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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.