Healthcare providers caring for pregnant patients in the months after the US Supreme Court’s decision to strike down Roe v Wade have been unable to provide standard medical care in states where abortion is effectively outlawed, leading to delays and worsening and dangerous health outcomes for patients, according to an expansive new report. In the wake of the Supreme Court’s ruling last year, individual reports from patients and providers have shed some light on the wide range of harm facing pregnant women in states where access to abortion care is restricted or outright banned. But a first-of-its-kind report from the University of California San Francisco captures examples from across the country, documenting 50 cases in more than a dozen states that enacted abortion bans within the last 10 months, painting a “stark picture of how the fall of Roe is impacting healthcare in states that restrict abortion,” according to the report’s author Dr Daniel Grossman. “Banning abortion and tying providers’ hands impacts every aspect of care and will do so for years to come,” he said in a statement accompanying the report. “Pregnant people deserve better than regressive policies that put their health and lives at risk.” The report collected anonymised narratives from providers who observed complications facing their patients. The most common scenario involved preterm pre-labor rupture of membranes (PPRM), in which the amniotic membrane surrounding the fetus breaks. In several of the cases, patients developed a severe infection, including cases that put patients in hospital intensive care units. Patients in many cases were instead sent home and told to return to a hospital when labor started or when they experienced signs of an infection. In one case, a patient returned to a hospital’s intensive care unit two days after her water broke at roughly 16 to 18 weeks of pregnancy in a state where abortion is banned. “The anesthesiologist cries on the phone when discussing the case with me,” the physician wrote, according to the report. “If the patient needs to be intubated, no one thinks she will make it out of the [operating room].” The report notes that “miraculously” the patient survived. Following the termination of the pregnancy, the patient asked the doctor whether any of them broke the law. “She asks me: could she or I go to jail for this?” the doctor said, according to the report. “Or did this count as life-threatening yet?” Providers also described other cases where patients showed evidence of inevitable pregnancy loss, but their care teams had their “hands tied” under state laws. Health providers also submitted stories of patients experiencing ectopic pregnancies. Delays to treat one patient resulted in a ruptured ectopic pregnancy that required surgery to remove her fallopian tube. Another patient was denied an abortion for a Caesarean scar ectopic pregnancy, a life-threatening condition where a pregnancy implants in the scar of a prior Caesarean section. Other physicians reported the inability to treat patients with fetal anomalies and patients who faced delays receiving treatment for miscarriages. “Unfortunately, this report confirms that our fears about abortion bans are valid,” said Dr Chloe Zera, a maternal-fetal medicine specialist and associate professor at Harvard Medical School. “As someone who cares for patients who have high-risk pregnancies, I need to be able to provide care consistent with evidence-based guidelines,” she said in a statement accompanying the report. “This research underscores the completely preventable harm that is now happening to our patients because of barriers to abortion care.” The report also outlines the moral dilemmas facing physicians operating in states or treating patients from states that have outlawed the potentially life-saving care they previously provided. Some physicians said they were considering quitting or relocating, or noted the immense coordination required between health providers in multiple states to treat patients, and outlined the ways in which restrictive state laws have complicated other care unrelated to abortion. In one case, a physician refused to remove an intrauterine device for a patient who was between 10 and 12 weeks pregnant, despite the partially expelled IUD posing a risk for infection or miscarriage. “The doctor did not feel comfortable” removing the IUD, one physician wrote, according to the report. “The context provided was concern over the recent changes in law that create [the] possibility for felony charges for providers causing abortion in our state shortly after the Roe decision was overturned.” During a “heated exchange” among health providers, “the doctor [said] the patient had... been examined by the nurse practitioner, who was unable to visualize the IUD, and that ‘even if I could see it and it was easily removable, I wouldn’t remove it because of the law,’” according to the physician’s description in the report. “Abortion bans that block providers from offering standard medical care have the greatest impact in states like Texas that have some of the poorest indicators of maternal health,” according to Dr Kari White, lead investigator of the Texas Policy Evaluation Project at The University of Texas at Austin. “Pregnant people should be able to rely on their healthcare provider to provide the best possible care, regardless of where they live,” she said in a statement accompanying the report. More than a dozen states, mostly in the South, have effectively outlawed or severely restricted access to abortion care after the Supreme Court’s decision in Dobbs v Jackson Women’s Health Organization last June. Read More Alabama Republicans would charge abortion patients with murder under proposed legislation Louisiana Republicans refuse rape and incest exceptions to state’s sweeping anti-abortion law North Carolina governor vetoes 12-week abortion ban, launching Republican override showdown A Texas man sued his ex-wife’s friends for allegedly helping her with an abortion. Now they’re suing him Supreme Court preserves abortion drug approval as legal case plays out

