“For patients seeking abortion, sometimes that is an act of motherhood. They don’t want their child to have a life where they’re suffering.'
Although optional, genetic screening is a common part of prenatal care and is usually carried out between the, along with an ultrasound exam. Doctors look for fetal DNA floating in the mother’s blood that can be used to detect brain and spinal problems or chromosomal conditions. If a blood test returns positive results, doctors will then use a needle to take a small sample from the amniotic fluid or placenta in the uterus to confirm a diagnosis.
About 1 in every 5,000 newborns is diagnosed with trisomy 18, also known as Edwards syndrome, and about 1 in 16,000 with trisomy 13, known as Patau syndrome. Due to, most of these newborns die within the first days or weeks. Between 5 and 10 percent survive the first year. “If I could have just given birth and he died naturally, that might have been a choice for us,” says Jennifer of her unborn son with trisomy 18. But the knowledge that doctors would have tried to keep the baby alive despite his condition also influenced her decision, she says. There is no cure for the extra chromosome that causes Edwards syndrome; treatment—ranging from blood pressure medication to ventilators to feeding tubes—focuses only on the symptoms newborns have.
Events in recent months highlight the likely impacts of reducing abortion time limits. In Texas, a law came into force in September 2021 that bans abortions at the point when an embryo’s cardiac activity can first be detected by ultrasound, which can be as early as six weeks, whenthey are pregnant. The effects of the ban have rippled across state lines, with those who can afford the travel and care seeking abortions elsewhere.
“Folks in surrounding states are getting delays in care because of the impact of the Texas and Oklahoma bans,” says Beverly Gray, an obstetrician and gynecologist at Duke University School of Medicine in North Carolina. “They come to other states, and so we’re seeing this sort of tidal wave effect of folks seeking care.” The influx of people could become even greater very soon ifno longer applies and those trigger laws come into effect.
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