EXCLUSIVE: A troubling new report from Louisiana shows how the state's abortion ban is forcing doctors to delay or withhold medical care in ways that make pregnancy more dangerous.
More from me for
@NPR
BREAKING: Over 200 Louisiana doctors have signed a letter urging Republican Senator
@tapressly
NOT to classify the abortion medications mifepristone and misoprostol as controlled substances in Louisiana. Here's the letter and
@lorenaoneil
scoop
🚨ABORTIONS ARE RESUMING IN LOUISIANA.
Just spoke to Kathaleen Pittman at Hope Medical Group for Women in Shreveport. They're restarting procedures beginning tomorrow, calling back patients who'd had their appointments canceled in the wake of the Supreme Court decision.
🚨BREAKING: Louisiana lawmakers are considering adding mifepristone and misoprostol — medications that induce an abortion — to the Controlled Substances Act.
I've never heard of a state attempting to do this before.
The US Supreme Court overturned Roe. Abortions are banned in Louisiana with very few exceptions.
Here's what I know:
- All 3 clinics in Louisiana have stopped providing abortions. The NOLA clinic is advising patients to go to Colorado or California.
It's been extremely difficult post-Dobbs to get doctors to go on-the-record with their concerns that Louisiana's ban is harming maternal health.
So for over 200 docs to tell
@TAPressly
that they're against making abortion medications controlled substances is striking.
BREAKING: Over 200 Louisiana doctors have signed a letter urging Republican Senator
@tapressly
NOT to classify the abortion medications mifepristone and misoprostol as controlled substances in Louisiana. Here's the letter and
@lorenaoneil
scoop
NEW: Louisiana's crisis pregnancy centers offer nearly no maternal health care, nearly no reproductive health care, and some provide health misinformation.
That's per my review of 33 crisis pregnancy websites and the services they advertise.
Another major deviation of care from before the ban:
Doctors are pushing off routine prenatal appointments until after 12 weeks (the first trimester) to avoid even the risk of taking care of a miscarriage because the treatment can be the same as an abortion.
Louisiana's new maternal mortality data is out and it is more of the same bad news.
Three striking findings:
1. Deaths overall among pregnant people are *UP*. Ratio jumped from 101.5 per 100,000 births in 2017-2019 to 143.3 per 100,000 births in 2020.
NEW from
@emily_woodruff_
Over 100 fewer people applied for OB-GYN residencies in Louisiana in the 2023-2024 cycle, a drop of nearly 18%.
Overall, residency applicants in all specialties decreased in Louisiana by 1,229, almost 15%
The committee kills a proposed ban on gender affirming healthcare for minors on a 5-4 vote. Chairman Mills, a Republican, joins Dems in killing the bill
#lalege
#lagov
BREAKING: HISTORIC WIN FOR GAY & LESBIAN WORKPLACE RIGHTS
Supreme Court rules 5-4 that discrimination based on sexual orientation is illegal under Title VII of the Civil Rights Act of 1964.
NEW: Lousiana Democrats are pushing abortion-rights ads in the hopes of galvanizing voters — including
@katie4louisiana
, who's running against House Republican Whip
@SteveScalise
In her ad, she shows video footage of her giving birth
🚨BREAKING: Louisiana Senate passes bill to make mifepristone and misoprostol Schedule IV controlled dangerous substances. Bill heads to the governor, who’s expected to sign
Happening now: the Louisiana Senate is debating the bill to make common pregnancy drugs mifepristone and misoprostol controlled dangerous substances in Louisiana (a story we broke two weeks ago)
Background here:
🚨INBOX: The Louisiana Society of Addiction Medicine updated its letter AGAINST making mifepristone and misoprostol controlled dangerous substances.
It warns the bill could increase "deaths in post-partum women... where maternal mortality rates are already notoriously high."
🚨NEW: The 2023
@LSU
survey finds a *majority* of people in Louisiana *support* abortion rights.
52% said abortion should be *legal* in all or most cases vs. 44% who said it should be *illegal* in all or most cases.
Ever wondered why, exactly, the ocean is salty?
Rainwater is slightly acidic, so it erodes rock, freeing minerals and salts, incl sodium and chloride ions, which are flushed into the sea by rivers.
The ocean is salty because it remembers the land.
