From Miami New Times — If you’re pregnant and care about your physical and mental well-being, it’s best to avoid Florida altogether for the foreseeable future, a state reproductive rights group said. It also provided a few recommendations for those unable to flee the Sunshine State.

The Florida National Organization for Women (Florida NOW) has issued an advisory warning “pregnant individuals to avoid travel and relocation to Florida due to the enactment of a near-total ban on abortion.”

The admonition came Wednesday after a year-delayed ban on abortion after six weeks of pregnancy went into effect, renewing concerns among some doctors that women in the state won’t have access to needed health care.

“The ban prohibits abortions from the earliest weeks of pregnancy, when many people don’t even know they are pregnant,” the group said. “Florida’s six-week abortion ban raises significant concerns regarding the availability of essential health care services for pregnant individuals with both wanted and unwanted pregnancies.”

For pregnant women in Florida who can’t leave, Florida NOW recommended four resources:

§ Charley, a confidential abortion chatbot built by a former president of Planned Parenthood that can steer users to help and walk them through their options.

§ INeedAnA, a website through which visitors can find a “legitimate abortion provider” and the closest and soonest appointment.

§ AbortionFunds, a nonprofit dedicated to helping people with abortion-related financial and logistical issues.

§ Plan C, which provides access to abortion pills by mail in all 50 states.

“Florida NOW will not stop fighting for Reproductive Freedom,” the group’s president, Debbie DeLand, said in a statement. “We urge all Floridians to renew their vote-by-mail registration and vote Yes on 4 in November to restore abortion access and get politicians out of our personal medical decisions.”

“Yes on 4” refers to a question on the November ballot that will ask voters to approve an amendment to the Florida Constitution prohibiting any law limiting the ability to obtain an abortion before fetal viability (generally 20-25 weeks into a term).

The Florida Supreme Court approved the ballot language April 1. To pass, Amendment 4 must receive a “yes” vote by at least 60% of voters.

The six-week ban replaces a 15-week restriction that included no exceptions for rape or incest. Gov. Ron DeSantis signed the lengthier ban during a press conference at a Kissimmee, Fla., church in April 2022. He quietly signed the six-week ban, dubbed the “Heartbeat Protection Act,” a year later. It allows for abortion up to the 15th week of pregnancy in cases of human trafficking, incest or rape, including statutory rape.

If a doctor determines a pregnant woman is at risk of death, “substantial and irreversible harm,” or if the fetus has a fatal abnormality, abortion is permitted through the first two trimesters.

The six-week ban was on hold while legal challenges against the 15-week ban lawmakers passed two months before the U.S. Supreme Court overturned Roe v. Wade moved through the court system.

Last month, the Florida Supreme Court ruled 6-1 to uphold the 15-week ban. That enabled the six-week ban, written to take effect a month after the 2022 law was upheld, to replace it.

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As of Wednesday, May 1, Florida joined several other states in banning nearly all abortions after six weeks. Critics have pointed out that many people don’t find out they’re pregnant by then, and say the medical exceptions provided in the law to save the pregnant person’s life or avoid irreversible damage in cases of dire need are intentionally vague and confusing.

“This ban is putting lives at risk,” said state Sen. Bobby Powell, D-West Palm Beach. “People are going to die. … That’s what it’s going to lead to for the women in the state of Florida.”

The state is fighting back. In a post on X, formerly Twitter, the Agency for Health Care Administrationreleased some clarification Wednesday to “combat the lies and misinformation surrounding Florida’s Heartbeat Protection Act.”

Notable among the items listed in the “Myth vs. Fact” flier the agency posted are that a pregnant person seeking or getting an abortion will not be subject to criminal penalties and that abortions for ectopic pregnancies, premature rupture of membranes or miscarriages are not prohibited.

None of these facts are explicitly mentioned in the new law or Florida statutes, although Democrats tried and failed to have similar clarifications added to the bill last year.

Cases of women nearly dying due to doctors and hospitals, afraid of repercussions and ill-defined rules, delaying care or turning them away have sprung up in other states with similarly restrictive laws. In Florida, a doctor told a woman in Miramar who was experiencing premature rupture of the membrane (PROM) that he couldn’t deliver the fetus because of the state’s 15-week ban. She delivered it herself alone in a hair salon bathroom last April and lost half her blood before EMTs arrived.

In 2022, a woman in Lakeland was forced to give birth to a baby with no kidneys or lungs that died shortly afterward. A Planned Parenthood doctor turned away a 14-year-old rape victim trying to terminate her pregnancy because of Florida’s abortion ban, according to a lawsuit challenging the law.

Early reports from a University of California San Francisco study found that recent abortion bans have contributed to “preventable complications, such as severe infection” because healthcare providers “reported their ‘hands were tied.'”

The day the 6-week ban went into effect, the Florida National Organization for Women (NOW) issued a travel advisory warning pregnant people to avoid travel or relocation to Florida due to “significant concerns regarding the availability of essential healthcare services for pregnant individuals with both wanted and unwanted pregnancies.”

“Florida works to ensure the health and safety of mothers and babies by continuing to hold medical providers accountable to the standards of their oath to protect and ensure the health and well-being of their patient,” the AHCA flier said.

In November, Florida voters will be able to decide if they want to return state abortion laws back to something resembling previous federal law under Roe v. Wade.

What is Florida’s abortion law?

Following the Florida Supreme Court decision on the constitutionality of a 2022 15-week abortion ban in April, a more restrictive 6-week ban passed last year went into effect on May 1. Abortions after six weeks of gestation (with some exceptions) are prohibited and anyone performing one or assisting someone to get one is subject to criminal charges, fines and/or loss of medical licenses.

What are the exceptions to Florida’s 6-week abortion ban?

According to Florida Statutes and the new ban created by SB 300, abortions after six weeks are only allowed:

• If necessary to “save the pregnant woman’s life or to avert a serious risk of imminent substantial and irreversible physical impairment of a major bodily function of the pregnant woman other than a psychological condition”
• If “in reasonable medical judgment, the fetus has a fatal fetal abnormality”

The decision must be certified in writing by two physicians. Even then, abortions are banned under the new bill if the pregnancy has “progressed to the third trimester.” Medical abortions are also prohibited unless performed in person by a healthcare professional which bans home use of so-called “abortion pills” mifepristone and misoprostol,

According to the AHCA, pregnant people will not be forced to give birth if their life or health will be in jeopardy.

Abortions also may be performed in Florida up to 15 weeks if the patient is pregnant due to rape, incest or human trafficking but only if the pregnant person has copies of “a restraining order, police report, medical record, or other court order or documentation” to provide evidence that they are a victim of rape or incest.

What is an ectopic pregnancy?

In an ectopic pregnancy, a fertilized egg implants outside of the uterus, usually in the Fallopian tubes, according to information from the Mayo Clinic, When that happens the egg cannot survive and the growing tissue may cause life-threatening bleeding.

“Treatment to remove an ectopic pregnancy is not prohibited under Florida law,” the AHCA flier said.

What is premature rupture of membranes (PROM)?

Commonly referred to as “water breaking,” PROM normally occurs when the protective amniotic sac around the fetus bursts before or during labor. If it happens prematurely (considered to be before the 37th week of pregnancy) it can cause serious infections and complications.

“Florida law does not prohibit treatment for women who experience premature rupture of membranes (PROM),” the AHCA said, “and as such, physicians in Florida should follow established standards of care regarding the most appropriate course of action for PROM.”

What is a miscarriage?