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Dobbs NYT Toned

47 images Created 21 Aug 2022

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  • Catrina Rainey and James Packwood and their 9-year-old son at home, in August, one month before her due date. In May, Catrina learned that one of the twins she was carrying had a severe birth defect of the brain that meant it was unlikely to live past six months outside the womb and could, until birth, threaten the viability of the other fetus. A reduction — the termination of an unhealthy fetus to protect a healthy sibling — took place in May. It was one of the last such procedures performed in Ohio, after the state made them illegal, following the Dobbs decision.<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_001.TIF
  • Catrina Rainey and James Packwood and their 9-year-old son at home, in August, one month before her due date. In May, Catrina learned that one of the twins she was carrying had a severe birth defect of the brain that meant it was unlikely to live past six months outside the womb and could, until birth, threaten the viability of the other fetus. A reduction — the termination of an unhealthy fetus to protect a healthy sibling — took place in May. It was one of the last such procedures performed in Ohio, after the state made them illegal, following the Dobbs decision.<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_003.TIF
  • Catrina Rainey and James Packwood and their 9-year-old son at home, in August, one month before her due date. In May, Catrina learned that one of the twins she was carrying had a severe birth defect of the brain that meant it was unlikely to live past six months outside the womb and could, until birth, threaten the viability of the other fetus. A reduction — the termination of an unhealthy fetus to protect a healthy sibling — took place in May. It was one of the last such procedures performed in Ohio, after the state made them illegal, following the Dobbs decision.<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_002.TIF
  • Catrina Rainey and James Packwood and their 9-year-old son at home, in August, one month before her due date. In May, Catrina learned that one of the twins she was carrying had a severe birth defect of the brain that meant it was unlikely to live past six months outside the womb and could, until birth, threaten the viability of the other fetus. A reduction — the termination of an unhealthy fetus to protect a healthy sibling — took place in May. It was one of the last such procedures performed in Ohio, after the state made them illegal, following the Dobbs decision.<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_004.TIF
  • A patient undergoes an amniocentesis to check earlier indications from a blood test and ultrasound exam that her fetus had Down syndrome. The patient, worried about both the financial strain of caring for a child with special needs and the impact on her daughter, who is almost 2, had already decided she would terminate the pregnancy if the diagnosis of Down syndrome was confirmed, though she would have to travel outside Ohio to do so.<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_005.TIF
  • A patient undergoes an amniocentesis to check earlier indications from a blood test and ultrasound exam that her fetus had Down syndrome. The patient, worried about both the financial strain of caring for a child with special needs and the impact on her daughter, who is almost 2, had already decided she would terminate the pregnancy if the diagnosis of Down syndrome was confirmed, though she would have to travel outside Ohio to do so<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_006.TIF
  • A patient undergoes an amniocentesis to check earlier indications from a blood test and ultrasound exam that her fetus had Down syndrome. The patient, worried about both the financial strain of caring for a child with special needs and the impact on her daughter, who is almost 2, had already decided she would terminate the pregnancy if the diagnosis of Down syndrome was confirmed, though she would have to travel outside Ohio to do so.<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_007.TIF
  • A patient undergoes an amniocentesis to check earlier indications from a blood test and ultrasound exam that her fetus had Down syndrome. The patient, worried about both the financial strain of caring for a child with special needs and the impact on her daughter, who is almost 2, had already decided she would terminate the pregnancy if the diagnosis of Down syndrome was confirmed, though she would have to travel outside Ohio to do so.<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_008.TIF
  • A patient looks at pictures of the fetus after undergoing an amniocentesis to check earlier indications from a blood test and ultrasound exam that it had Down syndrome. The patient, worried about both the financial strain of caring for a child with special needs and the impact on her daughter, who is almost 2, had already decided she would terminate the pregnancy if the diagnosis of Down syndrome was confirmed, though she would have to travel outside Ohio to do so.<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_009.TIF
