Some fear ramifications for reproductive care if Roe is overturned.

If the Supreme Court succeeds in overturning Roe v. Wade, abortion will be prohibited or severely restricted in roughly half of the United States. However, scientists and campaigners are concerned that the consequences could be far more severe, compromising care for women who miscarry, couples seeking reproductive treatments, and access to certain forms of contraception.

Many conservatives claim to just care about ending abortion, and legislation approved thus far frequently includes exclusions for other reproductive services. Experts are concerned about Republican rumblings, and laws prohibiting abortion could have unexpected consequences.

Many conservatives claim to just care about ending abortion, and legislation approved thus far frequently includes exclusions for other reproductive services. Experts are concerned about Republican rumblings, and laws prohibiting abortion could have unexpected consequences.

“The rhetoric has been really escalating over the last several years,” said Mara Gandal-Powers, the National Women’s Law Center’s director of birth control access. “There is clearly a domino effect, which I believe people are starting to notice and realise how far it may go.”

If Roe is overturned, as a leaked draught ruling suggests, states will be able to create their own abortion laws, and conservative lawmakers are already enacting a slew of restrictive legislation. Oklahoma lawmakers, for example, approved the strongest abortion-at-conception ban in the country on Thursday.

Despite some exclusions, the law points in a direction that many doctors are concerned about.

Dr. Kristyn Brandi, a New Jersey OB-GYN who offers abortion treatment, said, “I genuinely believe the folks crafting these legislation either have no grasp of the vast consequences or do not care about how this effects so many facets of women’s health care.”

“You are not considered pregnant in medicine until this fertilised egg is placed into the uterus, which occurs after fertilisation,” Brandi explained. She added it’s unclear whether doctors who undertake infertility treatments are breaking the law if they discard fertilised eggs in excess. The Oklahoma law “is not founded on research, and it is tremendously confusing and irritating for medical professionals seeking to deliver evidence-based care. chevalier chevalier chevalier chevalier chevalier chevalier chevalier chevalier cheval

The Roe decision was founded on a fundamental right to privacy, and it was influenced by Griswold v. Connecticut, which had given married couples the right to birth control eight years before.

Millions of Americans now have access to reliable birth control, yet in March, Tennessee Senator Marsha Blackburn recorded a video message calling the Griswold ruling “constitutionally unsound.” She hasn’t clarified what she meant by saying she’s not advocating birth control limitations.

Others have confounded emergency contraception, also known as the morning-after pill, with abortion. It was forbidden last year in school-based health clinics in Idaho under a legislation prohibiting public funding for “abortion related services.”

Emergency contraception, like long-acting birth control methods like IUDs, has been assailed by abortion opponents who believe life begins when an egg is fertilised.

However, if a pregnancy is confirmed, following implantation in the womb, those drugs have no impact, according to Brandi.

“When you’re pregnant, you can take Plan B as much as you want.” It will have no effect on your pregnancy,” she explained.

Experts say the science on this isn’t clear, but emergency contraceptive medications like Plan B and IUDs may prevent a fertilised egg from implanting in the womb. They are thought to operate primarily by preventing fertilisation.

Attempts by politicians to restrict access to intrauterine devices and other forms of birth control “would be consistent with the pattern that we’re seeing right now,” said Dr. Jennifer Kerns, an associate professor at the University of California, San Francisco who also provides abortion services. “Many of us are anxious that that will be the next target on the chopping block.”

In Missouri, for example, an attempt to restrict IUDs and emergency contraception from being covered by Medicaid failed last year. However, Republican Senate Speaker Randy McNally fought back against any idea that contraception may be targeted in Tennessee, which recently imposed draconian penalties for delivering abortion medicine.

“Abortion and contraception are not the same thing.” One is a sensible method of avoiding pregnancy. The other brings a human life to an end. In a statement, spokesman Adam Kleinheider said, “It’s a brazen attempt to divert the discussion, and it won’t work.”

When asked on “Meet the Press,” Mississippi’s governor, who is one of 13 states that will instantly restrict abortion if Roe is reversed, said he wouldn’t sign a hypothetical birth-control ban. “I’m not interested in prohibiting contraception,” Gov. Tate Reeves subsequently stated on Twitter.

However, experts are concerned that other types of reproductive care, such as the treatment of ectopic pregnancies, could be targeted. A fertilised egg implants outside the uterus, usually in the fallopian tube. Because the fragile tube might rupture, causing significant internal bleeding, they are frequently life-threatening medical situations.

In 2019, an Ohio Republican proposed legislation requiring doctors to try to transplant ectopic pregnancies into the uterus or allowing insurers to cover the medically impossible treatment.

Kerns claims that since Texas banned abortion after six weeks, people with ectopic pregnancies have been moved out of state for treatment, putting their health at danger.

According to Brandi, the New Jersey OB-GYN, doctors may become unwilling to treat


Women frequently miscarry on their own, early in pregnancy, with no need for medical help. Others experience severe, protracted bleeding, which is treated in the same way as abortion – with the same medications or surgery. Doctors in jurisdictions that prohibit abortion would be afraid of repercussions if they treated miscarriages, according to Brandi. Most people survive, but infection is a possibility, she said.

Furthermore, “once they’ve been diagnosed with a miscarriage, it can take up to eight weeks for them to actually pass the pregnancy,” Brandi noted. This can be upsetting, especially for women who had hoped to become pregnant.

Roxanne Kelly, an Arkansas mental health specialist, comes from a long line of miscarriages and ectopic pregnancies. She shudders when she hears politicians equate treatment for both with abortion, knowing she’s at great risk.

“Instead of getting medical help, I’d be treated like a murderer,” Kelly explained. Kelly said she recently revealed her anxieties with her husband, who “quickly volunteered to get a vasectomy,” claiming “it’s reversible and keeps you safe.”

Meanwhile, abortion laws dating back to the 1800s still exist in several states. If Roe is reversed, those abortion laws with broad definitions may be reinstated.

“Some jurisdictions don’t define abortion; they simply declare it’s a crime,” Mary Ziegler, a legal professor at the University of California, Davis, explained. “Abortion has been defined in the past to include processes in IVF or some kinds of contraception.”

Although the Supreme Court isn’t scheduled to rule until June or July, some states are already exploring going beyond abortion bans. Louisiana lawmakers debated making it a homicide, a move that the governor claimed might prohibit various forms of contraception and aspects of the in vitro fertilisation process.

Although the legislation has stalled, it may presage future strategies.

After noticing an increase in abortions as a result of a prohibition in neighbouring Texas, Oklahoma implemented a slew of new anti-abortion laws. Despite resistance from at least one senator, legislation passed Thursday and scheduled to be signed by the governor includes exceptions for ectopic pregnancies and contraception, but not for in vitro fertilisation.

According to Republican sponsor Rep. Wendi Stearman, the bill would “give robust, further protection of the life of unborn children in Oklahoma” and would be enforced by civil litigation, similar to the Texas ban.

Because a line defining a “unborn child” as one at any stage of pregnancy does not apply to embryos fertilised in a lab, some fertility doctors believe the bill will have little impact on people seeking IVF. However, it could still apply to the selective reduction process, which is sometimes used to remove a foetus from a woman’s womb if fertility treatments result in multiple pregnancies, said Seema Mohapatra, a health law and bioethics

“I believe it is natural to be concerned about what is to come,” Mohapatra remarked. “At what point does your reproductive decision-making become curtailed, even for folks who really, truly want a child?”

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