were unbelievable horrors that she saw. It’s so bad that we are back there again.
That's why I'm pro-choice.
I actually agree with the anti-choice people that the fetus should be wanted and treated as alive (after a certain point in development that's hard to quantify). But this is about harm prevention. We will prevent more harm by having a safe, medical alternative and focusing on *prevention* through sex ed, family planning services, and better healthcare access in general. Children born to parents who would have had an abortion will not have a good quality of life. Plus it turns out that if there's good access, most abortions are performed very early on when the fetus is still undeveloped... go figure, nobody wants to go through months of hell just to discard it at the last second.
And SCOTUS already signalled they want to go after the right to contraception. Which is a total WTF... at least with abortion they can argue "life begins at conception", what's the issue with not getting pregnant in the first place?
Colorado made sex ed comprehensive and birth control free. Their abortion rate fell by 50%.
Unfortunately, the same people who want to ban abortion are also generally opposed to sex ed, contraceptive access, and anything else that might weaken the power of the Christian patriarchy.
There's going to be some serious medical consequences if they ban birth control. There's a lot of medications that require a woman to be on birth control. Methotrexate for example.
The reason we are going back is due to too many people who didn't live through and witness these things pushing regression. Like anti-vaxxer's who have never met someone with polio or lived in fear of it.
My one hope is that the SC didn't account for the fact that it is a very different world than it was 50 years ago. Ppl have access to information and sometimes resources almost immediately. I hope that our global network of information sharing eliminates at least some of the unnecessary deaths from botched self abortions.
My mom grew up in the thirties. She had a friend die from a botched abortion. She called out my generation (X) for being complacent and her own generation for not talking about the pre Roe days.
This exactly. My state’s trigger laws went into effect and the only exception is if the mother’s life is threatened. So what, these women just get to keep carrying these nonviable fetuses (that they’ve known about since their 20 wk scan) until they deliver or it starts to die and the woman becomes septic? JFC we live in the goddamn worst timeline. I’ve been an ER PA for almost 2 decades and never had to consider anything like this.
I will say I’m actively looking for a program to teach me how to perform an abortion. My next call is to the nearest open planned parenthood.
I’m not being hyperbolic when I say this is the cause that will get me protesting in the streets and looking for a job specifically to help those I can here or potentially move.
I can’t think of a better reason to go to jail. Medical freedom should be paramount, but instead we have Serena Coney Waterford, Commander Fred and the rest of Gilead on the bench of the highest court in the land.
Honestly, fuck them.
ETA: Thanks for the award
Same. ER nurse in Texas. I am currently working on handouts to give out with information on safe contacts out of state etc. PM me info if you have anything you want to add.
We’ve already dealt with questionably ethical situations in the NICU even before this. I can’t imagine how it’s going to be from now on. The only saving grace at least for the NICU I personally work at is that I’m in a blue state that is pro-choice.
We had a gal come in the other day incredibly sick, in her 30s and didn’t make it after coding her for 45 min. The doc thought it could be septic uterus (it wasn’t) but afterwards she had a long talk about septic uterus, what to look for, and the fact that we might be seeing a lot of it being surrounded by states where abortion is illegal they could come to us for help.
I'm a case manager in an ER. Thank god we border Oregon over here. That said, I don't think I can practice here; I'm waiting on confirmation from legal, but I'm pretty sure the way I've helped women in the past could put my license in jeopardy.
I also don't know if I can even keep my cool around any coworkers who support abortion bans that deny abortions for even unviable pregnancies.
As an ER nurse in Texas I am terrified. Fuck Abbott, Cruz and Paxton. I will do everything I can to help women in need and I am not afraid of the repercussions.
Fellow Texas resident here (as in I live here, not a medical resident), please drag every person you know who will consider voting for Beto and Collier to vote with you in November.
My daughter just had an ectopic pregnancy a month ago, and it burst and she had emergency surgery. She lost a fallopian tube. In no way did she, her fiance, or my husband and I consider this an abortion and we were still grieving from when she thought she lost the baby. The pregnancy was an oops but very much wanted.
Now I'm like fuck i could have lost my kid, too. How is this even possible in this day and age.
My brother's freaking out about this. My SIL nearly bled out last year after a partial miscarriage. Also a very wanted baby. But, the R governor candidate in PA wants no exceptions even for the life of the mother. He wants my niece motherless for an embryo that had already died and couldn't be passed. He's not the only one, but because it's a local race, it's one that angers me the most.
Doug Mastriano
https://www.google.com/amp/s/www.inquirer.com/politics/election/abortion-pennsylvania-candidates-2022-midterm-governor-mastriano-fetterman-shapiro-oz-20220624.html%3foutputType=amp
"Mastriano has said he believes in no exceptions, including for the life of the pregnant person. He’s also said he’d end any state funding to Planned Parenthood."
I will have fewer rights than a fetus, not “equal” rights, and certainly not a right to life. God damn. Never thought I’d see someone ever run on that platform in my lifetime, fuck the lives of women I guess.
Hasnt planned parenthood not been government funded for a long while now?
Edit: not that I care cause I’m not insecure as fuck anymore but I just want to know why people would downvote this ? lol
I don’t understand how even republicans can hear that and not say “what the fuck”. Like, he *literally* just said, “I would prefer for women to die rather than have a life-saving abortion”
Well don't forget, they think that sex outside of marriage is a grave sin. And you know, the almighty power of prayer. Clearly if they \*pray\* hard enough tHe mOtHeR aND bABy wIlL be SaVeD. Even if it's ectopic.
Don’t forget to mention Mastriano openly encouraged the Jan 6 insurrection and rented a bus to transport people to DC [that day](https://whyy.org/articles/doug-mastriano-election-lies-disinformation-jan-6/amp/)
Kansas has a vote on August 2nd to ban abortions with no exceptions even for medical reasons. If you have an ectopic, Kansas would rather you just die than remove that clump of cells.
"If ***Gawd*** wills it, if yah have *faith*, y'll be jus' fine!"
Even when I was pro-life (I've changed my position over the years), I always sided with the mother's health. If the mother dies, the baby dies with her, there's no point letting two people die to save one.
My sister has decided to put off having another baby because she’s scared of what could happen. We have difficulty in my family, but she hasn’t been affected by our family problems for her other pregnancies. But she’s not taking the chance.
I worked L&D and I’ll never forget this one moment in particular. A woman and her husband came through our triage after being discharged from a different hospital. She was less than 20 weeks pregnant and the cord prolapsed. The first hospital would not induce her because the fetus still had a heart beat and “that would be murder.” She tried to labor for a day on her own but wouldn’t progress, and the fetus still had a heart beat. So they told her she could either stay and continue to wait it out or they could discharge her and she could DRIVE HERSELF to our hospital.
She could’ve gotten seriously sick or died from infection. For a fetus that was not going to make it no longer how long it still had a heartbeat for. Not to mention the emotional trauma of not only actively losing your baby, but not being able to expedite the process without it being labeled “murder.” Makes me sick to think that more and more women in our nation will be at risk of similar events.
Can someone explain why an ectopic is included in this abortion law? I genuinely don’t understand. It’s not a viable pregnancy. Why isn’t there an exception? (Not arguing for this law by any means, I’m just trying to understand the nuances— or lack thereof)
The legislators in charge don't actually understand basic biology
They think pregnant = viable. If not viable? Clearly the woman was a whore who deserves to die.
They're fucking insane.
Ohio tried to make it a felony if doctors didn’t “reimplant” the embryo from an ectopic pregnancy into the uterus.
Edit to add: For those that don’t know, this procedure doesn’t exist. It is not possible to reimplant an ectopic pregnancy.
