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.

在美国产科护理法律环境不断变化的情况下，许多州的法律禁止在怀孕的所有阶段终止妊娠，但豁免范围很窄，医疗保健提供者遇到了孕产妇安全风险增加的情况。本报告介绍了一名 28 岁初产妇的案例，她的胎儿是无脑儿，她在法律上无法在她的家乡要求终止妊娠。她前往另一个州寻求安全合法地堕胎无法存活的胎儿。由于未识别的宫角异位妊娠，分娩导致子宫破裂，需要进行子宫切除术，并且对未来生育有强烈愿望的患者会出现显着的发病率。