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The state law: North Caroorbids abortion after 20 weeks gestational age. The law was passed in 1973 – it hadn 2019 because Roe v. Wade protected the right to abortion until viability, which is generally considered to be about 24 weeks gestational age. But on the very day of the Supreme Court ruling in June, the leaders of the state senate and house – both Republicans –o the state attorney general requesting that he take steps to put the 20-week ban into effect. Ultimately, the judge lifted his injunction and the law went into effect on Aug. 17 this year.

The only case in which abortion is legal in North Carolina after the 20-week limit is if continuing the pregnancy "would threaten the life or gravely impair the health of the woman." There is no exception for rape and incest, or for fetal anomalies.

North Carolina is one of at least a dozen states that set a gestational limit on abortion earlier than the Roe-era limit of fetal viability. The cutoffs in these laws range from 6 weeks up to 22 weeks. Few states have exceptions for fetal anomalies.S

We want to hear from you: NPR is reporting on personal stories of lives affected by abortion restrictions in the post-Roe era. Do you have story about how your state's abortion laws chang

What's at stake: Serious problems with fetal development often aren't identified until around the midpoint of pregnancy, says a professor of maternal-fetal medicine at UNC-Chapel Hill and director of reproductive genetics, who was not involved in Karla Renée's care. In states with gestational age limits, that knowledge can come too late, or arrive extremely close to the legal cut-off, making parents have to rush to decide what they want to do.

A noninvasive screening blood test can find relatively common genetic conditions – including Down syndrome, trisomy 13, and trisomy 18 – as early as 10 weeks into a pregnancy. If there's a reason to suspect a genetic condition – for instance if there's a family history or something noticed on an ultrasound or a patient is older than 35, doctors may use a to create a complete set of chromosomes to diagnose problems that the screening test may miss.