A resident of Idaho bled for 19 days after a miscarriage, but because of the abortion law, doctors were afraid to help her - ForumDaily
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Idaho woman bled for 19 days after miscarriage, but doctors were afraid to help her because of abortion law

An Idaho woman, 35-year-old Carmen Broesder, took to TikTok to share how she bled 19 days after her miscarriage. She was barely able to get medical attention due to the state's strict abortion laws, reports ABC.

Photo: IStock

A woman from Nampa - 32 km west of Boise - a mother of one was only six weeks pregnant when she miscarried on December 8. However, according to her, it took many days before she was given any medication to manage the pain, remove the fetal tissue and correct the consequences.

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In a series of TikTok videos — along with medical records, photos, and videos — she said that despite heavy bleeding and severe cramps, she was denied dilation and curettage, which removes tissue inside the uterus.

The dilation and curettage procedure, also called D&C, is a surgical procedure in which the cervix (the lower, narrow part of the uterus) is dilated so that the lining of the uterus (endometrium) can be scraped off with an instrument to remove abnormal tissue.

Because the procedure can also be used in assisted abortion, she said she believes it is directly related to Idaho's ban on abortion.

“Why did I have to almost die to get help? Broesder said. - I'm ready to become a mother. I am a mother and I wanted to have another child. This is my story, and I almost died."

Consequences of the law

After the Supreme Court overturned Roe v. Wade last summer, in August 2022, Idaho enacted a strict near-total ban on abortion, except in cases of rape, incest, or the life of a pregnant woman in danger.

Broesder said she didn't want to have an abortion when she first went to the hospital. She said that she and her boyfriend were trying to have a second child after the birth of her 16-month-old daughter Lucy.

When trying to conceive, Broesder said she had other miscarriages, but she never experienced as much bleeding or as much pain as when she woke up on Thursday, December 8.

“It was the worst moment: I woke up and felt a severe pain in my stomach,” she said. “I couldn’t stand for too long, I went to the bathroom, and I was just bleeding.” It was a terrible loss of blood, and I immediately knew it wasn’t good.”

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After the bleeding failed to stop with either a 12-hour menstrual disc or a super plus tampon, Broesder went to a local hospital. Broesder told staff she thought she had a miscarriage and after they checked her in she said she waited for hours for someone to examine her.

She said staff eventually performed an ultrasound and confirmed that no heartbeat was being detected, but since she had an OB/GYN appointment on Monday, December 12, they advised her to come at the scheduled time.

During an OB/GYN visit, Broesder said the ultrasound technician also confirmed the absence of a heartbeat and told her to come back for a follow-up in two days.

"I will die before anyone can help me"

Broesder said she thought something was wrong with the miscarriage. She was still bleeding heavily and in pain, but she did not receive any medication from either the ER or the OB/GYN.

“I feel like no one is listening to me right now,” she said. - These people should help. I suffered a lot."

However, the pain and bleeding became so severe that the next day the woman went to the emergency room, where she said she again waited for hours for someone to help her. There, she made her first TikTok video of her miscarriage, which went viral.

“I had a miscarriage on the 8th,” she said in a video posted Dec. 13. - I went to the doctor. And this is my second visit to the emergency room, in case you're wondering why women's rights are so important. I'm just going to bleed out on this table."

She said she requested a curettage procedure twice, including from her own OB/GYN.

OB/GYNs said the “life-saving mother” exceptions to the abortion ban — which Broesder could have claimed in Idaho — are often vague, and the wording is vague about what qualifies as endangered mother’s life, what the risk of death, and how imminent death must be before the provider can act.

Medical professionals may also be concerned about providing miscarriage care as it may be misinterpreted as providing abortion care and they may face legal repercussions.

“This is the optimal scenario in which doctors can provide needed, evidence-based care,” said Dr. Beverly Gray, an obstetrician-gynecologist at Duke Health in Durham, North Carolina, who was not involved in Broesder's treatment. “I'm concerned about other systems that fear they might be attacked for caring for a patient like this.” I think these are real fears that people face."