  • A patient looks at pictures of the fetus after undergoing an amniocentesis to check earlier indications from a blood test and ultrasound exam that it had Down syndrome. The patient, worried about both the financial strain of caring for a child with special needs and the impact on her daughter, who is almost 2, had already decided she would terminate the pregnancy if the diagnosis of Down syndrome was confirmed, though she would have to travel outside Ohio to do so.<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_010.TIF
  • At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_012.TIF
  • Dr. Maeve Hopkins, an OB/GYN who specializes in high-risk pregnancy at the Cleveland Clinic, grew up outside Cleveland and returned to the city after working in Pennsylvania and North Carolina. She now questions her move home. “I don’t know an OB/GYN in Ohio who isn’t thinking about leaving,” she says. Here, she meets with a patient after an amniocentesis to check earlier indications from a blood test and ultrasound exam that it had Down syndrome. <br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_011.TIF
  • At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_013.TIF
  • Megan Keeton, 31, before her cesarean-section delivery. Complications from two earlier pregnancies — one resulting in a stillbirth, the other in the birth of her daughter, Aryia, now 7, who has spastic quadriplegia cerebral palsy — led doctors to tell Keeton she should not become pregnant again because of the risks to her health. (She had a stroke soon after her daughter’s birth.) But just before she was going to make an appointment to get her tubes tied late last year, she found out she was pregnant for a third time. “I was asked if I wanted to have an abortion, and I said no,” Keeton says.<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_015.TIF
  • Megan Keeton, 31, before her cesarean-section delivery. Complications from two earlier pregnancies — one resulting in a stillbirth, the other in the birth of her daughter, Aryia, now 7, who has spastic quadriplegia cerebral palsy — led doctors to tell Keeton she should not become pregnant again because of the risks to her health. (She had a stroke soon after her daughter’s birth.) But just before she was going to make an appointment to get her tubes tied late last year, she found out she was pregnant for a third time. “I was asked if I wanted to have an abortion, and I said no,” Keeton says.<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_014.TIF
  • Megan Keeton, 31, walks to her cesarean-section delivery. Complications from two earlier pregnancies — one resulting in a stillbirth, the other in the birth of her daughter, Aryia, now 7, who has spastic quadriplegia cerebral palsy — led doctors to tell Keeton she should not become pregnant again because of the risks to her health. (She had a stroke soon after her daughter’s birth.) But just before she was going to make an appointment to get her tubes tied late last year, she found out she was pregnant for a third time. “I was asked if I wanted to have an abortion, and I said no,” Keeton says.<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_016.TIF
  • Megan Keeton, 31, walks to her cesarean-section delivery. Complications from two earlier pregnancies — one resulting in a stillbirth, the other in the birth of her daughter, Aryia, now 7, who has spastic quadriplegia cerebral palsy — led doctors to tell Keeton she should not become pregnant again because of the risks to her health. (She had a stroke soon after her daughter’s birth.) But just before she was going to make an appointment to get her tubes tied late last year, she found out she was pregnant for a third time. “I was asked if I wanted to have an abortion, and I said no,” Keeton says.<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_017.TIF
  • Megan Keeton, 31, is prepared for cesarean-section delivery. Complications from two earlier pregnancies — one resulting in a stillbirth, the other in the birth of her daughter, Aryia, now 7, who has spastic quadriplegia cerebral palsy — led doctors to tell Keeton she should not become pregnant again because of the risks to her health. (She had a stroke soon after her daughter’s birth.) But just before she was going to make an appointment to get her tubes tied late last year, she found out she was pregnant for a third time. “I was asked if I wanted to have an abortion, and I said no,” Keeton says.<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_018.TIF
  • Megan Keeton, 31, immediately after a cesarean-section delivery. Complications from two earlier pregnancies — one resulting in a stillbirth, the other in the birth of her daughter, Aryia, now 7, who has spastic quadriplegia cerebral palsy — led doctors to tell Keeton she should not become pregnant again because of the risks to her health. (She had a stroke soon after her daughter’s birth.) But just before she was going to make an appointment to get her tubes tied late last year, she found out she was pregnant for a third time. “I was asked if I wanted to have an abortion, and I said no,” Keeton says.<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_019.TIF
