The largest state with an abortion ban, Texas can offer broader insight into the impact of abortion laws than any other state in the country.

A 35-year-old Texas woman required a dilation and curettage after suffering a miscarriage and hemorrhaging. However, because the procedure is also used for abortions, she was unable to receive the proper medical attention and later died from heavy bleeding.

Thirty-five-year-old Porsha Ngumezi’s case raises questions about how abortion bans are pressuring doctors to avoid standard care even in straightforward miscarriages.