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A Statement on Abortion by 170 Obstetricians/Gynecologists after the  Reversal of Roe v Wade

August 2, 2024
Volume: 39
Issue: 2
Article: 1

Table of Contents

Abstract

In a recent American Journal of Obstetrics and Gynecology, 900 professors submitted a Special Report calling for reinstating federal protection for abortion. Here, we provide an alternative consensus statement. Induced abortion is not a constitutional right. We, too, value patient autonomy, but autonomy does not allow for causing harm to another human being, in this case, the human fetus. We share concern about maternal mortality in the United States, but evidence shows that induced abortion increases, not decreases, maternal mortality. We share the authors’ concern for the effect of induced abortion on minority populations and mourn the fact that the abortion rate in non-Hispanic black patients is three times that of non-Hispanic white patients and twice that of Hispanic patients. Many obstetricians/gynecologists, like ourselves, do not support abortion, and most obstetricians/gynecologists do not perform abortions. Induced abortion is not necessary to provide evidence-based care. We also have seen tragic situations and misinformation and want to work toward addressing these issues. We support the highest level of clinical practice, bodily autonomy, reproductive freedom, and evidence-based care for both our patients—the pregnant woman and the human being in utero—whom we have dedicated our lives to serving.

Introduction

Here, 170 obstetricians/gynecologists[1] (OB/GYNs) share the following consensus response to the published Special Report, A Statement on Abortion by 900 Professors of Obstetrics and Gynecology[2] after the Reversal of Roe v Wade” (hereafter called the Statement).1 We too support the highest level of clinical practice, bodily autonomy, reproductive freedom, and evidence-based care for both our patients—the pregnant woman and the human being in utero—whom we have dedicated our lives to serving. Strikingly absent in the Statement is any acknowledgment of the human fetus who is killed in an abortion.

In the Statement, the authors call for reinstating “federal protection for abortion,” contending that in the Dobbs decision, the Supreme Court retracted the “constitutionally protected right to abortion.” They state that the decision has harmed the lives and health of patients and the ability to train upcoming physicians in “this medically necessary evidence-based care.” They argue that they expect future harm, including adverse effects on maternal mortality. They refer to the Dobbs decision as a “disastrous decision for public health.”  We find much misinformation in the Statement and offer the following clarifications.

Induced Abortion: A Constitutional Right?

The authors refer to induced abortion as a constitutionally protected right that was removed by Dobbs. In the majority opinion for Dobbs, the justices stated, “The critical question is whether the Constitution, properly understood, confers a right to obtain an abortion.”2 The decision explains that the Roe “right to abortion” was fabricated by the Roe court. In Dobbs, the Supreme Court returned to the people and their elected representatives the ability to consider both the rights of the preborn human and pregnant patient. The Justices further state, “Like the infamous decision in Plessy v. Ferguson, Roe was also egregiously wrong and on a collision course with the Constitution from the day it was decided. Casey perpetuated its errors.”2 The authors of the Statement may not like the decision, but abortion was never a constitutional right. Many pro-abortion jurists agreed that Roe was bad jurisprudence.3,4

Patient Autonomy

The authors refer to abortion as a “federally protected right to bodily autonomy for women.” Autonomy is one of the basic principles of medical ethics according to the most widely used account of medical ethics, along with beneficence, non-maleficence, and justice. Autonomy is never absolute. Although patients have autonomy in medical decisions, this does not mean they can have any procedure they want. A patient does not have the autonomy to have a healthy arm amputated. In an induced abortion, the aborted human in the uterus is denied any autonomy.

