Abstract：
In the changing legal environment of obstetric care in the USA, with laws in many states banning termination at all stages of pregnancy with narrow exemptions, healthcare providers are encountering cases in which risk to maternal safety is increased. This report presents a case of a 28-year-old primigravida with an anencephalic fetus who was legally unable to pursue termination in her home state. She traveled to another state in order to pursue safe and legal abortion of a non-viable fetus. Due to an unrecognized cornual ectopic gestation, the delivery resulted in uterine rupture, the need for hysterectomy, and significant morbidity in a patient with a strong desire for future fertility.
摘要：
在美国不断变化的产科护理法律环境中，许多州的法律禁止在怀孕的所有阶段终止妊娠，医疗保健提供者遇到了孕产妇安全风险增加的情况。本报告介绍了一例28岁的primigravida，患有无脑胎儿，在法律上无法在其家乡终止妊娠。她前往另一个州，以寻求无法存活的胎儿的安全合法堕胎。由于无法识别的异位妊娠，分娩导致子宫破裂,子宫切除术的需要,以及对未来生育有强烈愿望的患者的显著发病率。
