Diagnosis and management of a ruptured 20-week anencephalic cornual ectopic pregnancy undergoing termination: implications of interstate travel due to restrictive abortion law

O. M. Sutton, D. J. Berman, A. J. Vaught, J. C. Bradshaw, R. A. Johns

Research output: Contribution to journalArticlepeer-review

Abstract

In the changing legal environment of obstetric care in the USA, with laws in many states banning termination at all stages of pregnancy with narrow exemptions, healthcare providers are encountering cases in which risk to maternal safety is increased. This report presents a case of a 28-year-old primigravida with an anencephalic fetus who was legally unable to pursue termination in her home state. She traveled to another state in order to pursue safe and legal abortion of a non-viable fetus. Due to an unrecognized cornual ectopic gestation, the delivery resulted in uterine rupture, the need for hysterectomy, and significant morbidity in a patient with a strong desire for future fertility.

Original languageEnglish (US)
Article number103932
JournalInternational Journal of Obstetric Anesthesia
Volume57
DOIs
StatePublished - Feb 2024

Keywords

  • Abortion, criminal
  • Abortion, legal
  • Anencephaly
  • Ectopic pregnancy
  • Maternal morbidity
  • Uterine rupture

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Obstetrics and Gynecology

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