📷
One of the key debates in the Louisiana bill to make mifepristone and misoprostol Schedule IV controlled dangerous substances is the actual purpose of scheduling drugs.
I talked with the head of the Louisiana Board of Pharmacy.
That's the state agency that oversees this law.
The report finds pregnant women have been given risky, unnecessary surgeries, denied swift treatment for miscarriages and ectopic pregnancies, and forced to wait until their life is at risk before getting an abortion
Here me on Up First
Overturning Roe would likely see almost all abortions banned in 26 states, including Louisiana and across the South. Here's the
@Guttmacher
map. Red = banned.
In my inbox,
@LARighttoLife
is criticizing media reports on this bill. Their first point? That a drug's addictive potential isn't a requirement to be scheduled.
That is incorrect, per the Louisiana Board of Pharmacy, which, again, oversees scheduled drugs in Louisiana.
This is long overdue BUT: I’d like to officially announce I’ve joined
@wwno
as a public and reproductive health reporter!
Very excited to be working with a talented team after 3+ years of full-time freelance...
I'm sorry but there's not a single person who doesn't need to listen to Everyone & Their Mom from
@waitwait
-- utter brilliance. Emma Choi is a true, pure blessing.
🚨NEW: The Louisiana Society of Addiction Medicine sent a letter to
@SpkrDeVillier
OPPOSING a
@TAPressly
bill that would make common pregnancy/gynecology medicines controlled dangerous substances, because they're also used to induce abortions.
Two abortion bills are being heard in the House Criminal Justice committee this morning, starting with Rep. Newell's bill. It ensures cancer patients can get abortions in order to receive treatment and miscarrying women or women with ectopic pregnancies can get swift treatment.
NEWS: Louisiana Legislature will NOT be passing any legislation to protect access to IVF services.
@RepPaulaDavis
said she is shelving her bill. Lawmakers insistence that embryos be referred to as "human beings" would cause problems for IVF.
#lalege
"Neither mifepristone nor misoprostol have been shown to have any potential for abuse, dependence, public health risk, nor high rates of adverse side effects."
The bill "creates the false perception that these are dangerous drugs that require additional regulation."
Data shows that over the 17 months that Louisiana's near-total abortion ban has been in effect, over 4,000 people have been impregnated through rape.
In Texas it's over 26,000.
Jackson Women's Health in Mississippi is seeing its scheduled patients but not making any new appointments. The tigger law in MS bans most abortions 10 days after the US Supreme Court overturns Roe.
Statement from the state's leading abortion-rights lobbying and legal group
@LiftingLA
"By overturning Roe v. Wade, the court has denied a pregnant person’s right to bodily autonomy and to make critical health care decisions that impact their life and their future."
For
@NPR
today: the story if a Louisiana woman who sought care for her pregnancy, then miscarriage, from multiple providers, and who says she was told by two of them that Louisiana's abortion ban delayed or changed her care.
NEW: Excessive heat has killed more people in Louisiana than any other impact from Ida, and they were all seniors. How one woman "went through hell" and what new regulations are planned in New Orleans.
“We don’t even know what states to send them to,” Eisen said, talking to the other patient advocates. “California?”
Another look inside a clinic as the Roe decision came down. via
@CAKitchener
Full story is up on
@NPR
now about anti-abortion efforts in Louisiana to make two meds used in pregnancy/gynecological care controlled dangerous substances. One highlight 👇
BREAKING: Nearly all abortions are again banned in Louisiana. Clinics have stopped procedures as of this afternoon.
A New Orleans judge allowed a temporary restraining order to expire against the state's near-total abortion ban.
Our story:
I'd been wondering since Louisiana's ban took effect how many rape survivors would be denied abortions.
New research shows the number of people raped and impregnated in states with bans is shockingly high: over 64,000 since Dobbs.
Thrilled by this! Banned was a labor of love that pulled on years of my reporting on abortion in the South. Deeply grateful to everyone who helped make it!
"Mischaracterizing misoprostol, a drug routinely and safely used on labor units throughout the state, as a dangerous drug of abuse, creates confusion and misinformation and harms women seeking high quality maternal care"
Directly from the report:
"For all pregnancy-associated deaths, Black women were ***two and a half times*** more likely to die as White women in Louisiana."