At the second hospital, Broesder was told she had a miscarriage and was given tranexamic acid, a drug that stops bleeding and helps prevent excessive blood loss, and sent home.

The Hospital Network, responding on behalf of both hospitals Broesder visited, stated that "due to federal and state privacy laws, we are unable to confirm or deny that this patient has been seen in our facilities." The network said it "provides such medical care as is required under the Emergency Medical Care and Birthing Act" when a pregnant woman needs emergency medical care requiring an abortion.

At this time, Broesder said she thought she was going to die.

“I was in so much pain that I didn’t know how much more my body could take,” she said. “I went to the emergency room twice and they turned me away.” I went to obstetrics and they turned me down.”

"I don't deserve this kind of treatment"

By this time, her very first TikTok video had gone viral - the app shows it currently has over 620 views. Broesder made more videos to keep those following her story in the loop.

She said that many of her new followers advised her to go back to the emergency room, and on December 16, she decided to go to St. Luke's Medical Center in Boise, where she was given a room and examined by a nurse.

Broesder said she requested a cleansing procedure and was denied again.

Dr. Frank Johnson, chief medical officer for St. Luke's Health System for Boise, Elmore and McCall, who did not treat Broesder but spoke about the case, said, "Looking at this particular situation - in an additional procedure by the time she arrived here, to St. Luke's Hospital, there was no need."

“So I think in this particular case, the patient received medically appropriate care,” he added.

While the cleansing procedure is usually done to terminate a pregnancy in the later stages, Dr. Sadia Haider, an ob/gyn at Rush University Medical Center in Chicago, said it can be given if a patient has heavy early bleeding and a miscarriage.

“The procedure can be done at any point in pregnancy, including early pregnancy and in the event of a miscarriage if someone is bleeding heavily,” she said. “What I will say, as a clinician, miscarriage is a very common occurrence during pregnancy, and for patients who are clinically ‘less stable,’ as we call them when they are bleeding heavily, the best course of action is to do a cleanse.”

In an audio recording of Broesder talking to a doctor about why she couldn't get the procedure, he said there was "some concern" about getting it done after Idaho's new abortion law was passed.

“I felt like 20kg of bricks had been taken off my shoulders and replaced with 20kg of raging fire,” she said. “But I couldn’t do anything because this guy is helping me, so I’m not mad at him, and it’s not his fault.” I’m obviously angry at the law.”

@geekynerdbitch♬ original sound — Carmen Broesder

Johnson did say that at St. Luke's Hospital, doctors sometimes have to consult with a legal team to make sure they stay within the law, though it's not clear if this happened in Broesder's case.

Hyder, who was not involved in Broesder's treatment, said the fear of criminalization and failure to provide care, even in situations where abortion providers may deem necessary, could prevent doctors from acting.

“They could have acted earlier in the beginning, they could have acted more effectively to help, take more action to intervene if they could. By delaying this care, you are putting patients in a worse clinical situation and putting you at greater risk of a poor outcome,” she said.

Broesder said the doctor at St. Luke's did find that part of the embryo was stuck in her cervix, so she underwent a procedure to remove some of the remaining tissue and was prescribed misoprostol, which treats postpartum hemorrhage.

Broesder said she bled for a total of 19 days.

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She said that while she was encouraged by the comments and social media messages she received after her first video, she has no intention of trying to have another child. She said she was concerned about Idaho law, that if something like this happened, she could die due to medical workers' concerns about getting help.

“After that, even without the possibility or desire to have a child, for example, why would I want to go through that pain again? - Broesder said. “And why would I want my daughter to almost lose her mom again so she can have another child?” It seems selfish and wrong."

She added: "I didn't deserve to be treated like this, to beg to save my life for eight days."

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