Abortion is not only about autonomy but also about non-maleficence. In the case of pregnancy, we, as physicians, have two patients. Abortion sometimes harms the woman; abortion always ends the life of our second patient.5,6

We do not minimize the difficult situations that women face when encountering unplanned or complicated pregnancies. Ending a life is never the solution to a complicated social problem. Would the authors support killing an unwanted newborn, a one-year-old, or a six-year-old in difficult circumstances? Do the authors see the fetus as their patient only when the fetus is stipulated as a wanted pregnancy? We all care for pregnant women facing tragic, difficult, and complex situations. Induced abortion does not solve any of these problems and often compounds them. None of us would allow or help a mother to kill her born children because of poverty, rape, disability, unwantedness, or a life-limiting condition. As physicians, we live by “first do no harm.”

Maternal Mortality

We share the concern of the authors about the high maternal mortality rate in the United States, but the evidence does not support the assertion that unrestricted induced abortion decreases maternal mortality. The high maternal mortality rates were documented before the Dobbs decision when unrestricted abortion was widely available.7 Furthermore, multiple studies have shown that abortion restrictions in other countries do not result in increased maternal mortality.8 In fact, there is evidence that maternal mortality increases after legalization of abortion.9 Countries with very restrictive abortion policies have much lower maternal mortality ratios (MMRs), which is the number of maternal deaths per 100,000 live births,  than the United States. The MMR in the United States is 21, compared to Poland (which prohibits abortion except to preserve the life of the mother), which has an MMR of 2, and Malta (which restricts abortion completely), which has an MMR of 3.10,11

The widely quoted study by Raymond et al. concluded that abortion is fourteen times safer than childbirth.12 In this study, the abortion-related mortality (legal abortion-related deaths divided by number of legal abortions) was compared to mortality related to live birth (the number of pregnancy-related deaths among women who delivered live neonates divided by the number of live births). In order to calculate mortality related to abortion, however, we must have accurate information on both the number of deaths from abortion and the number of abortions. We have neither. There are no federally mandated abortion reporting requirements, so these numbers are only estimates. The states of California, Maryland, New Hampshire, and New Jersey do not require reporting of abortions, and only 28 states require reporting of abortion complications.13 Additionally, abortion by drugs ordered online will not be included in statistics.

Furthermore, in the Raymond study, the authors seem to have considered deaths only from immediate physical causes. Multiple studies have shown a relationship between abortion and mental health; suicide has been demonstrated to be more common after abortion than live birth.6,14   Deaths from mental health causes, however, are rarely reported as abortion-related deaths.15,16 Multiple other studies using high-quality linkage data show far more deaths after induced abortion than after childbirth.15,17,18,19,20,21,22

Effect on Minorities

The authors of the Statement believe that abortion restrictions disproportionately affect low-income patients and people of color, providing no references for their claims. Data show that induced abortion disproportionately kills black fetuses in the uterus. The latest Centers for Disease Control and Prevention surveillance report shows that 38.4% of abortions are in non-Hispanic black women, even though the population percentage is only 13.6%.23,24 The induced abortion rate in non-Hispanic black women (21.2 per 1000 women) is more than three times that of non-Hispanic white women (6.3 per 1000) and almost twice that of Hispanic women (10.9 per 1000).23 Induced abortion does not benefit women of color or their babies. It reduces their population. Induced abortion is the leading cause of death among black people; sixteen million black fetuses have been eliminated by abortion since Roe v Wade.25

Support for Abortion

The authors contend that there is widespread support in the medical community for induced abortion. We and many other physicians do not support abortion. We have known many patients who seek us out because they want a doctor who does not support elective abortion. Multiple studies have shown that the large majority of practicing OB/GYNs do not perform abortions, and a significant percentage do not refer for abortion.26,27,28,29,30 These same physicians frequently perform the same surgical procedure that is used for induced abortion in different circumstances, such as a fetal demise or incomplete miscarriage. “While much of the Western academic community has lamented the fall of Roe, this lament is unrepresentative of the views of most people in the West. It is even less representative of the majority of people around the world, who broadly oppose abortion on demand even in the first trimester.”3

Evidence-Based Care

The authors indicate that abortion is necessary to provide evidence-based care and that if fewer residency programs provide abortion training, there will be no one to take care of women with a second-trimester obstetric complication that requires delivery of the fetus. This allegation is false. We do not perform abortions,[3] yet we can and do evacuate the uterus when a pregnant woman’s life is at risk, such as from a septic abortion or severe preeclampsia in the second trimester. Dismemberment abortion is not required to provide evidence-based care. As noted, the large majority of OB/GYNS do not perform abortions. Are the authors alleging that these doctors do not and cannot provide quality care? If performing induced abortions is necessary for evidence-based patient care, why do so few obstetricians perform abortions?

