Many physicians and patients have been navigating a new reality in which the standard of care for incomplete miscarriages, ectopic pregnancies and other common complications is being scrutinized, delayed — even denied — jeopardizing maternal health.
after the detection of fetal cardiac activity, around six weeks of pregnancy —
“It really delayed her care,” Zeal said. “I saw her a week and a half later with an ongoing miscarriage and bleeding, increasing the risk of severe bleeding as well as infections.”Some doctors are feeling pressure to seek second opinions in their treatment of ectopic pregnancies, which account for between 1 and 2 percent of pregnancies and are never viable.as she treated a patient with a ruptured ectopic pregnancy.
abdominal pain. But because this was not a clear-cut case in which an ultrasound showed the fetus developing outside the uterus, Nahn faced the potential of terminating a fetus that was in the uterusInstead of prescribing medication to terminate the pregnancy in the safest manner, as she would have done before last month’s ruling, Nahn said, she was forced to perform a riskier, invasive surgical procedure to confirm the location of the ectopic pregnancy before ending it.
Lisa Harris, associate chair of obstetrics and gynecology at the University of Michigan, said doctors are discussing creating a national registry of cases
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