Miscarrying Texas Mother Becomes Latest Woman to Die As Doctors Risk 99-Year Prison Sentence for Administering Life-Saving Drug

A Texas mother became the third woman to die as a result of the state's abortion ban when legislation prevented a doctor from administering life-saving care.

In June of 2023, 35-year-old Porsha Ngumezi suffered a miscarriage at just 11 weeks pregnant, causing her to lose an immense amount of blood. Ngumezi, who already had young children, had been "passing large clots the size of grapefruit," according to nurse's notes obtained by ProPublica.

"You need a D&C," Hope Ngumezi, Porsha's husband, was told by his mother who was a former physician. A dilation and curettage, also referred to as a D&C, is a common procedure by which a doctor removes the remaining tissue from a uterus in order to allow the uterus to close up and stop bleeding. The procedure addresses first-trimester miscarriages and abortions.

However, the obstetrician on duty, Dr. Andrew Ryan Davis, gave Porsha misoprostol, a drug intended to help her body pass the tissue independently instead of administering life-saving care due to hospital policy.

The drugs were not enough to stop the bleeding, and Porsha eventually passed away.

Porsha's death could have been easily prevented by a simple medical procedure that has become intertwined in state abortion laws because it is sometimes used to enact first-trimester abortions. Texas state law demands a prison sentence of up to 99 years for any doctor who violates legislation.

Porsha's death is the fifth preventable death caused by a lack of access to a D&C in the first trimester or a dilation and evacuation in the second. Three of these deaths occurred in Texas, according to ProPublica.

Instead of administering D&Cs, doctors are giving patients misoprostol instead as the drug is often used to induce labor and treat postpartum hemorrhage, making it less directly related to abortion. However, the drug is not recommended to treat unstable patients.

"Stigma and fear are there for D&Cs in a way that they are not for misoprostol," said Dr. Alison Goulding, an OB-GYN in Houston. "Doctors assume that a D&C is not standard in Texas anymore, even in cases where it should be recommended. People are afraid: They see D&C as abortion and abortion as illegal."

"All Houston Methodist hospitals follow all state laws," said a spokesperson for Houston Methodist, "including the abortion law in place in Texas."