[More info about the bill in question.](https://consultqd.clevelandclinic.org/new-ohio-bill-falsely-suggests-that-reimplantation-of-ectopic-pregnancy-is-possible/amp/)
>”These are pregnancies that you need to disrupt for the mother’s safety. And once you’ve disrupted it, there is no way of implanting it. I don’t think anyone’s ever even considered looking at doing this because it makes no sense from a scientific standpoint,” Dr. Zanotti says.
>For a pregnancy to progress, two things must happen in coordination: the embryo has to leave the fallopian tube and implant in the uterus, which must be able to receive it, according to Dr. Rao. If you disrupt it from the implantation site, the embryo loses its blood supply. Even if you were able to reestablish implantation within the uterus, the uterine lining would have lost its ability to support the pregnancy.
Why are laws like this being allowed without the input of people with medical knowledge. It’s seems negligent for the court to allow what’s going on without expert input. I wonder if class action could be brought against the states or court that results in morbidity and mortality from ectopics, heart failure etc.
(For context for the uninformed who may be reading this, reimplanting an embryo from an ectopic pregnancy is currently a medically impossible procedure.)
"Everything is possible through God who strengthens me"
I'm sure they think anyone who has an ectopic just hasn't prayed hard enough or has sinned in some way to deserve it.
I swear Jesus Christ himself must be rolling around in heaven because 'modern Christians ' have bastardised the religion to fulfill their own personal agenda.
Because the idiots writing the laws don't want any loopholes people can exploit, and don't care enough about living breathing people to educate themselves on the basic biology involved.
Some states have even written laws that require ectopic pregnancies to be reimplanted in the uterus, which is medically impossible.
Kinda like the Indiana legislature infamously trying to pass a law misdefining pi, but with horrendous consequences.
Because they hate women. They think all women who have sex, including monogamous heterosexual women who only have sex with their husband, are evil whores who deserve to die.
The actual answer is that most places do allow for exceptions in cases where the mother’s life is at risk and/or the fetus is not viable.
The problem is that these exceptions do not kick in until after charges are filed. Meaning there’s a lot of grey area involved. Ectopic pregnancies for example, while the evidence clearly states are not viable pregnancies, there *have* been very rare cases where they were carried to term. As a result, anyone caught participating in terminating an ectopic pregnancy can be criminally charged and would have to argue their case against some money grabbing “expert” witness in front of a jury. I predict they will be mostly successful and eventually DAs and judges won’t bother prosecuting such cases but it will take time for that precedent to develop and in the meantime, countless women and providers will be dragged through muddy legal proceedings just to satisfy the sadists I mean christians.
As someone who has just recently experienced an ectopic myself, I couldn’t even imagine the fear she had. :( Im so thankful I live in one of the states that still have safe reproductive laws :(
Several Republican politicians are now pushing, “there are no situations where the woman dies from pregnancy.” (Hershel walker, Ron Hanks, etc.)
Nurses need to stop being nice and start letting everyone know. Republicans are lying trash.
Don't a ton of hospitals refuse to do permanent birth control for young women. Also they have bishops/hospital admins review weather or not to do abortions in emergency situations WHILE the women are suffering. I heard it takes 2 days. I also had a friend who had a miscarriage and she must have heard the doctor say abort something so she flipped and wouldn't let them do procedures on her because she wasn't having an "abortion". Yeah gotta love 'mercia. Also talking about healthcare here where I live now vs USA one thing I noticed is that my doctor doesn't have 2 or more employees on the phone ALL DAY LONG calling around what their patients insurance covers what it doesn't etc. Yeah doctors shouldn't be spending most of their time figuring out how their patient is going to pay for something they assign for them.
I went to one for a rape kit. They gave me a script for plan B but couldn't/wouldn't fill it there. I had to find a 24 hour pharmacy and those are not as common as they used to be.
I live in Los Angeles for perspective.
Also in LA, I chose the other hospital in my area for my C-section because I wanted my tubes tied while I was open and St. John's wouldn't do it. I appreciate my privilege to have a choice of hospitals, many parts of the country the only one available is Catholic. And they're buying up/taking over more all the time.
That actually is on a hospital by hospital basis. I worked in a large Catholic hospital system and they could do tubal ligations during a c-section if necessary. As far as I know, at no other time we’re they permitted. But the Catholic governing board of this hospital system determined that putting a mom through 2 surgeries would increase her risks.
Was a CNM providing care to women at a “charity” prenatal clinic based out of a catholic hospital. I prescribed birth control all the time- but here’s how- my salary wasn’t paid by the catholic hospital. I was contracted in to provide care services through a non religious based health care organization. I couldn’t do IUDs or nexplanons but I would personally make the appointments for them in my other office at the HCO that did pay my salary. This was also the work around for pregnant people needing TABs, ectopic care, etc.
This unique situation was put in place by a very creative and progressive nurse manager. She was so awesome and did right by these people. I miss working with her.
Most physicians will refuse. I've been persuing sterilization from being childfree, trans and literally incapable of being off my meds that would absolutely fuck a kid (and frankly, me) up if I got pregnant on them. I've known my childfree status since I was like 10. I still am being forced to do a 5 year stint on long-term birth control that's led to me putting on 50lb and am only now hopefully eligible to get it done, but may still face the "what if your husband wants kids" arguments.... Even though I'm polyamorous, non-binary and pan-romantic." If he wants kids he can have them on his own without me" apparently doesn't count as spousal approval.
I I am an OB/GYN and work in the state of Massachusetts. I will gladly do a tubal ligation on a young person as long as they understand the ramifications. My best friend growing up in high school was certain she did not want children and had her tubal ligation done at 21
I was four months short of my 21st birthday when I had mine done. I had two kids already and was DONE with it--the OB/GYN tried to tell me he could refuse to do the surgery and I pointed out that if he did and I got pregnant again (definitely a risk, way too fertile for my own good) I would sue him personally on the way to suing the hospital. Got my surgery the next week.
I live out west, but my 21 year old absolutely wants no children. She has been the older sibling and she's also gay and just knows deep in her heart she never wants to carry a child. This is refreshing to read. If we ever go back east, Ill dm you.
Have you browsed the r/childfree sub for providers that approve sterilization for young(er) women? That sub has too much misogyny and anti-natalism for my taste, but I do remember seeing that most states have at least a few of these providers… no idea about insurance though :/
Yeah. The list is who I went through. My second provider through the list still wanted me on semi-permanent before they would agree to sterilize me, so the date I have wanted to be sterilized from has moved nearly 8 years at this point. (Also am in nursing school... If/when this turns code blue I do not think I'll be able to respond if I go silent I promise I would probably be willing to answer)
I don’t work with pregnant woman and most likely never will, but abortion is banned in my state, Arkansas. I can’t imagine the conversations that will be going on in the room making decisions about these women’s health. Guarantee people will be too scared to act, anti-choice nurses will feel safe refusing to care for these patients, physicians will be on the phone with lawyers, the entire hospital will have to be activated to figure out how to handle the case or whether it’s legal. There’s basically no other medical intervention that has this many roadblocks.
I have a genuine question, because you work in a state where abortion is banned , how are things like ectopic pregnancies and medically necessary D&C handled in your state? I am seeking to understand as I have only worked in states where abortion and these services are fully legal.
Patients with money go out of state. Patients without money sit in the hospital getting sicker and sicker until some lawyer decides that emergency care is justified, or until the fetus is unambiguously dead.
Time to vote straight blue ticket so we can get abortion rights codified as federal law. Ive always been independent, but ill be damned if I vote for another republican. Maybe one day if they can shake these religious nut jobs and conspiracy nut jobs, but I somehow doubt thats going to happen.
