This woman died because of the ban on abortion. Americans fear they may be next.

After the Supreme Court’s historic The decision to reverse Roe vs. WadeSome doctors are highlighting the 2012 death of a pregnant woman in Ireland and are warning that the same could happen at large in the United States.

Dr. Savita Halappanavar, a 31-year-old Indian-origin dentist, died in Galway on Ireland’s west coast in 2012 after an abortion was refused by doctors who cited the country’s strict laws, while There was no chance of her having a child. existence according to ireland official report on the case.

Her death shook the foundation of a traditionally conservative and predominantly Roman Catholic country, and catalyzed its abortion rights movement. 2018. In In the referendum, the Irish people voted by a two-thirds majority to legalize the process.

The avoidable death of Halappanavar, who was 17 weeks pregnant, proved that doctors – not politicians, police and judges – should help decide the best course of action in similar cases, as did expert Dr. Sabaratnam Arulakumaran. officially wrote in 2013. report on the matter.

“That’s why Biden said the issue should be between the patient and the doctor, rather than the law,” he told NBC News over the phone, referring to President Joe Biden. speech react to Roe vs. Wade’s Reversal June 24.

In Halappanavar’s case, doctors opted for abortion because the fetal heart rate was low and anyone who performed the abortion could theoretically be prosecuted at a later date.

“Since the fetal heart rate was present at all times, the obstetrician did not perform the abortion. If someone decided she had done it illegally, she would have gone to jail,” he said, referring to the attending doctor at Halappanavar. Told.

Arulkumaran, Professor Emeritus of Obstetrics and Gynecology at St George’s University of London, said the lives of mothers in the United States are at stake.

“I think the maternal mortality rate will go up,” he said. “I think the people who are going to be affected are from lower socioeconomic groups, teenagers, who don’t have access to termination.”

Back pain first referred Halappanavar to Galway University Hospital on October 21, 2012. She was sent home, but returned a few hours later when she “feeled something coming down” and said she had “pushed a leg back in.” According to the official report, a midwife confirmed that no fetal parts could be seen. Later that day, she described the pain as “unbearable.” According to the official report.

She was admitted and on 23 October, a doctor told her that the miscarriage was “inevitable” because of the rupture of the membranes protecting the fetus in the womb, despite the fact that her baby was of a normal size and had a heartbeat. was registering. , The medical team “decided to do fetal heart monitoring if quick delivery might be possible after the fetal heart has stopped,” official report he said. In the case of Halappanavar, an accelerated delivery would mean a medically induced abortion.

When, on 23 October, Halappanavar and her husband, Praveen, asked about medically inducing abortion rather than delaying the inevitable, a doctor told them: “Under Irish law, if for the life of the mother There is no evidence of risk, so our hands are tied as long as the fetal heart is[beat]”The official report said.

The report said that once their waters break, pregnant women are at a much higher risk of infection, which can be fatal in some cases.

On 28 October at 1:09 am, Halappanavar was declared brought dead after contracting the infection and going into septic shock.

“It was a life-threatening situation but he contemplated not doing anything because of the legal framework,” Arulkumaran said in the interview.

Praveen Halappanavar, who did not respond to a request for comment, told The Guardian newspaper in 2013 that the investigation into his wife’s death “verified” his version of events. She told interrogation that a doctor told her that abortion could not be done because “this is a Catholic country.

After the release of the report, University Hospital Galway apologized to Halappanavar’s family in a statement, saying it was “clear” that there were “failures in the standards of care provided.”

“We can assure all concerned that we have already implemented the changes to avoid recurrence of such incident,” it added.

mother’s life in danger

While some US states have enacted “trigger law“Abortion bans – some offer exceptions such as in the case of rape or incest, and all currently allow abortion if the mother’s life is seriously at risk – many expert questions How easy would it be to get such an exception. In addition, asking doctors to explain complex legislation in the middle of a medical emergency could lead to dangerous decisions, he said.

Irish law in 2012 allowed abortion to prevent “possible great danger or danger to the life of the mother”. But the Halappanavar report states that a doctor decided the point at which an abortion was “acceptable in Irish law” was not.

This is not a theoretical scenario in the US, says Dr. An OB-GYN based in California and author of “The Vagina Bible.” Jane Gunter said.