  • Megan Keeton, 31, immediately after a cesarean-section delivery. Complications from two earlier pregnancies — one resulting in a stillbirth, the other in the birth of her daughter, Aryia, now 7, who has spastic quadriplegia cerebral palsy — led doctors to tell Keeton she should not become pregnant again because of the risks to her health. (She had a stroke soon after her daughter’s birth.) But just before she was going to make an appointment to get her tubes tied late last year, she found out she was pregnant for a third time. “I was asked if I wanted to have an abortion, and I said no,” Keeton says.<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_020.TIF
  • Megan Keeton, 31, immediately after a cesarean-section delivery. Complications from two earlier pregnancies — one resulting in a stillbirth, the other in the birth of her daughter, Aryia, now 7, who has spastic quadriplegia cerebral palsy — led doctors to tell Keeton she should not become pregnant again because of the risks to her health. (She had a stroke soon after her daughter’s birth.) But just before she was going to make an appointment to get her tubes tied late last year, she found out she was pregnant for a third time. “I was asked if I wanted to have an abortion, and I said no,” Keeton says.<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_021.TIF
  • Megan Keeton, 31, immediately after a cesarean-section delivery. Complications from two earlier pregnancies — one resulting in a stillbirth, the other in the birth of her daughter, Aryia, now 7, who has spastic quadriplegia cerebral palsy — led doctors to tell Keeton she should not become pregnant again because of the risks to her health. (She had a stroke soon after her daughter’s birth.) But just before she was going to make an appointment to get her tubes tied late last year, she found out she was pregnant for a third time. “I was asked if I wanted to have an abortion, and I said no,” Keeton says.<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_022.TIF
  • Megan Keeton, 31, immediately after a cesarean-section delivery. Complications from two earlier pregnancies — one resulting in a stillbirth, the other in the birth of her daughter, Aryia, now 7, who has spastic quadriplegia cerebral palsy — led doctors to tell Keeton she should not become pregnant again because of the risks to her health. (She had a stroke soon after her daughter’s birth.) But just before she was going to make an appointment to get her tubes tied late last year, she found out she was pregnant for a third time. “I was asked if I wanted to have an abortion, and I said no,” Keeton says.<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_023.TIF
  • Megan Keeton, 31, immediately after a cesarean-section delivery. Complications from two earlier pregnancies — one resulting in a stillbirth, the other in the birth of her daughter, Aryia, now 7, who has spastic quadriplegia cerebral palsy — led doctors to tell Keeton she should not become pregnant again because of the risks to her health. (She had a stroke soon after her daughter’s birth.) But just before she was going to make an appointment to get her tubes tied late last year, she found out she was pregnant for a third time. “I was asked if I wanted to have an abortion, and I said no,” Keeton says.<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_024.TIF
  • Megan Keeton, 31, immediately after a cesarean-section delivery. Complications from two earlier pregnancies — one resulting in a stillbirth, the other in the birth of her daughter, Aryia, now 7, who has spastic quadriplegia cerebral palsy — led doctors to tell Keeton she should not become pregnant again because of the risks to her health. (She had a stroke soon after her daughter’s birth.) But just before she was going to make an appointment to get her tubes tied late last year, she found out she was pregnant for a third time. “I was asked if I wanted to have an abortion, and I said no,” Keeton says.<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_025.TIF
  • Megan Keeton, 31, after a cesarean-section delivery. Complications from two earlier pregnancies — one resulting in a stillbirth, the other in the birth of her daughter, Aryia, now 7, who has spastic quadriplegia cerebral palsy — led doctors to tell Keeton she should not become pregnant again because of the risks to her health. (She had a stroke soon after her daughter’s birth.) But just before she was going to make an appointment to get her tubes tied late last year, she found out she was pregnant for a third time. “I was asked if I wanted to have an abortion, and I said no,” Keeton says.<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_026.TIF
  • At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_028.TIF
  • At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_029.TIF
  • At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_027.TIF
  • At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_031.TIF
  • At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_032.TIF
  • At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_030.TIF
  • At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_034.TIF
  • At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_033.TIF
  • At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_035.TIF
  • At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_036.TIF
  • At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_037.TIF