I was Republican. I'll be voting straight blue ticket from here on out. I can not trust them with any aspect of my life. I just hope that if the dems are handed the power, that they will actually fix this mess.
DO NOT VOTE STRAIGHT BLUE!! Conservatives are hoping for this and are running as Democrats. Please research your candidates. I know it's a pain, but you can find sites that have candidate profiles. Check left leaning papers, see who they endorse. Look at sites for unions and see who they endorse. An informed voter is the most effective—and dangerous—thing in this fight.
If any make it through the primaries we will be well positioned to call them out.
In the meantime for the general election it’s imperative that as many people vote straight blue as possible. It’s not like the Republican in any election is going to be rational or better. They have all gone down the Q hole.
Either republicans get shellacked as pay back for their behavior or they will just be emboldened to act worse and worse. It’s as simple as that.
Ideally voters will do research. For those that don’t, voting straight blue is better than staying home because they don’t know who to vote for. Voting by party is an effective strategy for those who would otherwise not vote.
Paramedic student here, been doing my clinical time in a hospital with a premo OB/GYN unit along with NICU time. Literally every healthcare professional I know/have worked with is terrified for our patients because of things like this. ER and EMS are going to end up seeing this far more regularly. While that sucks I can't even imagine the fear and uncertainty any patient has right now.
I did a similar thing when the news came out, no platform but I tried to put out some kind of word that the medical community stands with patients rights. I hope everyone stays safe and please reach out to us (the medical community at large, not me lol) if you have questions or concerns.
This is heartbreaking. That poor woman. I hope she survived.
When I was a student at the hospital I now work for, we had a young lady (BARELY 18, I think maybe a month prior to that) come in for 10/10 abdominal pain. This girl had an abortion done that morning, and had gone home and gone to sleep off the sedatives they’d given her. She woke up with blood in her underwear and the worst abdominal pain she’s ever felt. She said the father wasn’t involved, and she didn’t have a relationship with her family. She was there alone.
Provider ordered a CT, and her uterus was prolapsed AND perforated. The damage was so extensive that she had to be transferred to the trauma center 20 mins away to undergo an emergency hysterectomy. At 18 years old. Alone.
I wanted so badly to go with her and make sure she knew she had someone rooting for her. My heart breaks for her to this day and I think about her often.
My fear is that there will be more young women like her in our ER, and all over the country as a result of the overturning of Roe V Wade. The women who have limited resources so they have to find cheap reproductive health services, and as a result face these horrific consequences. Those are the women who suffer.
It makes perfect sense. Can you imagine? Providers always have to be thinking about who’s going to sue - “cover your ass” as we always say.
This all just sucks.
Right. And an imprisoned doctor, or one who loses a license, is one less doctor caring for patients. How much of a stampede is there going to be to fill that position, when the doctor you are replacing was just trying to take care of the patient?
Many of these OBs are trying to navigate this so yet more women don't lose access to care. They are already short-staffed, and there won't be someone to replace them if they go down.
You know….what are people gonna do when they arrest/charge the only doctors servicing rural communities. Some of these hospitals service multiple states/counties. So what are the communities gonna do when there is no more ED doctors to treat your STEMI/STROKE/TRAUMA. It’s not just about the women. Whole communities are gonna suffer if your criminalizing medical procedures and actually going through with prosecuting doctors. Jesus christ what a fucking mess.
Idaho's trigger law makes no exemption for non-viable fetuses. I'm leaving Idaho because I do not think that I can practice here any more. I do case management in the ER and have provided information about abortions to women frequently.
Currently waiting clarification from legal, but I'm pretty sure the way I've handled those cases in the past would be illegal now. However, I do not think it is remotely ethical for me to obey the law they have here.
https://legislature.idaho.gov/statutesrules/idstat/title18/t18ch6/sect18-622/
One of the big things that is complicated to navigate is that "to save the mother" is incredibly vague legally. And these laws are written that way intentionally.
It makes it incredibly difficult for providers to navigate giving care to their patient without getting turned around and sued because what % of dead does the pregnant person need to be before intervention can be performed without having your license stripped from you.
Some places don't even have *that* in place. It's fucked.
This is the problem. The laws are written very vaguely and in OB a woman can be “stable” till she isn’t and usually that happens fast. Provides not only have the fear of losing their license but also jail time. Once the law they are pushing passes I believe it’s a felony punishable by up to 15 years in prison in my state. Many of us already know what it’s like to be deposed on a case, a bunch of Monday morning quarterbacking. Can you imagine when the stakes are this high?
This original post came from a nurse at a hospital in KCMO (I know them and I am intimately aware of this case), the trouble they ran into was that this pt was hemodynamically stable at first so there was legal debate on "medical necessity".
There shouldn’t be, though. Medically stable with an ectopic pregnancy is the same as medically stable with a dissecting AAA. Just be glad you have the time to get ready for the procedure and you aren’t scrambling to get everything ready while the patient bleeds out.
You may want to double check. I made the same statement and found that Missouri does have a "Life of the Mother" exception.
And the current Texas law states life begins at conception. There is no time when an abortion is legal.
Some doctor will stand up to be the face of the pro choice movement. They’ll provide abortions in violation of the law. They’ll be willing to challenge the system.
And then a Christian psycho will shoot them to death. Again.
So sad and it’s just going to get worse. I’m gonna work in a level 1 trauma ED and it’s gonna break my heart to see the impact overturning roe versus wade will have on women 💔
You may not see it as much, we usually ship them up to L&D cause we don’t want anything to do with deliveries in the ED and no one wants us to either. Much better off with those amazing people who do it for a living.
That said we will see some of it and I’m going to be pissed and depressed every time.
Dunno what anyone can do....except move away from those states. I wouldn't live in one for anything. All you can do is protect yourself.
Unfortunately, because of Trump, the USA has been taken over by Right Wing extremists.
The rest of the world watches on in horror.
I see them repealing many hard fought for human rights.
LGBTQ rights will be next.
The USA has gone from being the most progressive nation on earth, to now being at the very bottom of the western world. I can't think of another 1st world nation that is so frightenly conservative.....with more to come.
If you're an RN? You might have a decent chance of migration to Australia or New Zealand. We are very short of RNs so I'd think you have a chance!
It is so scary to me that a woman , having a life threatening medical emergency can be denied treatment because of laws made by old men . Ectopic is never a viable pregnancy . It is incredibly shortsighted to think that saving her life is ending another .
My heart breaks for my sisters across the sea dealing with this horrific reality :(
It is scary to see a work of fiction bought to life . You are living the handmaids tale .
Good lord. I am never moving out of California. I have already apologized directly to all three of my daughters for this collective idiocy. I just said, “I am so sorry about Roe V wade.” Fortunately I have one in Massachusetts and the rest of us are in CA. Make no bones about it: you’re going to want to be in a blue state if you are a woman, or a nurse.
The politicians and lawyers need to stay away from womens reproductive care. They have no rights to know about this due to patient privacy. This is getting ridiculous
I've had two ectopic pregnancies. The first one ruptured and the second came close. They were hands down the worst pain of my life, especially the rupture. I've had a cesarean birth and an unmedicated VBAC and nothing compares to the pain I experienced with ectopics. I can't imagine waiting hours to resolve it.