“I’ve personally been in a situation where because of state law, abortion was illegal in our medical center and we had a patient who needed one,” she said in an interview, refusing any further details of the case. Refusing to set aside the fact that it was in Kansas, Where abortion is legal up to 22 weeks with some restrictions.

“It wasn’t a pregnancy complication, her organs were failing due to the added burden of pregnancy because of her underlying condition,” she said.

Lawyers for the medical center in Kansas told Gunter that she could not perform an abortion unless the woman was in “imminent danger.”

“I was like, ‘What does that mean?’ And his explanation was that she was going to die in the next three minutes.” Gunter said lawyers at the hospital took a call with the state politician involved in the law, who told him, “Do what you like best, doctor.”

“So I thought, ‘Then why do we have this law? he said.

An ectopic pregnancy – in which a fertilized egg implants and grows outside the uterus, often in a fallopian tube, and can put the mother’s life at risk – could lead to additional confusion and untenable delays in treatment under the new laws. Yes, she said.

See more from NBC News: More Confusion Over State Abortion Laws Spreading After Roe v. Wade Reversal

Gunter left no stone unturned in his predictions about what stricter abortion laws could mean in America

Women can die despite better antibiotics to treat septic abortions, he said.

“Halappanavar? It will never change things in the States when it is here, and it will.”

Irish Labor Party leader and long-time abortion rights advocate Ivana Besik led a protest against the Supreme Court ruling outside the US embassy in Dublin “in solidarity for American women and girls” on Monday.

“Our experience here is that abortion restrictions and criminalization put women’s lives at risk. It is very clear that this is now a frightening reality for American women,” she said.

“If you take away the right to abortion from women and girls, you put life at risk. The reality is that pregnancy will result in life-threatening conditions that will endanger life and health.”

BASIC said Halappanavar’s story was instrumental in turning public opinion to a “yes” vote in 2018. As happened in one case. brain dead woman In Ireland whose life support machine was shut down after just over three weeks after she was declared medically dead after a protracted legal battle in 2014 as she was 18 weeks pregnant.

In their dedication to Ireland’s ongoing government review of abortion laws, a group of 20 women’s rights and health care charities commission voting 67% of people across the island supported free access to abortion in March – mirroring support for a “yes” vote in 2018.

Still, opponents of abortion rights in Ireland continue to fight. On Saturday, a Right to Life rally will take place in Dublin, where organizers are calling on sympathizers to “be a voice for the 6,500 children killed by abortion every year”.

Carol Nolan, an independent MP representing the constituency of Laos-Offli in the Irish Midlands, opposed the change to the law in 2018, arguing that Halappanavar’s death was “deliberately and persistently” misrepresented by women’s rights campaigners Is.

“The factors that contributed immensely to Savita’s death were medical negligence and the mismanagement of maternal sepsis,” she said via email, adding that she believed laws pre-2018 – as of the Eighth Amendment It is known that there was no obstacle in achieving Halappanavar. Proportional and effective care.

“After the removal of the constitutional amendment, we have seen an explosion in abortion numbers and the application of relentless political and non-governmental pressure to further broaden the law’s parameters after 2018,” Nolan said.

See more from NBC: cry v. How reversing Wade affects access to drug abortion

Ireland had 32 abortions in 2018 and more than 6,000 abortions each in the next two years, according to the latest data available from the country’s government.

“It was completely predictable,” Nolan said. “However, this has only served to substantiate my own view that the Eighth Amendment serves as a beacon of proportionality and sound legislation based on an authentic vision of human rights.”

The debate has involved advocates of abortion rights at the sometimes fatal intersection of law and medicine.

What case did Dublin MP Besik refer to? Andrea Prudentean american woman who was Abortion denied after heavy bleeding in Malta on June 12, He was taken by plane to Spain, where he received treatment And the embryo was removed.

There have been many cases of women dying after refusing abortions. emerged from poland, which has an almost complete abortion ban. Last year, a 30-year-old woman known only as Isabella, who was 22 weeks pregnant, died of septic shock, his family said, Reuters reported that the scans showed several problems with the fetus, but doctors refused to rule it out if the fetus had a heartbeat.

After the death of the fetus, doctors could legally operate. But on the way to the operation theater for a caesarean section, Isabella’s heart stopped.

Later Mass protests in PolandFlags with the slogan: “His heart was beating too.