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  • Axios Dallas

    Kate Cox opens up about her abortion

    By Naheed Rajwani-Dharsi,

    2024-04-02

    Kate and Justin Cox would have welcomed a baby girl — their third child — this spring if their pregnancy had gone smoothly.

    • Instead, the Dallas-area couple became a "reluctant face" of the abortion rights movement, a new Time story says .

    Why it matters: Texas' abortion restrictions have created confusion and fear among some doctors over how to treat complicated pregnancies where urgency is needed.

    • "Kate was the first time since Roe was overturned that a woman who was currently pregnant, needing an abortion under the health exemption, went to a court to get a court order for an abortion," Center for Reproductive Rights president Nancy Northup told the magazine.

    Flashback: The Coxes weren't really paying attention to abortion politics before their third pregnancy. They assumed Texas' ban would have exceptions.

    Threat level: Kate Cox was 18 weeks pregnant last year when she learned that the baby may have Trisomy 18 , a rare disease with a high risk of a congenital heart defect and death.

    • The couple learned about more defects after several tests and were told that the baby was likely to die in utero or shortly after birth.
    • Cox's doctor told Time that she was also at "heightened risk" of hysterectomy, hemorrhage and uterine rupture. She had already gone to the emergency room several times during the pregnancy.
    • After considering the risks, the Coxes decided they wanted to terminate the pregnancy.

    Yes, but: When she learned she wouldn't be able to get an abortion in Texas, Kate Cox reached out to the Center for Reproductive Rights for help. The center filed a lawsuit on her behalf to get answers from the legal system.

    • Cox was 20 weeks pregnant when a judge gave her permission to terminate the pregnancy. Texas Attorney General Ken Paxton asked the state Supreme Court to halt the lower court's order.
    • The Coxes decided to get an abortion in New Mexico instead of waiting longer for a final decision.
    • "I wanted to have my doctors that I trust close by. I wanted to be able to come home and hug my babies, and be close to my mom, and be able to cry on my own pillow," Kate Cox told Time.
    • The Supreme Court later ruled that Cox did not qualify for an abortion under the law's medical exception.

    The other side: "Texas will proudly continue as a nationwide leader in the protection of the unborn, and the OAG will be steadfast in its mission of defending our state's pro-life laws," Paxton's office said last year .

    The intrigue: Cox's son had just peed through his diaper when the Bidens called to invite her to last month's State of the Union .

    • "I certainly never thought I would get an opportunity to speak to the president. If I did, I didn't think it would be with pee down my side. That's how it goes for moms sometimes," Cox told Time.

    What's next: The Texas Medical Board has proposed more guidance on abortions to doctors, though some critics have said it doesn't give enough clarity.

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