Tragic Situations and Misinformation

The authors provide examples of patients they have cared for who were treated with doubt and suspicion when presenting for miscarriage, women pregnant with children with disabilities who need resources, and delayed care for women with ectopic pregnancies. No abortion restriction in any state precludes care for these patients. We should be correcting the misinformation that may prevent women from getting evidence-based care for a miscarriage or ectopic pregnancy. Every state law protecting unborn life allows separating the mother and the unborn fetus if necessary to protect the mother’s life. Every state law allows treatment for ectopic pregnancy and treatment for miscarriage. We have never confused the treatment of miscarriage or ectopic pregnancy with induced abortion and are working to correct the promulgation of this misinformation and dispel its myths.

Legal induced abortion may also result in tragic situations such as death from overwhelming sepsis and massive hemorrhage.8,31 Additionally, there have been ruptured ectopic pregnancies following attempted induced abortion, including some resulting in death, because the patient did not have an ultrasound.31

It is impossible to provide gestational age-specific informed consent prior to abortion without an ultrasound to document gestational age and rule out ectopic pregnancy. Best evidence-based care includes an ultrasound prior to an abortion to determine gestational age and pregnancy location and abortion providers providing continuity of care for their patients who experience abortion complications. The large majority of abortion complications are managed by someone other than the abortion provider.31

Furthermore, multiple studies have shown higher risks with mifepristone abortion than with surgical abortion, so mifepristone abortion should not be the primary means of pregnancy termination.32,33,34 However, at this time, over half of induced abortions are mifepristone abortions.35 This percentage does not reflect those who purchase abortion drugs online without any interaction with a health care provider.

Are We Going Backward?

The authors claim we are going backward and refer, without any references, to wards of patients with septic abortion and state that the United States is among only three other countries that have restricted access to abortion. They did not state that our country is among only eight nations (the others are Australia, Canada, China, Guinea-Bissau, Mexico, South Korea, and Vietnam) that allow abortion on demand at any gestational age. Additionally, the United States is one of only 15 United Nations countries that allow abortion on demand after 15 weeks.10 The abortion law in the United States is much more permissive than the vast majority of the rest of the world. The recent promotion  of medically unsupervised “self-managed” abortions by mail is a step backward to the time when women initiated and managed their abortions on their own.36

Call To Action

We, too, have a call to action. We ask the 900 professors to work with us to promote evidence-based care and best practices for women. We do not agree on the ethics of induced abortion, but we can agree to work together on aspects of maternal and child healthcare. We invite the authors to collaborate and work with us in the following ways:

  • Dispel the misinformation that treatment of miscarriage and ectopic pregnancy is induced abortion.
  • Clarify that pre-viable fetal delivery or abortion to protect the life of the mother is allowed by every state abortion law. Failure to provide a necessary intervention harms women.
  • Work to minimize mifepristone abortion over surgical abortion because of the increased risks associated with mifepristone abortion.
  • Promote ultrasound prior to abortion to determine gestational age and pregnancy location; all women considering an abortion deserve the best evidence-based care.
  • Discourage buying of abortion drugs online. “Self-managed abortion” exposes women to increased risks. Buying abortion drugs online or without a provider visit is not evidence-based care for women.
  • Promote accurate data collection of all abortion procedures and complications. Inaccurate and incomplete data limits our ability to improve women’s healthcare.  

We stand by both our patients, doing what is best for women and their preborn children.