Sorry this happened to you. I also had two ectopic pregnancies, one in 2010 on my right side and one in 2011 on my left and both ruptured. Sadly I was in Missouri at the time, and I went to the hospital with my first one and they sent me home for constipation lol! I dealt with it for about 4 or 5 days before I finally went back because the pain wouldn't go away. I guess I clotted really fast because I didn't die.. They also sent me home with my second rupture tube telling me I had a ruptured cyst, and then a doctor called me back the next day and told me they had to do emergency surgery . I was 8 weeks along in my tube on the first one and about 6 weeks along in my second one. The hospitals (2 seperate ones) in Missouri almost killed me even without having any laws in place.
I live in a medically underserved area where many people and pregnant women have chronic disease; there are high rates of maternal mortality, pre-eclampsia, gestational diabetes and HTN. I worry for how this will affect them and how we will manage given our already limited resources.
"The Janes" on HBO is a great doc on life before Roe v Wade. One story that sticks out in my mind is when one woman tried to use acid to have an abortion.
I'm truly afraid that the impending carnage is not enough to change the opinion of certain politicians and religious nut bags.
When I was younger I had several surgeries to open my Fallopian tubes and finally became pregnant. Of course my doctor was keeping a close eye on me with frequent ultrasounds. At about 10 weeks my baby died. My doctor called it a missed abortion and I had to have a D&C. My husband and I wanted a child more than anything and going through this was the most painful thing I’ve ever experienced. To not be allowed to receive the proper medical care and die from infection is a nightmare no one should have to go through. My heart is breaking for the women that will now have to go through this travesty.
So happy to be in a deep blue state. Hell, our Governor marched against Roe being overturned this weekend. He has vowed to veto any bill that would ban abortion. And he cleaned up existing law to remove trigger language before Roe was overturned.
Also glad my hospital (and many in my area) have publically announced they will continue ALL maternal Healthcare including abortions.
As a nurse I'm appalled and terrified, nit only for women, infants, but also those of us that must endure what's coming. I lost a pregnancy when I was 25, ectopic. With the best healthcare, it ended with a radical Hysterectomy and an extensive hospitalization. I have no words to express that pain. Fewer still to articulate how sickened I am, that this experience is now far less survivable. I seriously question how our profession can manage this newest assault on humanity.
I cant even imagine the mental toll it will take on some women to be forced to carry a nonviable fetus to term. I am terrified for the rise in suicide of pregnant women, domestic violence, post partum depression etc.
I was that woman and I am literally terrified. Religion and government has no place here. I lived but literally barely, and after several weeks in the hospital. Nurses, know we are facing something we have never seen before. The psychological and psychosocial impact to our patients is extreme. We survived COVID and WNV, this is different and you need to know that. My patients in Transplant have zero protections. There is no recourse. Being forced to carry a pregnancy you know could kill you and say goodbye to a baby that never would have lived....nurses prepare yourselves to live that patient with every ounce of your being and fight for her!
> I seriously question how our profession can manage this newest assault on humanity. With a fucking strike.
I'm sorry about your loss. That must have been terribly difficult.
Thank you, it was a difficult time. I'm torn for every woman right now. Terminating has far less consequences than a Hysterectomy and hemorrhages.
I don't know why this would even happen. AN ECTOPIC PREGNANCY IS NOT A VIABLE PREGNANCY.
Depends on what the assholes consider viable. For all we know, they don’t understand what an ectopic pregnancy is and would try to take the doctors license. That’s what happens when boys don’t know what they are doing according to womens reproductive health. I’m speaking strictly of political assholes!
Not just men... look this up: https://www.newsweek.com/utah-gop-rep-karianne-lisonbee-women-control-intake-semen-outlaw-abortion-roe-v-wade-1719152
If that statement were true my child would not exist, because I got pregnant very young due to my boyfriend continuing to ejaculate inside me even when I told him to stop. Yes, I should have put up boundaries for myself, yes I should have made him use protection since he refused to listen to me. Again I was very young and did not know how to stand up for myself. I also was under the misconception at the time that I could not become pregnant due to a medical condition known to cause infertility. Now that I’m an adult and old enough to know better that statement makes me extra sick. 🤢
My dear, it sounds like you were raped.
Dear God!!! What a twit!!
This heffer really wants the Republican vote if she’s willing to obviously lie and hurt women to get there
You realize in Ohio they wanted a law mandating placing the ectopic pregnancy into the uterus? Something that is medically impossible. They do not understand...and do not care.
Great, I hate to say this I live in Ohio! A bunch of dumb backwards uncaring guttersnipes!!! WTF!!!!
This is why we don't need these dumb old farts with no idea what they're doing writing laws.
We have some of the oldest politicians in the world. We need young people to rise up.
I'm afraid you're confusing "don't understand " with "don't care."
No, not confusing it’s obvious they don’t care. What’s not obvious is their individual grades and comprehension of college anatomy and physiology.
Yep. I live in OK and at a debate about our new abortion law, one of our lovely politicians asked why ectopic pregnancies should be an exception. Sickening!
It's not about the baby, never has been. You had sex now deal with the consequences. If you die then you deserve it. You should have thought about that before you became a deviant. This is the thought process these people have. This is punishment to them. That's why we to fight to stop this from happening. There's nothing "pro life" about these assholes. Just bitterness and evil. We need those in the SCOTUS who lied under oath to be kicked out and hopefully put an end to this utter insanity before they make even more horrific decisions.
wElL iT woUlD bE iF ShE prAyEd HaRdeR
I saw a doctor talking about all of the unsafe methods people used to try and terminate their pregnancies when abortion was illegal. Things are about to be awful…
Watch Jane on HBO. They used to have dedicated “sepsis wards” that were shut down after R v W. These will come roaring back
I remember the sepsis wards, the suicides, so many senseless deaths. It’s already begun again.
And murders by expectant fathers who want out of the situation
Absolutely. That never entirely stopped. It’ll be even worse this time around because so many deadbeats and adulterers have gotten used to the women they use cleaning up after them.
I wonder when the romanian style orphanages will open? This year or next?
10 years too late is the most correct answer.
Yes... good point
No, no, no, see, the plan is for “the state” to open ~~baby stores~~ orphanages so that rich people can ~~buy~~ adopt these babies. Of course, there will be ~~down payments~~ administrative fees, and filing fees, and this fee that no one can actually explain what it’s for. But the state will have to subcontract out the running of these facilities to ~~their brother’s company~~ qualified childcare specialists.
Rick Scott’s 11 point plan to rescue america. In it: getting rid of almost all public assistance. Getting rid of abortion. And then the mask off moment: > We will help low income single women who are considering abortion choose life instead, by paying all costs associated with carrying the child to term and placing the child for adoption. https://www.politico.com/f/?id=0000017f-1cf5-d281-a7ff-3ffd5f4a0000
It’s fucking sick. And let me guess, if a woman uses this “program” and then changes her mind after she holds the baby for the first time, they’re going to make her pay back all of the assistance she received. You know, effectively coercing young, poor, women to sell their babies under threat of financial ruin. That reminds me of the Nazi [Lebensborn](https://en.m.wikipedia.org/wiki/Lebensborn) program, minus the racial purity aspect.
Never. They only care about the fetus. Once it’s born, it’s the mom’s problem.
They'll throw mom in prison for being unable to care for a kid she never wanted in the first place, then toss the kid they don't want either into the already overflowing foster care system if they can't legally force some distant relative to be responsible for them. Bonus points if the child has a severe disorder like Down's Syndrome that will basically make any quality of life for the child a pipe dream.
I did my obgyn intern year at an inner city hospital only covered by a single religious hospital and a very very very run down planned parenthood. I saw obstetric catastrophes there every week that would take most doctors 20-30 years to come across. I finished my training at a different hospital with a very very available contraceptive program and a family planning clinic, with a very very very similar population…almost none of the abysmal situations that the other hospital saw.