  • Sarah Stacy at home in a nursery she had prepared for a pregnancy that ended in abortion. A scan during her 12th week revealed that her fetus had cystic fluid around the head and neck and birth defects of the heart and brain. If she carried the fetus to term, she was told, it would survive anywhere from only a few hours to a few days. It is illegal in Ohio to terminate a pregnancy because of birth defects, so Stacy had to travel by herself outside the state for the procedure. “I found out it was a girl too,” Stacy says. “And I have two boys at home. So, it’s like, this was my girl. She was planned.”<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_039.TIF
  • Sarah Stacy at home in a nursery she had prepared for a pregnancy that ended in abortion. A scan during her 12th week revealed that her fetus had cystic fluid around the head and neck and birth defects of the heart and brain. If she carried the fetus to term, she was told, it would survive anywhere from only a few hours to a few days. It is illegal in Ohio to terminate a pregnancy because of birth defects, so Stacy had to travel by herself outside the state for the procedure. “I found out it was a girl too,” Stacy says. “And I have two boys at home. So, it’s like, this was my girl. She was planned.”<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_038.TIF
  • Sarah Stacy at home in a nursery she had prepared for a pregnancy that ended in abortion. A scan during her 12th week revealed that her fetus had cystic fluid around the head and neck and birth defects of the heart and brain. If she carried the fetus to term, she was told, it would survive anywhere from only a few hours to a few days. It is illegal in Ohio to terminate a pregnancy because of birth defects, so Stacy had to travel by herself outside the state for the procedure. “I found out it was a girl too,” Stacy says. “And I have two boys at home. So, it’s like, this was my girl. She was planned.”<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_040.TIF
  • Dr. Maeve Hopkins, an OB/GYN who specializes in high-risk pregnancy at the Cleveland Clinic, grew up outside Cleveland and returned to the city after working in Pennsylvania and North Carolina. She now questions her move home. “I don’t know an OB/GYN in Ohio who isn’t thinking about leaving,” she says. <br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_042.TIF
  • Dr. Maeve Hopkins, an OB/GYN who specializes in high-risk pregnancy at the Cleveland Clinic, grew up outside Cleveland and returned to the city after working in Pennsylvania and North Carolina. She now questions her move home. “I don’t know an OB/GYN in Ohio who isn’t thinking about leaving,” she says. <br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_041.TIF
  • At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_043.TIF
  • At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_044.TIF
  • At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_045.TIF
  • Mary Lynch, 36, with her children, after a checkup with Dr. Stacey Ehrenberg. Lynch’s previous pregnancy resulted in a baby with a fatal genetic anomaly. “After two days, we couldn’t let him suffer anymore, so we moved him into comfort care, where they gave him lots of morphine and I held him for hours,” Lynch says. After learning that there was a 25 percent chance the same condition would appear in future pregnancies, she and her husband opted for in vitro fertilization so that the embryos could undergo genetic testing. But Lynch worries that if the “personhood bill” passes in Ohio, it could have an impact on I.V.F., which often requires discarding fertilized embryos; if that happens, Lynch plans to go to Illinois for any future I.V.F. treatments.<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_047.TIF
  • Mary Lynch, 36, with her children, at a checkup with Dr. Stacey Ehrenberg. Lynch’s previous pregnancy resulted in a baby with a fatal genetic anomaly. “After two days, we couldn’t let him suffer anymore, so we moved him into comfort care, where they gave him lots of morphine and I held him for hours,” Lynch says. After learning that there was a 25 percent chance the same condition would appear in future pregnancies, she and her husband opted for in vitro fertilization so that the embryos could undergo genetic testing. But Lynch worries that if the “personhood bill” passes in Ohio, it could have an impact on I.V.F., which often requires discarding fertilized embryos; if that happens, Lynch plans to go to Illinois for any future I.V.F. treatments.<br />
<br />
At a time when maternal mortality is declining worldwide, the U.S. ranks last overall among industrialized countries. The Cleveland Clinic's maternal-fetal medicine program supports women with an underlying medical condition, problems with poor pregnancy outcomes, or a suspected or known problem with the baby (fetus). Their high-risk pregnancy-related services include preconception planning, pregnancy management (primary or consultative) and delivery.  The U.S. Supreme Court’s decision in the Dobbs v. Jackson Women’s Health Organization made treating women more difficult when it overturned nearly a half century of precedent protecting patients’ right to critical reproductive health care.
    220821_Sinclair_Dobbs_046.TIF