[1] See Appendix for list of 170 obstetricians/gynecologists supporting this Special Report.

[2] Although the article claims these are all OB/GYN professors, not all are physicians, nor are all in the field of OB/GYN..

[3] We define abortion as the intentional killing of the unborn. We acknowledge that there are situations in which a pregnancy must be ended prematurely to save the life of the mother with the foreseeable death of the child. Some may define this as an abortion. Semantics aside, these life-saving interventions are a tiny proportion of abortions and do not in any way require legalization for elective abortion.

Appendix

First Name Last Name Degree Credentials Institution (if chose to list) City State
Samir Abadeer MD FACOG, dip ABOG Abadeer OBGYN Wausau WI
Jonathan Abbott MD FACOG, dip ABOG Jennie Stuart OB/GYN Hopkinsville KY
Sharai Amaya MD FACOG, dip ABOG Cornerstone Clinic For Women Little Rock AR
Jennifer Anderson MD dip ABOG Cornerstone Clinic For Women Little Rock AR
Michele L. Ashton MD FACOG, dip ABOG   St. Joseph MI
Kathi Ann Aultman MD FACOG, dip ABOG   Orange Park FL
Susan Bane MD, PhD dip ABOG   Wilson NC
John Bard MD FACOG Corewell Health St. Joseph MI
Gustav K Barkett DO FACOOG   Muskegon MI
Jeffrey  Barrows DO, MA (Ethics) FACOOG   Bellafontaine OH
Philip A Basala DO  FACOG, dip ABOG, FPMRS   Keyser WV
Angela Beale Martin MD dip ABOG   Cincinnati OH
Scott Beard MD FACOG, dip ABOG, FPMRS Associate clinical professor UNM; Associate clinical professor Burrell Medical College Lovington NM
Stephen Blaha MD FACOG dip ABOG Medical Director, Natural Family Planning Charlotte NC
Kevin D Blair MD FACOG, dip ABOG Director of Women’s Care, Christus Santa Rosa Hospital;Chairman of OB-GYN, and Womens & Childrens Dept New Braunfels TX
Jeffrey M. Blake MD FACOG, dip ABOG, FPMRS   Pendleton IN
Gayle Borkowski MD dip ABOG North Central Indiana Medical Clinic Milford IN
Steven Braatz MD dip ABOG   Janesville CA
Kevin Breniman MD FACOG, dip ABOG Cornerstone Clinic For Women Little Rock AR
John T Bruchalski  MD FACOG, dip ABOG Tepeyac OBGYN, Divine Mercy Care Fairfax VA
Thomas Burns MD dip ABOG   Alexandria  VA
Byron C Calhoun  MD, MBA FACOG, dip ABOG,FACS, FASAM  Professor and Vice Chair, Dept of OBGYN,West Virginia University- Charleston Charleston WV
Mark S. Campbell MD dip ABOG   Douglas WY
Josette Chamberlain MD Former ACOG/ABOG   Columbia City IN
Kay Chandler MD FACOG, dip ABOG Cornerstone Clinic For Women Little Rock AR
Alex J. Childs MD dip ABOG   Birmingham AL
Sandy Christiansen MD FACOG, dip ABOG Care Net National Medical Director Lansdowne VA
Christina Cirucci MD FACOG, dip ABOG   Sewickley PA
Joe Cloud MD FACOG, dip ABOG   Morrilton AR
Geoffrey C Cly MD     Fort Wayne IN
Katrina  Conrad MD FACOG, dip ABOG   Morehead City NC
Brian J. Crisp MD FACOG, dip ABOG OB/GYN Residency Faculty, Marian Regional Medical Center Santa Maria CA
Damon Cudihy MD dip ABOG Acadiana OB/GYN Lafayette LA
Howard Curlin MD   Associate Professor OBGYN, Vanderbilt University Medical Center Nashville TN