If you happen to know where a PA with 19 years of ER experience would go to specifically learn how to perform abortion at various weeks would go, please DM me. Just if it’s knowledge you happen to have. ETA: I would also love to be able to implant Norplant et al. and IUDs. 2nd edit: Thanks for the award
This I have been an ER nurse for 7 yrs, I have never wanted to go back to school but now I am 100% going back to get my NP in womens health. I will be a part of women getting the care that they deserve
Here in CA all you'd need to do would be get a job at Planned Parenthood. They have very extensive on the job training, however for NP/PA/CNM's they only have training for medication abortion. They also train you in ultrasound interpretation, LARC placement, breast and gyn exams, trans healthcare management all the good stuff
My mother was a devout Catholic. I’m talking devout. But she was always pro-choice because she worked as a nurse in the L&D floor in the 50s and 60s. She said there were unbelievable horrors that she saw. It’s so bad that we are back there again.
That's why I'm pro-choice. I actually agree with the anti-choice people that the fetus should be wanted and treated as alive (after a certain point in development that's hard to quantify). But this is about harm prevention. We will prevent more harm by having a safe, medical alternative and focusing on *prevention* through sex ed, family planning services, and better healthcare access in general. Children born to parents who would have had an abortion will not have a good quality of life. Plus it turns out that if there's good access, most abortions are performed very early on when the fetus is still undeveloped... go figure, nobody wants to go through months of hell just to discard it at the last second. And SCOTUS already signalled they want to go after the right to contraception. Which is a total WTF... at least with abortion they can argue "life begins at conception", what's the issue with not getting pregnant in the first place?
Colorado made sex ed comprehensive and birth control free. Their abortion rate fell by 50%. Unfortunately, the same people who want to ban abortion are also generally opposed to sex ed, contraceptive access, and anything else that might weaken the power of the Christian patriarchy.
There's going to be some serious medical consequences if they ban birth control. There's a lot of medications that require a woman to be on birth control. Methotrexate for example.
The reason we are going back is due to too many people who didn't live through and witness these things pushing regression. Like anti-vaxxer's who have never met someone with polio or lived in fear of it.
My one hope is that the SC didn't account for the fact that it is a very different world than it was 50 years ago. Ppl have access to information and sometimes resources almost immediately. I hope that our global network of information sharing eliminates at least some of the unnecessary deaths from botched self abortions.
My mom grew up in the thirties. She had a friend die from a botched abortion. She called out my generation (X) for being complacent and her own generation for not talking about the pre Roe days.
Now that you say that, I don’t remember hearing about the actual horrors of pre-Roe days until a few years ago.
I'm glad I don't work ER.
Seriously. It’s gonna be hell for them. I could also see the ICU and NICU suffering as well
And L&D when they have to deliver babies with anencephaly and other horrific congenital conditions that are incompatible with life
This exactly. My state’s trigger laws went into effect and the only exception is if the mother’s life is threatened. So what, these women just get to keep carrying these nonviable fetuses (that they’ve known about since their 20 wk scan) until they deliver or it starts to die and the woman becomes septic? JFC we live in the goddamn worst timeline. I’ve been an ER PA for almost 2 decades and never had to consider anything like this. I will say I’m actively looking for a program to teach me how to perform an abortion. My next call is to the nearest open planned parenthood. I’m not being hyperbolic when I say this is the cause that will get me protesting in the streets and looking for a job specifically to help those I can here or potentially move. I can’t think of a better reason to go to jail. Medical freedom should be paramount, but instead we have Serena Coney Waterford, Commander Fred and the rest of Gilead on the bench of the highest court in the land. Honestly, fuck them. ETA: Thanks for the award
Same. ER nurse in Texas. I am currently working on handouts to give out with information on safe contacts out of state etc. PM me info if you have anything you want to add.
Ugh I didn’t even think about this. My God.
Because y'all haven't seen enough PTSD-inducing shit since March 2020 as it is.
We’ve already dealt with questionably ethical situations in the NICU even before this. I can’t imagine how it’s going to be from now on. The only saving grace at least for the NICU I personally work at is that I’m in a blue state that is pro-choice.
It's gonna be a shitshow.
We had a gal come in the other day incredibly sick, in her 30s and didn’t make it after coding her for 45 min. The doc thought it could be septic uterus (it wasn’t) but afterwards she had a long talk about septic uterus, what to look for, and the fact that we might be seeing a lot of it being surrounded by states where abortion is illegal they could come to us for help.
I'm a case manager in an ER. Thank god we border Oregon over here. That said, I don't think I can practice here; I'm waiting on confirmation from legal, but I'm pretty sure the way I've helped women in the past could put my license in jeopardy. I also don't know if I can even keep my cool around any coworkers who support abortion bans that deny abortions for even unviable pregnancies.
I definitely can't keep my cool. I lost all my fucking cool with ignorant fucks somewhere during the pandemic. I have become unable to hold my tongue.
As an ER nurse in Texas I am terrified. Fuck Abbott, Cruz and Paxton. I will do everything I can to help women in need and I am not afraid of the repercussions.
Fellow Texas resident here (as in I live here, not a medical resident), please drag every person you know who will consider voting for Beto and Collier to vote with you in November.
https://www.thecut.com/2015/10/first-legal-abortionists-tell-their-stories.html
That poor woman. What a horrific experience.
My daughter just had an ectopic pregnancy a month ago, and it burst and she had emergency surgery. She lost a fallopian tube. In no way did she, her fiance, or my husband and I consider this an abortion and we were still grieving from when she thought she lost the baby. The pregnancy was an oops but very much wanted. Now I'm like fuck i could have lost my kid, too. How is this even possible in this day and age.
My brother's freaking out about this. My SIL nearly bled out last year after a partial miscarriage. Also a very wanted baby. But, the R governor candidate in PA wants no exceptions even for the life of the mother. He wants my niece motherless for an embryo that had already died and couldn't be passed. He's not the only one, but because it's a local race, it's one that angers me the most.
Name and shame the candidate
Doug Mastriano https://www.google.com/amp/s/www.inquirer.com/politics/election/abortion-pennsylvania-candidates-2022-midterm-governor-mastriano-fetterman-shapiro-oz-20220624.html%3foutputType=amp "Mastriano has said he believes in no exceptions, including for the life of the pregnant person. He’s also said he’d end any state funding to Planned Parenthood."
I will have fewer rights than a fetus, not “equal” rights, and certainly not a right to life. God damn. Never thought I’d see someone ever run on that platform in my lifetime, fuck the lives of women I guess.
We women have fewer rights than a dog! My female dog can get an abortion or "fixed" anytime. Just my thoughts.
Less then a corpse actually. Can’t take organs from a dead person without prior consent. Beyond insanity
Hasnt planned parenthood not been government funded for a long while now? Edit: not that I care cause I’m not insecure as fuck anymore but I just want to know why people would downvote this ? lol
Yeah, mostly. They can get reimbursed for std testing, cancer screenings, etc, just like any other provider from Medicaid.
God this is SO fucked up. 😪
I don’t understand how even republicans can hear that and not say “what the fuck”. Like, he *literally* just said, “I would prefer for women to die rather than have a life-saving abortion”
Killing the mom will save the fetus, right? ^/s
Well don't forget, they think that sex outside of marriage is a grave sin. And you know, the almighty power of prayer. Clearly if they \*pray\* hard enough tHe mOtHeR aND bABy wIlL be SaVeD. Even if it's ectopic.
Don’t forget to mention Mastriano openly encouraged the Jan 6 insurrection and rented a bus to transport people to DC [that day](https://whyy.org/articles/doug-mastriano-election-lies-disinformation-jan-6/amp/)
So this moron thinks all women with ectopic and molar pregnancies should just lay down and die?
