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““This is basic obstetrics,” said Dr. Alison Goulding, a maternal-fetal-medicine specialist in Texas. “Everyone should know that you have to provide an abortion in these settings or women can die.” For 40 hours, Barnica waited in the hospital for the heartbeat to stop, with her cervix exposed to bacteria. She died three days after she delivered, ProPublica reported in October 2024; the cause was a deadly infection. The hospital declined to comment on Barnica’s case but said “our responsibility is to be in compliance with applicable state and federal laws and regulations” and physicians exercise their independent judgment.”