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IRVINE, Calif.--(BUSINESS WIRE)--May 18, 2023--

Yet another social media challenge has resulted in the tragic death of a young person, with the company behind by the viral ‘One Chip Challenge’ now confirming it is taking its product off US shelves. Harris Walobah, 14, told a school nurse last week that he had bad stomach ache after eating the chip given to him by a classmate – according to his mother Lois, who shared details of the incident with NBC10 Boston. In a description on its website, manufacturer Paqui states the chip – which comes in a coffin-shaped box – is seasoned with the Carolina Reaper and Naga Viper peppers, with the former holding the Guinness World Record for the hottest pepper at an average of 1.5 million Scoville heat units (SHU) and up to 2.2 million SHU. After going home, Harris reported feeling better, but his brother yelled at 4:30pm that his sibling had passed out, with Harris taken to a nearby hospital where he was pronounced dead. The family of the Massachusetts teenager claim he died from “complications” caused by the viral ‘One Chip Challenge’, though a post-mortem is yet to be carried out. A GoFundMe set up to help the family with funeral expenses stands at more than $34,000 at the time of writing. On the fundraiser, Harris’s cousin Tashia Roberts describes her relative as an “intelligent, quirky and incredibly talented young man” who “loved video games and playing basketball”. Now, Paqui have updated their page on this year’s challenge to stress: “The Paqui One Chip Challenge is intended for adults only, with clear and prominent labelling highlighting the chip is not intended for children or anyone sensitive to spicy foods or who has food allergies, is pregnant or has underlying health conditions.” They continued: “We have seen an increase in teens and other individuals not heeding these warnings. “As a result, while the product continues to adhere to food safety standards, out of an abundance of caution, we are actively working with our retailers to remove the product from shelves.” Meanwhile people who have already purchased the single-serve One Chip Challenge product can call a helpline for refunds. Sign up to our free Indy100 weekly newsletter Have your say in our news democracy. Click the upvote icon at the top of the page to help raise this article through the indy100 rankings.

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A woman shared an emotional story about a stranger’s kind words at the gym which brought her to tears. In her TikTok video, a gym-goer named Steph (@callmeindythanks) said that after working out for almost “over two years” she has been “struggling” lately with her progress, especially after an incident a few weeks previously in which two men made some cruel remarks about her weight. She told viewers that one of them “coughed into his hand and said ogre,” which she admitted hurt her feelings. Ever since that interaction, Steph has been grappling with “deep-rooted insecurities” about her weight, which has been impacted by ongoing medical issues. To treat her ailments, she explained that she takes “steroids” which have caused “blood clots” among other problems. As she has tried to deal with her medical issues, Steph said that she was, in turn, “neglecting” herself. When a man with “tattoos all over” approached her as she left the gym, she told viewers that she was bracing herself for what she thought was another bully. As a self-proclaimed overthinker, Steph remarked, “There are a lot of thoughts going through your head being a bigger woman in the gym because there’s all sorts of ages there, different body types, like super fit, not fit, and it kind of messes with your head.” What he ended up saying to her was not at all what she expected. She recounted: “He goes, ‘I’ve seen you in here every week, almost every day. I see you in here every week and I’m proud of you.’” His words of encouragement hit Steph hard, motivating her to make a video about the kindness of this stranger. “You have no idea how much people that are going through something appreciate the kindness,” she said through tears. “He didn’t have to say it, he doesn’t even know what I’m going through.” She continued to say that nobody besides the management at the gym knew about her medical condition. “I’m just grateful for people like you guys that encourage us, people like me. Even if you’re not like bigger but you’re still, like, insecure about something.” “I was having a hard day today but you know what?” Steph told viewers. “That made my day.” @steph5468 #gymprogress #workputjourney #keepgoing #healingjourney ♬ original sound - X There was an outpour of support for Steph and the stranger’s act of kindness online, with one fitness coach commenting on the video: “Just having someone say they are proud of you can move mountains for so many of us.” “To be seen as we are is such a human need in each of us,” someone else remarked. Another wrote, “Little happiness snowballs. We all gotta throw them sometime.” Many have taken to writing encouraging comments on Steph’s personal account where she frequently posts about her ongoing fitness journey. Including comedian Paul Kim, who commented on a recent video of Steph’s, saying: “Crush them with your consistency and progress. You got this!!! We believe in you.” The Independent has contacted Steph for comment. Read More Influencer sparks debate after admitting she asks to see man’s bank account info on first date Fitness influencer Larissa Borges dies aged 33 after double cardiac arrest Schoolboy almost dies from swallowing magnets for TikTok challenge Woman shares honest review of New York City apartment TikTok mom slammed after making 5-year-old son run in 104 degree heat

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