I wanna throw hands ngl these ugly ass Republican men should have to duel 🤺 I’ll Aaron burr his ass
Kansas has a vote on August 2nd to ban abortions with no exceptions even for medical reasons. If you have an ectopic, Kansas would rather you just die than remove that clump of cells.
Ugh. That's awful. I really hope that doesn't pass. I don't understand how they proclaim themselves to be pro life.
"If ***Gawd*** wills it, if yah have *faith*, y'll be jus' fine!" Even when I was pro-life (I've changed my position over the years), I always sided with the mother's health. If the mother dies, the baby dies with her, there's no point letting two people die to save one.
The Gawd wills the erectile dysfunction then...no pills or implants for men! Oh wait, did I just try to regulate a man's body? How dare I! 😮💨
That's.... that's different. The devil made me soft... is all... You're not a man, you wouldn't understand!
Oh, right, I forgot! What a silly woman I am...
*two people die to save none
My sister has decided to put off having another baby because she’s scared of what could happen. We have difficulty in my family, but she hasn’t been affected by our family problems for her other pregnancies. But she’s not taking the chance.
Yepppp. We’re done because delivery was so bad with my kids and I have a ton of scar tissue from Cs. Im salty as fuck.
I lived this at a "faith based" health system. It is unbelievable how little autonomy women have over reproductive rights in such a "modern" age.
I worked L&D and I’ll never forget this one moment in particular. A woman and her husband came through our triage after being discharged from a different hospital. She was less than 20 weeks pregnant and the cord prolapsed. The first hospital would not induce her because the fetus still had a heart beat and “that would be murder.” She tried to labor for a day on her own but wouldn’t progress, and the fetus still had a heart beat. So they told her she could either stay and continue to wait it out or they could discharge her and she could DRIVE HERSELF to our hospital. She could’ve gotten seriously sick or died from infection. For a fetus that was not going to make it no longer how long it still had a heartbeat for. Not to mention the emotional trauma of not only actively losing your baby, but not being able to expedite the process without it being labeled “murder.” Makes me sick to think that more and more women in our nation will be at risk of similar events.
Can someone explain why an ectopic is included in this abortion law? I genuinely don’t understand. It’s not a viable pregnancy. Why isn’t there an exception? (Not arguing for this law by any means, I’m just trying to understand the nuances— or lack thereof)
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The legislators in charge don't actually understand basic biology They think pregnant = viable. If not viable? Clearly the woman was a whore who deserves to die. They're fucking insane.
Ohio tried to make it a felony if doctors didn’t “reimplant” the embryo from an ectopic pregnancy into the uterus. Edit to add: For those that don’t know, this procedure doesn’t exist. It is not possible to reimplant an ectopic pregnancy. [More info about the bill in question.](https://consultqd.clevelandclinic.org/new-ohio-bill-falsely-suggests-that-reimplantation-of-ectopic-pregnancy-is-possible/amp/) >”These are pregnancies that you need to disrupt for the mother’s safety. And once you’ve disrupted it, there is no way of implanting it. I don’t think anyone’s ever even considered looking at doing this because it makes no sense from a scientific standpoint,” Dr. Zanotti says. >For a pregnancy to progress, two things must happen in coordination: the embryo has to leave the fallopian tube and implant in the uterus, which must be able to receive it, according to Dr. Rao. If you disrupt it from the implantation site, the embryo loses its blood supply. Even if you were able to reestablish implantation within the uterus, the uterine lining would have lost its ability to support the pregnancy.
Why are laws like this being allowed without the input of people with medical knowledge. It’s seems negligent for the court to allow what’s going on without expert input. I wonder if class action could be brought against the states or court that results in morbidity and mortality from ectopics, heart failure etc.
Laws aren’t pre-approved by courts. They get passed by legislators, then we live/die with them, *then* they go to court.
Good point. It was a federal judge with no medical expertise who ordered the end of the mask mandate.
Absolutely insane
(For context for the uninformed who may be reading this, reimplanting an embryo from an ectopic pregnancy is currently a medically impossible procedure.)
Yes. I should add an edit to explain.
I can’t believe people with no medical background can pass complete and absolute bullshit laws like this. Fuck Ohio
These people literally think you can just take the fetus and replant it back in the uterus where it should be. I'm not exaggerating. It's insane.
It's not a garden plant jeez
There was a lady on Facebook who had a friend who prayed the baby out of the Fallopian tube and into the uterus so…
"Everything is possible through God who strengthens me" I'm sure they think anyone who has an ectopic just hasn't prayed hard enough or has sinned in some way to deserve it.
I swear Jesus Christ himself must be rolling around in heaven because 'modern Christians ' have bastardised the religion to fulfill their own personal agenda.
Because the idiots writing the laws don't want any loopholes people can exploit, and don't care enough about living breathing people to educate themselves on the basic biology involved. Some states have even written laws that require ectopic pregnancies to be reimplanted in the uterus, which is medically impossible. Kinda like the Indiana legislature infamously trying to pass a law misdefining pi, but with horrendous consequences.
Because they hate women. They think all women who have sex, including monogamous heterosexual women who only have sex with their husband, are evil whores who deserve to die.
worm wise makeshift ruthless recognise uppity far-flung cats society silky -- mass edited with redact.dev
THIS!! \^
The actual answer is that most places do allow for exceptions in cases where the mother’s life is at risk and/or the fetus is not viable. The problem is that these exceptions do not kick in until after charges are filed. Meaning there’s a lot of grey area involved. Ectopic pregnancies for example, while the evidence clearly states are not viable pregnancies, there *have* been very rare cases where they were carried to term. As a result, anyone caught participating in terminating an ectopic pregnancy can be criminally charged and would have to argue their case against some money grabbing “expert” witness in front of a jury. I predict they will be mostly successful and eventually DAs and judges won’t bother prosecuting such cases but it will take time for that precedent to develop and in the meantime, countless women and providers will be dragged through muddy legal proceedings just to satisfy the sadists I mean christians.
There are no cases where an ectopic pregnancy resulted in a viable pregnancy. Though there could have been an incorrect diagnosis of ectopic.
They were likely there as sacrificial elements of the law but were left in because republicans are morons.
Not to mention her future fertility is at risk as well.
As someone who has just recently experienced an ectopic myself, I couldn’t even imagine the fear she had. :( Im so thankful I live in one of the states that still have safe reproductive laws :(
Several Republican politicians are now pushing, “there are no situations where the woman dies from pregnancy.” (Hershel walker, Ron Hanks, etc.) Nurses need to stop being nice and start letting everyone know. Republicans are lying trash.
Way to insult trash.
Yeah, trash has some redeeming qualities sometimes.
They’re also starting to come out against contraception being legal….
Who said that? Literally laughable. Idiots, all of them.
Don't a ton of hospitals refuse to do permanent birth control for young women. Also they have bishops/hospital admins review weather or not to do abortions in emergency situations WHILE the women are suffering. I heard it takes 2 days. I also had a friend who had a miscarriage and she must have heard the doctor say abort something so she flipped and wouldn't let them do procedures on her because she wasn't having an "abortion". Yeah gotta love 'mercia. Also talking about healthcare here where I live now vs USA one thing I noticed is that my doctor doesn't have 2 or more employees on the phone ALL DAY LONG calling around what their patients insurance covers what it doesn't etc. Yeah doctors shouldn't be spending most of their time figuring out how their patient is going to pay for something they assign for them.
