Loveland Reporter-Herald

Woman who got court OK for abortion leaves state for procedure

- By Paul J. Weber and Jamie Stengle

AUSTIN, TEXAS>> A pregnant Texas woman who was seeking court permission for an abortion in an unpreceden­ted challenge to one of the most restrictiv­e bans in the U.S. could not wait any longer and went to another state, her attorneys said Monday.

The announceme­nt came as Kate Cox, whose fetus has a fatal condition, awaited a Texas Supreme Court ruling on whether she could legally receive an abortion. Her baby’s diagnosis has low survival rates and her attorneys said continuing the pregnancy jeopardize­d both her health and ability to have more children.

“Her health is on the line. She’s been in and out of the emergency room and she couldn’t wait any longer,” said Nancy Northup, president and CEO of the Center for Reproducti­ve Rights, which was representi­ng Cox.

On Monday, she would have been 20 weeks and six days pregnant.

Hours after the announceme­nt, the Texas Supreme Court issued its decision, ruling against Cox.

“These laws reflect the policy choice that the Legislatur­e has made, and the courts must respect that choice,” the court wrote Monday afternoon. On Friday night, the high court had paused a lower a judge’s order that gave Cox permission for an abortion.

Texas’ abortion ban makes narrow exceptions when the life of the mother is in danger but not for fetal anomalies. For the past week, Republican Attorney General Ken Paxton has argued that Cox, 31, had not shown that any of the complicati­ons in her pregnancy rose to the level of threatenin­g her life.

The mother of two, who lives in the Dallas area, was believed to be the first woman in the U.S. to ask a court for permission for an abortion since Roe vs. Wade was overturned last year. Her lawsuit quickly became a high-profile test of bans in Texas and a dozen other Gop-controlled states, where abortion is prohibited at nearly all stages of pregnancy.

In Texas, Paxton mounted an aggressive defense to try to prevent Cox from having an abortion. He sent three Houston hospitals letters warning of legal consequenc­es — both criminal and civil — if they allowed Cox’s physician to provide the procedure. He also argued that Cox had not demonstrat­ed that her life was at imminent risk, including noting that she was sent home after her multiple visits to emergency rooms.

Cox had cesarean surgeries during her first two pregnancie­s. Her lawsuit argued that inducing labor would carry a risk of a uterine rupture because of her prior C-sections, and that another one at full term would endanger her ability to carry another child. But Paxton contended those arguments still fell short.

“Rather, the only question is whether Ms. Cox’s condition meets the exception, regardless of how long the child is expected to live,” Paxton’s office told the court in a filing over the weekend.

Dr. Leilah Zahedi-spung, a maternal fetal medicine specialist in Colorado and a fellow with Physicians for Reproducti­ve Health, said when lethal fetal anomalies are diagnosed “there’s only risk to that pregnant person and no benefit unfortunat­ely for that innocent child.”

“You are putting your body through risks without any benefit because prolonging the pregnancy doesn’t change the survival rate,” Zahedi-spung said.

Doctors told Cox that her fetus has a condition known as trisomy 18, which has a very high likelihood of miscarriag­e or stillbirth, and low survival rates, according to her lawsuit filed last week in Austin. They also told Cox that inducing labor or carrying the baby to term could jeopardize her ability to have another child.

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