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High-risk pregnancy doctors publish new standards for care under state abortion bans

The guidance urges referral networks, legal coordination and counseling for high-risk patients as 13 states enforce abortion bans, specialists said.

  • The Society for Maternal-Fetal Medicine published a special statement this month offering new guidelines to help physicians in states with abortion bans navigate legal risks while delivering care for high-risk pregnancies.
  • Following the 2022 Supreme Court Dobbs decision, 13 states enacted total abortion bans, creating widespread confusion among hospital systems regarding legal jeopardy and permissible medical exceptions.
  • Research cited in the statement indicates that delaying care increases negative outcomes; complications such as intensive care admission occurred in 57% of cases under restrictions, compared to 33% in states without.
  • The guidelines encourage providers to establish referral networks across state lines and reach local agreements on legal interpretations, according to maternal-fetal medicine specialist Dr. Leilah Zahedi-Spung.
  • Some doctors affiliate with the American Association of Pro-Life Obstetricians and Gynecologists, which offers alternative protocols regarding complications that still include termination in certain situations.
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High-risk pregnancy doctors publish new standards for care under state abortion bans

As physicians continue to navigate care for patients with complex pregnancies in states with abortion bans, a group of maternal-fetal medicine specialists has developed new guidelines to help providers in those states navigate legal risks for themselves and medical challenges for their high-risk patients.

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Stateline broke the news in Chapel Hill, United States on Friday, September 25, 2026.
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