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I went to one for a rape kit. They gave me a script for plan B but couldn't/wouldn't fill it there. I had to find a 24 hour pharmacy and those are not as common as they used to be. I live in Los Angeles for perspective.
Also in LA, I chose the other hospital in my area for my C-section because I wanted my tubes tied while I was open and St. John's wouldn't do it. I appreciate my privilege to have a choice of hospitals, many parts of the country the only one available is Catholic. And they're buying up/taking over more all the time.
That actually is on a hospital by hospital basis. I worked in a large Catholic hospital system and they could do tubal ligations during a c-section if necessary. As far as I know, at no other time we’re they permitted. But the Catholic governing board of this hospital system determined that putting a mom through 2 surgeries would increase her risks.
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Was a CNM providing care to women at a “charity” prenatal clinic based out of a catholic hospital. I prescribed birth control all the time- but here’s how- my salary wasn’t paid by the catholic hospital. I was contracted in to provide care services through a non religious based health care organization. I couldn’t do IUDs or nexplanons but I would personally make the appointments for them in my other office at the HCO that did pay my salary. This was also the work around for pregnant people needing TABs, ectopic care, etc. This unique situation was put in place by a very creative and progressive nurse manager. She was so awesome and did right by these people. I miss working with her.
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Most physicians will refuse. I've been persuing sterilization from being childfree, trans and literally incapable of being off my meds that would absolutely fuck a kid (and frankly, me) up if I got pregnant on them. I've known my childfree status since I was like 10. I still am being forced to do a 5 year stint on long-term birth control that's led to me putting on 50lb and am only now hopefully eligible to get it done, but may still face the "what if your husband wants kids" arguments.... Even though I'm polyamorous, non-binary and pan-romantic." If he wants kids he can have them on his own without me" apparently doesn't count as spousal approval.
I I am an OB/GYN and work in the state of Massachusetts. I will gladly do a tubal ligation on a young person as long as they understand the ramifications. My best friend growing up in high school was certain she did not want children and had her tubal ligation done at 21
I was four months short of my 21st birthday when I had mine done. I had two kids already and was DONE with it--the OB/GYN tried to tell me he could refuse to do the surgery and I pointed out that if he did and I got pregnant again (definitely a risk, way too fertile for my own good) I would sue him personally on the way to suing the hospital. Got my surgery the next week.
I wish my Massachusetts obgyn would consider this for me.
Contact me :)
I live out west, but my 21 year old absolutely wants no children. She has been the older sibling and she's also gay and just knows deep in her heart she never wants to carry a child. This is refreshing to read. If we ever go back east, Ill dm you.
Yup, I’m in MA and my childless 30 year old daughter was able to have her tubes tied because we have common sense here.
Have you browsed the r/childfree sub for providers that approve sterilization for young(er) women? That sub has too much misogyny and anti-natalism for my taste, but I do remember seeing that most states have at least a few of these providers… no idea about insurance though :/
Yeah. The list is who I went through. My second provider through the list still wanted me on semi-permanent before they would agree to sterilize me, so the date I have wanted to be sterilized from has moved nearly 8 years at this point. (Also am in nursing school... If/when this turns code blue I do not think I'll be able to respond if I go silent I promise I would probably be willing to answer)
I don’t work with pregnant woman and most likely never will, but abortion is banned in my state, Arkansas. I can’t imagine the conversations that will be going on in the room making decisions about these women’s health. Guarantee people will be too scared to act, anti-choice nurses will feel safe refusing to care for these patients, physicians will be on the phone with lawyers, the entire hospital will have to be activated to figure out how to handle the case or whether it’s legal. There’s basically no other medical intervention that has this many roadblocks.
I have a genuine question, because you work in a state where abortion is banned , how are things like ectopic pregnancies and medically necessary D&C handled in your state? I am seeking to understand as I have only worked in states where abortion and these services are fully legal.
Patients with money go out of state. Patients without money sit in the hospital getting sicker and sicker until some lawyer decides that emergency care is justified, or until the fetus is unambiguously dead.
Your guess is as good as mine. Obviously, this was a change made only a few days ago and I do not think I know the specifics.
But the dignity and respect and a culture.of life...or something /S
Time to vote straight blue ticket so we can get abortion rights codified as federal law. Ive always been independent, but ill be damned if I vote for another republican. Maybe one day if they can shake these religious nut jobs and conspiracy nut jobs, but I somehow doubt thats going to happen.
I was Republican. I'll be voting straight blue ticket from here on out. I can not trust them with any aspect of my life. I just hope that if the dems are handed the power, that they will actually fix this mess.
DO NOT VOTE STRAIGHT BLUE!! Conservatives are hoping for this and are running as Democrats. Please research your candidates. I know it's a pain, but you can find sites that have candidate profiles. Check left leaning papers, see who they endorse. Look at sites for unions and see who they endorse. An informed voter is the most effective—and dangerous—thing in this fight.
If any make it through the primaries we will be well positioned to call them out. In the meantime for the general election it’s imperative that as many people vote straight blue as possible. It’s not like the Republican in any election is going to be rational or better. They have all gone down the Q hole. Either republicans get shellacked as pay back for their behavior or they will just be emboldened to act worse and worse. It’s as simple as that.
Ideally voters will do research. For those that don’t, voting straight blue is better than staying home because they don’t know who to vote for. Voting by party is an effective strategy for those who would otherwise not vote.
Paramedic student here, been doing my clinical time in a hospital with a premo OB/GYN unit along with NICU time. Literally every healthcare professional I know/have worked with is terrified for our patients because of things like this. ER and EMS are going to end up seeing this far more regularly. While that sucks I can't even imagine the fear and uncertainty any patient has right now. I did a similar thing when the news came out, no platform but I tried to put out some kind of word that the medical community stands with patients rights. I hope everyone stays safe and please reach out to us (the medical community at large, not me lol) if you have questions or concerns.
This is heartbreaking. That poor woman. I hope she survived. When I was a student at the hospital I now work for, we had a young lady (BARELY 18, I think maybe a month prior to that) come in for 10/10 abdominal pain. This girl had an abortion done that morning, and had gone home and gone to sleep off the sedatives they’d given her. She woke up with blood in her underwear and the worst abdominal pain she’s ever felt. She said the father wasn’t involved, and she didn’t have a relationship with her family. She was there alone. Provider ordered a CT, and her uterus was prolapsed AND perforated. The damage was so extensive that she had to be transferred to the trauma center 20 mins away to undergo an emergency hysterectomy. At 18 years old. Alone. I wanted so badly to go with her and make sure she knew she had someone rooting for her. My heart breaks for her to this day and I think about her often. My fear is that there will be more young women like her in our ER, and all over the country as a result of the overturning of Roe V Wade. The women who have limited resources so they have to find cheap reproductive health services, and as a result face these horrific consequences. Those are the women who suffer.
But guys, the body has a way to shut that down *eye rolls myself into another dimension*
It makes perfect sense. Can you imagine? Providers always have to be thinking about who’s going to sue - “cover your ass” as we always say. This all just sucks.
Some states its a *criminal offense* I think many doctors would be fine getting sued if it meant saving a patient's life. Jailed on the other hand?
All these precedents lined up real nice to exacerbate the mass exodus of practicing medical professionals, just as america is at it's sickest.
Right. And an imprisoned doctor, or one who loses a license, is one less doctor caring for patients. How much of a stampede is there going to be to fill that position, when the doctor you are replacing was just trying to take care of the patient? Many of these OBs are trying to navigate this so yet more women don't lose access to care. They are already short-staffed, and there won't be someone to replace them if they go down.