Lorna Cvetkovich MD FACOG, dip ABOG Tepeyac Ob-Gyn Fairfax VA
J. Michael Davidson MD FACOG, dip ABOG McLeod Gyn Specialists Florence SC
Robert W Davis MD dip ABOG Emeritus, Saint Luke’s The Women’s Clinic, Boise Boise ID
Myles Dotto MD FACOG, DABOG   Southport NC
Joy Draper MD, JD FACOG, dip ABOG, FAAFP   Greenwood SC
Kevin Dumpe MD dip ABOG Director of OB/GYN Training, Heritage Valley Health System Beaver PA
Amy J Fisher DO FACOG, dip ABOG   St. Paul MN
James Michael Fite MD ACOG, ABOG   Fort Worth TX
Steven Foley MD FACOG, dip ABOG Carmel Indiana OBGYN Carmel IN
Christina Francis MD dip ABOG OBGYN Hospitalist Fort Wayne IN
Wayne Friedman MD dip ABOG Magnolia Women’s Center Bainbridge GA
Thomas J Furey MD FACOG, dip ABOG  Staff member at Hinsdale Hospital & LaGrange Hospital Indian Head Park IL
Amanda Gacetta  DO FACOG, dip ABOG Teaching Faculty Member at the Medical College of Wisconsin Wisconsin Rapids WI
Donald Gaddy MD FACOG, dip ABOG Gaddy OBGYN Gulfport MS
Yadira Garcia MD dip ABOG   Towson MD
Pamela G Gaudry MD   The Georgia Center for Menopausal Medicine and Direct Primary Care, LLC Savannah GA
Patricia   Giebink MD FACOG   Chamberlain SD
Jamie Lynne Gladden  MD        
Michael Glover DO FACOOG, dip AOBOG   Cleburne TX
Tess M. Gordon MD, MBA dip ABOG   Clare MI
Thomas L Gray MD FACOG Medical Director LifeChoices Pregnancy Help Medical Center Memphis TN
J Paul Gray  MD FACOG, dip ABOG, FPMRS Womans Clinic PA Jackson  TN
Stephanie  Grosvenor  DO FACOOG Society of Procreative Surgeons Fort Wayne IN
James F Guenther DO FACOG dip ABOG   Columbus OH
Lanette McKown Guthmann MD     Littleton  CO
Laura Guttierrez MD FACOG, dip ABOG   El Paso TX
Edward C. Hall MD dip ABOG Clinical Faculty University of KY Edgewood KY
Kevin W Hamburger MD FACOG, dip ABOG Siouxland Women’s Health Care, PC Sioux City IA
Stephen Hammond, Sr MD FACOG, dip ABOG   Jackson TN
James A.  Hanser MD FACOG, dip ABOG   Fairfield CA
Anthony Harbin MD dip ABOG   Dalton GA
Kim Hardey MD     Lafayette LA
Amy   Harrell  MD dip ABOG   Bryan TX
Mary Jo Heinrichs MD dip ABOG   Phoenix AZ
Christine Hemphill Jones MD dip ABOG   Camden SC
Timothy  Hepworth MD FACOG, dip ABOG   Cedar Springs MI
Sheila Hill MD FACOG, dip ABOG   Houston TX
Christopher Homeyer MD FACOG, dip ABOG   Evans GA
Teresa A. Hubka DO MS FACOOG,FACOG, dip AOBOG Medical Director, Comprehensive Wellness Care, LLC    
Ana Maria Garcia Iguaran MD, MS   FACOG, dip ABOG Thrive OB/GYN Miramar FL
Angela Jackson-Lopez MD FACOG Physicians & Surgeons for Women Inc Springfield OH
Patricia Smith Jay MD     Dedham MA
Sudheer Jayaprabhu MD, MBA dip ABOG   Texarkana TX
Karl H Johansson MD FACOG      
Jillian Martell Johnston MD FACOG FEMM telehealth    
Lawrence R Jones MD     Cullman AL
L. Carl Jurgens MS, MD dip ABOG      
Maureen Kennedy MD     Arden NC
Hanna Klaus MD FACOG, dip ABOG   Philadelphia PA
Jeri Klobutcher MD AAPLOG   Ashland OH
Erica Kreller MD dip ABOG Morning Star OB/GYN Gilbert AZ

Continued….

