Impossible Choices

How the overturning of Roe has imperiled high-risk pregnancies—and how to ensure safe patient healthcare in the future. From a leading doctor on the front lines after the Dobbs decision.Doctors and patients confronting high-risk pregnancies have always faced profound and life-altering decisions. But after the 2022 Dobbs decision overturning Roe, many of these decisions seem impossible. As a firsthand witness to this convulsion, David Hackney, a leading physician in maternal fetal medicine, offers knowledgeable, thoughtful guidance to patients and practitioners contending with high-risk pregnan cies in our new reality.Impossible Choices focuses on the practical implications of high-risk complications for people who are pregnant or considering pregnancy—including conditions such as pre-eclampsia, premature membrane rupture, or birth defects—especially in states now under abortion bans. And because maternal fetal medicine overlaps with other medical fields as pregnant patients struggle...