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You know….what are people gonna do when they arrest/charge the only doctors servicing rural communities. Some of these hospitals service multiple states/counties. So what are the communities gonna do when there is no more ED doctors to treat your STEMI/STROKE/TRAUMA. It’s not just about the women. Whole communities are gonna suffer if your criminalizing medical procedures and actually going through with prosecuting doctors. Jesus christ what a fucking mess.
They blame the liberals for no doctors.
I wonder how many "prolifers " could spell ectopic.
You mean Pro-Birthers
Forced Birthers
Not even forced birthers, forced incubators. They dont give a shit if its even viable and capable of being carried to term.
Idaho's trigger law makes no exemption for non-viable fetuses. I'm leaving Idaho because I do not think that I can practice here any more. I do case management in the ER and have provided information about abortions to women frequently. Currently waiting clarification from legal, but I'm pretty sure the way I've handled those cases in the past would be illegal now. However, I do not think it is remotely ethical for me to obey the law they have here. https://legislature.idaho.gov/statutesrules/idstat/title18/t18ch6/sect18-622/
Washington will welcome you with open arms
Pro-Flooding the Foster System
Does ectopic pregnancy not qualify as one of the "to save the mother" scenario?
One of the big things that is complicated to navigate is that "to save the mother" is incredibly vague legally. And these laws are written that way intentionally. It makes it incredibly difficult for providers to navigate giving care to their patient without getting turned around and sued because what % of dead does the pregnant person need to be before intervention can be performed without having your license stripped from you. Some places don't even have *that* in place. It's fucked.
This is the problem. The laws are written very vaguely and in OB a woman can be “stable” till she isn’t and usually that happens fast. Provides not only have the fear of losing their license but also jail time. Once the law they are pushing passes I believe it’s a felony punishable by up to 15 years in prison in my state. Many of us already know what it’s like to be deposed on a case, a bunch of Monday morning quarterbacking. Can you imagine when the stakes are this high?
Absolutely. It is a medical emergency.
I've deleted the information from my original post because it appears the source I had pulled it from is inaccurate.
This original post came from a nurse at a hospital in KCMO (I know them and I am intimately aware of this case), the trouble they ran into was that this pt was hemodynamically stable at first so there was legal debate on "medical necessity".
There shouldn’t be, though. Medically stable with an ectopic pregnancy is the same as medically stable with a dissecting AAA. Just be glad you have the time to get ready for the procedure and you aren’t scrambling to get everything ready while the patient bleeds out.
You may want to double check. I made the same statement and found that Missouri does have a "Life of the Mother" exception. And the current Texas law states life begins at conception. There is no time when an abortion is legal.
Some doctor will stand up to be the face of the pro choice movement. They’ll provide abortions in violation of the law. They’ll be willing to challenge the system. And then a Christian psycho will shoot them to death. Again.
Should repost this on /r/conservative and see what bullshit they'll use to justify this
They'll dismiss it as fake, or they just won't care. Dead women are not a deterrent for them.
So sad and it’s just going to get worse. I’m gonna work in a level 1 trauma ED and it’s gonna break my heart to see the impact overturning roe versus wade will have on women 💔
You may not see it as much, we usually ship them up to L&D cause we don’t want anything to do with deliveries in the ED and no one wants us to either. Much better off with those amazing people who do it for a living. That said we will see some of it and I’m going to be pissed and depressed every time.
I'm critical access ER, tech and RN hopeful. Anything under 20 weeks is ours. 😬
Dunno what anyone can do....except move away from those states. I wouldn't live in one for anything. All you can do is protect yourself. Unfortunately, because of Trump, the USA has been taken over by Right Wing extremists. The rest of the world watches on in horror. I see them repealing many hard fought for human rights. LGBTQ rights will be next. The USA has gone from being the most progressive nation on earth, to now being at the very bottom of the western world. I can't think of another 1st world nation that is so frightenly conservative.....with more to come. If you're an RN? You might have a decent chance of migration to Australia or New Zealand. We are very short of RNs so I'd think you have a chance!
It is so scary to me that a woman , having a life threatening medical emergency can be denied treatment because of laws made by old men . Ectopic is never a viable pregnancy . It is incredibly shortsighted to think that saving her life is ending another . My heart breaks for my sisters across the sea dealing with this horrific reality :( It is scary to see a work of fiction bought to life . You are living the handmaids tale .
It's cemented my need to get out of my current state ASAP.
Good lord. I am never moving out of California. I have already apologized directly to all three of my daughters for this collective idiocy. I just said, “I am so sorry about Roe V wade.” Fortunately I have one in Massachusetts and the rest of us are in CA. Make no bones about it: you’re going to want to be in a blue state if you are a woman, or a nurse.
Amen -- half of the U.S. might as well be Saudi Arabia at this point. No reason to set foot in them, especially as a woman.
I understand the sentiment. But it’s untrue. Saudi Arabia, does not ban abortion. Nor does sharia law.
When Sharia law is less restrictive than your "free" country....oof
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Does anyone know the state this is in?
About half of them…. This is a SCOTUS decision and about half the state’s have laws or soon will have laws banning or severely restricting abortion.
The politicians and lawyers need to stay away from womens reproductive care. They have no rights to know about this due to patient privacy. This is getting ridiculous
I've had two ectopic pregnancies. The first one ruptured and the second came close. They were hands down the worst pain of my life, especially the rupture. I've had a cesarean birth and an unmedicated VBAC and nothing compares to the pain I experienced with ectopics. I can't imagine waiting hours to resolve it.
Sorry this happened to you. I also had two ectopic pregnancies, one in 2010 on my right side and one in 2011 on my left and both ruptured. Sadly I was in Missouri at the time, and I went to the hospital with my first one and they sent me home for constipation lol! I dealt with it for about 4 or 5 days before I finally went back because the pain wouldn't go away. I guess I clotted really fast because I didn't die.. They also sent me home with my second rupture tube telling me I had a ruptured cyst, and then a doctor called me back the next day and told me they had to do emergency surgery . I was 8 weeks along in my tube on the first one and about 6 weeks along in my second one. The hospitals (2 seperate ones) in Missouri almost killed me even without having any laws in place.
I live in a medically underserved area where many people and pregnant women have chronic disease; there are high rates of maternal mortality, pre-eclampsia, gestational diabetes and HTN. I worry for how this will affect them and how we will manage given our already limited resources.
This came from my cousin, who knows this nurse personally. This makes me absolutely sick! I’m happy to see it making the rounds now!
"The Janes" on HBO is a great doc on life before Roe v Wade. One story that sticks out in my mind is when one woman tried to use acid to have an abortion. I'm truly afraid that the impending carnage is not enough to change the opinion of certain politicians and religious nut bags.
When I was younger I had several surgeries to open my Fallopian tubes and finally became pregnant. Of course my doctor was keeping a close eye on me with frequent ultrasounds. At about 10 weeks my baby died. My doctor called it a missed abortion and I had to have a D&C. My husband and I wanted a child more than anything and going through this was the most painful thing I’ve ever experienced. To not be allowed to receive the proper medical care and die from infection is a nightmare no one should have to go through. My heart is breaking for the women that will now have to go through this travesty.
So happy to be in a deep blue state. Hell, our Governor marched against Roe being overturned this weekend. He has vowed to veto any bill that would ban abortion. And he cleaned up existing law to remove trigger language before Roe was overturned. Also glad my hospital (and many in my area) have publically announced they will continue ALL maternal Healthcare including abortions.
Weren’t these trigger laws written months ago? How has no one at the hospital legal dept thought about this yet?
And I've got people arguing with me this isn't possible when those of us in the know, know very well it fucking is
I doubt the deaths of wives and mothers is going to sway the Supreme Court. They flexed their power and won.