Donna LaFontaine MD dip ABOG   Cumberland RI
Margaret Lambert MD FACOG, dip ABOG   Neptune NJ
Katherine S Lammers MD FACOG   Rochester NY
Paul  LaRose MD dip ABOG   Pensacola FL
Robert C.  Lawler MD FACOG, dip ABOG   Lemont IL
Christy  Lee MD FACOG, dip ABOG Associate Professor  Greenville SC
Clint Leonard MD FACOG, dip ABOG Morning Star OB/GYN Gilbert AZ
Anthony Levatino MD, JD dip ABOG Affiliate Professor of Clinical Medicine. OB/GYN Burrell College of Osteopathic Medicine Las Cruces NM
Danny L  Lickness MD FACOG, dip ABOG Medical Director, Lifeline Pregnancy Center Grover Beach CA
Karen F Liebert MD FACOG, dip ABOG Medical Director of Community Pregnancy Clinics in Sarasota. Bradenton FL
James Lindemulder DO FACOOG (distinguished)   Goshen IN
James Linn MD dip ABOG Associate Clinical Professor  OB/GYN Medical College of Wisconsin Milwaukee WI
Charles Lively MD dip ABOG, NBPAS   Odessa TX
Anne Marie Manning MD dip ABOG UPMC Divine Mercy Women’s Health Carlisle PA
Greg Marchand MD FACOG, dip ABOG, FACS, FICS Marchand Institute for Minimally Invasive Surgery Mesa AZ
Pat  Marmion MD, MPH dip ACPM   Georgetown TX
Leonard Marotta MD, MS dip ABOG   Dunedin FL
David P. Martinez MD FACOG, dip ABOG   Lakewood CO
James P McBride MD FACOG   Rochester Hills MI
Tamberly Ford McCarus MD FACOG, dip ABOG Advent Health Physician and Volunteer Medical Director of Choices Women’s Clinid Orlando FL Orlando FL
Shani K. Meck MD  FACOG, dip ABOG East Lakeland OG/GYN Flowood MS
Gary Meyer DO FACOOG   Glenwood Springs CO
Julie Mickelson MD dip ABOG   Minneapolis, MN MN
Gregory A. Miller MD dip ABOG   Littleton CO
John Moraca MD FACOG, dip ABOG   Sewickley PA
Eric Mudafort MD     Terra Ceia FL
Alan J Murnane MD FACOG dip ABOG Managing Partner, Westar OB/ Gyn; Attending Physician, Mt Carmel St Ann’s Hospital  Westerville OH
Elizabeth  Nelson MD FACOG, dip ABOG   Orlando FL
Michael  Nelson DO FACOOG, dip AOBOG   Cheyenne  WY
Bennie Nobles MD     New Orleans LA
Jaime  Obst DO FACOG, dip ABOG   Fort Worth TX
Jerry Orbitsch MD dip ABOG   Bismarck ND
Jazmin D. Parcon MD FACOG   Las Vegas NV
Michael S Parker MD, KM dip ABOG Obstetric Hospitalist Galena OH
Mahate Parker MD, MPH dip ABOG COFMC, Ada, OK Ada OK
Brent Parnell MD FACOG, dip ABOG, FPMRS   Birmingham AL
Marianne Peck MD FACOG, dip ABOG   The Woodlands TX
Elina Pfaffenback MD FACOG, dip ABOG Women’s Health Specialists Appleton  WI
John G.  Pierce, Jr MD FACOG, dip ABOG Women’s Health Services of Central Virginia Lynchburg VA
Robert G. Porto MD FACOG, FACS, dip ABOG   Fort Lauderdale FL
Lance E. Radbill DO dip ABOG   Birmingham AL
Kathleen M.  Raviele MD FACOG   Atlanta GA
Christi L.  Redmon  MD       IN