(asterisks are mine)
"We write to you as physicians who are greatly concerned about the House Committee Amendment to SB 276 that would classify mifepristone and misoprostol as Schedule IV drugs..."
The most shocking finding to me: women are being forced to undergo C-sections instead of far less invasive abortion procedures or medication — even when their fetus will not survive.
One woman's water broke at 20 weeks and instead of an abortion/induction, she had a C-section.
"Setting this precedent is a threat to the safe and autonomous practice of medicine in Louisiana and will have a chilling effect on patients and providers."
This didn’t make it into the story, but a C-section at 20 weeks is *not* the same as one at full term. Doctors have to cut vertically, over far more area and a thicker part of the uterus. They basically have to “fillet” you open, two OB-GYNs told me.
In raw numbers the average was roughly 61 deaths a year from 2017-2019 (it's a combined report) vs 82 deaths in 2020.
There were 15 were pregnancy-related in 2020, meaning the pregnancy contributed to the death in some direct way.
*13* of those *15* were Black women.🚨
@LiftingLA
@LARighttoLife
Statement from Deon Haywood with
@WWAVinc
"Today the Supreme Court chose to strip more than half the country of an essential civil right. I’m heartbroken. I am angry. But by no means am I surprised."
"This is not scientifically based and produces a barrier to physicians’ ease of prescribing appropriate treatment for patients... Overall, this results in fear and confusion among patients, doctors, and pharmacists, which delays care and worsens outcomes."
@LiftingLA
@LARighttoLife
@WWAVinc
Statement from
@louisianarepro
"...let us make a few things clear: this is devastating and horrific, but it is NOT OVER. We will never stop fighting for what is ours: our right to make our own decisions about our bodies and plan our own families and futures."
Just want to shout out all the reporters who've been covering abortion, access, health, laws, activism, for years and decades, when it was viewed as a fringe beat, some of whom are now running themselves ragged. I've learned from you, benefited from your work, and I'm grateful.
A pregnant woman with severe heart failure and at a high risk of heart attack was denied an abortion — forced to try a series of medications and hope she didn’t get any worse.
“At what point can you act?” her OB-GYN said. “How many cardiac meds have to fail?”
Kathaleen Pittman, the clinic administrator at Hope in Shreveport says they're having to tell patients about the decision, and that they can't get abortions in Louisiana anymore.
🚨This is major news. Conservative Christian opposition to IVF derailed a Louisiana effort to protect IVF patients and providers. Many anti-abortion groups oppose the way IVF clinics practice, and I warned about this in EP 7 of Banned
BREAKING: The Southern Baptist Convention, the nation’s largest Protestant denomination, has voted at their annual meeting to oppose IVF. The move may signal the beginning of a broad turn on the right against IVF.
NEW: Louisiana is growing *more* supportive of abortion rights, and a majority now support legal abortion in all or most cases, per
@LSU
's annual survey.
This is especially true in cases of rape and when pregnancy is life-threatening.
The report found doctors are using extreme caution – and deviating from standard medical practice – to avoid even the appearance of providing an abortion.
They’re not just afraid of doing the wrong thing, they’re afraid of being investigated or targeted in any way.
After this kind of procedure, you’re advised you can’t deliver vaginally for any future pregnancies (the statistically safest way to give birth) and you face greater risks of your uterus rupturing.
UPDATE: I’m back!
Hot off the heels of a national Murrow award and three months with a new baby… Whatever is left of this site, I’m here for it.
I’ll be returning to
@WWNO
and
@WRKF
to edit our audio coverage and do more reporting on reproductive health and abortion.
Here's clinic owner Diane Dennis. She says: It has begun. Half of US states are about to end abortion access. We're not laying down. We're not giving up. She's opening a new clinic Las Cruces, New Mexico.
In the House Criminal Justice Committee today, a slew of bills aimed at changing Louisiana’s abortion ban, including to combat dangerous changes to maternal health per my
@NPR
report
Dr. Jennifer Avegno, director of the NOLA health department, is testifying about how physicians are afraid to act in miscarriage situations because of the way the current law is written.
