New abortion law drives out NC's scarce supply of OB-GYNs, primary care doctors

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Dr. Nicole Teal was working a night shift in September 2022, when a patient came into UNC Medical Center's labor and delivery unit with a particularly dangerous set of symptoms.

Her blood pressure had suddenly spiked. Her platelets were decreasing. Liver enzymes in her blood were rising. She had the hallmarks of severe preeclampsia, one of the leading causes of death forAfter four years of medical school, four years of training to become an OB-GYN and now, nearly three years of specialized maternal-fetal medicine training, Teal knew her patient's instincts were in line with medical recommendations.

When Teal's maternal-fetal medicine fellowship ended in June, she was offered what would have been a dream job: a faculty position in UNC's Department of Obstetrics & Gynecology. It's too soon to know how many doctors will choose to leave, or how many will avoid moving to the state in the first place.

If a pregnant woman arrived severely hemorrhaging, could he clear the fetus from her uterus to stop the bleeding? Or would he have to wait until she got sicker, lost more blood, before the situation fit lawmakers' definition of a"medical emergency." Rosenbaum doubts the abortion restrictions will cause a mass exodus of doctors—he knows state laws are just one factor in a complicated decision about where to live and practice.

Finnie did not have ambitions to become a full-time abortion provider—she wanted to be a primary care provider. But to her, becoming trained to perform abortions was just as important as learning to manage her patients' hypertension or diabetes.

 

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