Braden Richmond MD FACOG, dip ABOG Special Care for Women Anniston AL
Steven Roth MD dip ABOG   Cleveland GA
Peter  Rothschild MD FACOG, dip ABOG LifeSpring Pregnancy Center Charlottesville VA
Susan Rutherford MD FACOG, dip ABOG MFM Redmond WA
Thomas B Ryan MD dip ABOG   New Orleans LA
Allan Sawyer MD, MS, MATS dip ABOG   Peoria AZ
Anna Lisa Schmitz MD FACOG, dip ABOG     IL
Fred (Rocky) Seale MD dip ABOG   New Braunfels TX
Matthew  Sellers MD FACOG, dip ABOG Cornerstone Clinic for Women Little Rock AR
Kenneth G.  Singleton MD dip ABOG, ABAARM Cornerstone Clinic for Women Little Rock AR
Tonia L. Skakalski DO dip ABOG   New Castle PA
Ingrid Skop MD FACOG, dip ABOG   San Antonio TX
Melissa Halvorson Smith MD FACOG, dip ABOG   Lansing MI
Marie Sohner MD dip ABOG Tomball Women’s Healthcare Tomball  TX
Mary Ann Sorra MD FACOG, FACS Ascension St Agnes Hospital Baltimore  MD
Thomas Sparks MD dip ABOG   Baton Rouge LA
Jonathan Stafford MD FACOG, dip ABOG   Wichita KS
Jillian   Stalling MD dip ABOG Medical/Surgical NaProTechnology; Ferrtility & Midwifery Care Center Fort Wayne IN
Catherine  Stark MD dip ABOG Medical Director, Crossroads Care Center, Auburn Hills, MI; Adjunct Assistant Professor, Dept of Family Medicine and Community Health,
Oakland University-William Beaumont School of Medicine, Rochester, MI
Emeritus Attending Staff, Beaumont Hospital Troy, MI
Auburn Hills MI
Mark F Stegman MD dip ABOG   Johnston IA
John Charles Stitt MD FACOG, dip ABOG   Hopkinsville KY
Christopher Stroud MD CFCMC Fertility and Midwifery Care Center, LLC; Holy Family Birth Center, LLC Fort Wayne IN
Barbara Susang-Talamo MD dip ABOG   Export PA
Lourell Sutliff MD FACOG, dip ABOG   Tyler TX
Shawn Swan MD FACOG, dip ABOG Ascension Anderson OB/GYN Hospitalist Anderson IN
Eric Swisher MD FACOG, dip ABOG   Roanoke VA
J. Leonard Tadvick MD dip ABOG   Abilene TX
Mayra Jimenez Thompson MD FACOG, dip ABOG   Dallas TX
Audrey Tool MD FACOG   Fort Collins CO
Michael Valley MD dip ABOG, FPMRS   Minneapolis  MN
Karla Van Keulen MD dip ABOG Medical Arts Ltd Moline IL
Marilyn Vanover MD FACOG   San Antonio TX
Melinda J Velez DO FACOOG, dip AOBOG   Dallas TX
Steven Verbeek MD dip ABOG Avera Health Pipestone MN
John  Voltz MD ABOG   Lafayette LA
Stephen C. Walker MD dip ABOG   Orange   CA
Michael Watkins MD ABOG, OBHG   Spartanburg SC
Elizabeth  Wehlage MD FACOG   Indianapolis IN
Catherine  Wheeler MD FACOG dip ABOG   Teller County CO
Nancy Goodwine Wozniak MD dip ABOG   Fishers IN
Ronald Young MD FACOG, dip ABOG   Tupelo MS
Jared Zotz MD FACOG   Bloomington IL

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About the Authors

Affiliation: Sewickley, PA
Affiliation: Minneapolis, MN
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