Avegno says the bill would clarify that ectopic pregnancies (when the embryo implant outside the uterus) and molar pregnancies (where there's no development of an embryo, but instead a cluster of cells that mimics a pregnancy) are not viable, are dangerous, and can be treated.
Last year,
@NolaAbortionFnd
gave clients an average $308 for procedures and less for travel.
Now it's giving an average $723 for procedures and $1,620 to cover travel, food, flights, hotels and other costs
@PPGulfCoast
is giving patients an average $500 towards logistics
Major news this morning. The FDA approves OTC birth control.
Could be particularly huge for people who can't easily get to a doc/pay for a doc/live in rural areas/etc
Nancy Davis is a 36-year-old mother of two denied an abortion in Louisiana, despite carrying a fetus with no brain or skull. Now, she's fundraising to travel to North Carolina for an abortion.
🚨We are losing
@mollyryan25
(😭) but that means we're HIRING a state politics reporter! Come lead our political coverage (and pitch
@NPR
) from Baton Rouge! Details below. First review is soon so get your application in.
Salary: $50,000 - $60,000
The number one reason a drug ends up on the list, per the law:
"(1) Its actual or relative potential for abuse."
Per the Louisiana Board of Pharmacy, "abuse" means "addiction"
RTDNA announces the next set of 2023 Regional Edward R. Murrow Award winners! Congratulations to our winners from Region 9 (Louisiana, Alabama, Arkansas and Mississippi)!
#MurrowMay
#Murrows
He told me the goal is to prevent "diversion" of controlled substances and to "prevent patients from getting controlled substances from multiple providers at the same time." Think opioids.
Avegno says the law limits the treatment options for ectopic pregnancies, and this bill would ensure that any treatment a physician deems necessary could be used.
A prominent aide to Gov. Jeff Landry quit abruptly and accused another Landry deputy of asking him to lie. Landry’s spokesperson then says “Reporting on the interactions between two staffers is news for TMZ” and accuses the paper of “tabloid”journalism
NEW: Years ago, researchers warned the fed govt that some doctors may be overusing certain medical procedures so egregiously, they may be a "threat to public safety."
We looked into it, and found doctors making millions as patients risked life and limb:
Hello world! I'm back with
@WWNO
and
@WRKF
after making sure this little human gets off to a half-decent start. Send all your public health tips/ideas/questions/frustrations/concerns to rosemary
@wwno
.org. Talk soon!
No news outlet is a greater authority on abortion rights and the range of reproductive rights/health than
@RewireNewsGroup
When I first started digging into this beat, it had one of the few online catalogues of abortions laws.
FINALLY joining this and 1149 words down. The best part of this is the permission. I wish we knew why we needed it, but grateful to have it.
#1000wordsofsummer
is a middle finger to the part of you that stands in your own way
🚨NEW For
@NPR
@MorningEdition
— an update on efforts to categorize drugs routinely used in pregnancy care as Schedule IV controlled dangerous substances in Louisiana — because the meds can also be used to induce abortions.
And accidental overdoses were astonishingly high. Look at this chart. (It's for all deaths, no just pregnancy-related.)
And note homicide is the
#2
cause of death for pregnant women in Louisiana in 2020
Hello 👋 If you follow
@WWNO
(which you should) you know I bombarded folks with news of the delta variant — and then NOLA city officials put it far more bluntly today:
We're seeing this in the number of patients transferred for care, she said. She also describes women who aren't able to get medication from pharmacies when they're miscarrying .
The fallout from overturning Roe is just beginning.
But if you need grounding right now and an answer to how we got here, listen to Banned. All 7 episodes are out. A bonus EP is coming.
tl;dr: Roe is just a first step for anti-abortion activists.
🧵In post-Roe Louisiana, if you’re carrying a fetus that is so sick it won’t survive, you might be able to get an abortion.
Or you might not.
My reporting shows: It depends on what hospital you go to.
🚨Alert! I'll be on leave until December.
But before I sign off for awhile: I'm thrilled and honored to receive a national Murrow award for my ongoing coverage of reproductive rights, health and abortion. 🎉
Launch day! EPs 1-3 of Banned are out today! The podcast that tells the story behind the Mississippi law set to overturn Roe v. Wade.
The
#SCOTUS
decision is expected in just a few weeks. How did we get here? Listen to
#Bannedpodcast
and find out.