Madison Underwood and her fiance, Adam Queen, before leaving on their four-hour drive across state lines and time zones to a Georgia abortion clinic, in Pikeville, Tenn., outside Chattanooga, July 4, 2022. (Kendrick Brinson/The New York Times)
Madison Underwood and her fiance, Adam Queen, before leaving on their four-hour drive across state lines and time zones to a Georgia abortion clinic, in Pikeville, Tenn., outside Chattanooga, July 4, 2022. (Kendrick Brinson/The New York Times)

The doctor came in and said that the abortion had been canceled.

As the doctor leaned over her shoulder to speak to her fiancée, the nurses wiped away the sonogram gel from her belly.

She remembered that she went quiet. They said they couldn't do the abortion. Her fetus had a condition that would not allow it to survive outside the womb. She could die if she tried to carry to term. She was told she couldn't have an abortion because she needed one.

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She wondered if they would let her die.

The doctor and nurses talked about a clinic in Georgia that could do the procedure now that the legal risks of doing it in Tennessee were too high.

She cursed and told the doctor that this was stupid. The doctor said yes.

The right to abortion was thrown out by the Supreme Court. A Tennessee law that banned abortions at around six weeks of pregnancy was blocked by a court order, but could still take effect.

She didn't think any of this would affect her. She was looking forward to starting a family with Queen.

After going back and forth for a while, she and Queen decided to end the baby's life. The abortion was on her mind. She was crying as she pulled up to the clinic. She thought that since she had scheduled her abortion before the Supreme Court's decision, she would be able to have it.

If a woman's life is in danger, Tennessee allows abortion, but doctors don't want to make the decision too soon. Some abortion clinics turned away patients before the laws took effect because of legal battles.

The century-old bans that were hanging around on the books were quickly activated. When abortion was legal in some states, wait times at clinics increased as women looked for alternatives.

It was into this chaos that she was sent home. Now what would happen? Georgia had a ban on abortion that would soon take effect, but the doctor said she should go there.

How would she be able to take the time off to go? How would they make money? How long did she have before she got sick? What if she felt a kick?

I want a girl, that's what I want.

He said he knew his fiancée was pregnant before she gave birth.

He brought home a pregnant woman's test after his shift at the Dollar General store ended. He wanted it to come back positive.

He said he was ready to start the family.

In order to save money, they lived with his mother, Theresa Davis, and his stepfather, Christopher Davis, in a farmhouse tucked into a green valley about an hour outside of CHATTANOOGA.

He snuck into the bathroom. She didn't want to ruin the test. She stared at her television for fifteen minutes.

She looked at the test and picked it up. There was a shot across it. She stopped breathing for a short time.

Her fiancée hoped it was a boy.

Her heart rate went up. There was a person smiling.

I know you would like a boy. She laughed and said you already have a girl. I would love to have a girl.

Some of Queen's income went to child support for his child. He proposed to his girlfriend on a trip to Virginia Beach early this year.

On Mother's Day, the couple told their parents that they were pregnant through gift baskets. With their wedding date set for June and the excitement of a new baby, everyone got over the fact that they got pregnant before they were married.

The couple left the appointment happy after learning she was 13 weeks pregnant.

His fiancée had no health insurance. They waited to be approved for Medicaid so she could see a doctor. She took care of her three cats, fish and other animals, and fed her neighbor's goats.

Theresa Davis put up the pictures in her bedroom. When she looked at them, she noticed something.

She asked if the baby was a cat. The head appeared to have ears.

There is a person namedOlivia.

The nurse promised more pictures for the family to look at at home. The nurse confirmed her due date after asking questions. She got really quiet after that.

She said it would be a few minutes and the nurse practitioners would come and talk to you.

The words "set off alarm bells" for Davis, who had experienced seven miscarriages, while she was with Underwood. She told her daughter-in-law that it sounded bad.

There was a small case of encephalocele, or a growth along the back of the fetus' neck, at first. According to the Centers for Disease Control and Prevention, about 1 in every 10,000 babies in the US are affected by encephalocele.

The family was told that it could be fixed through surgery and that there could be an intellectual disability. She said that the couple were okay with that. She was worried that the baby would have to have surgery. She said she was afraid.

They found out they were having a girl as well. They named her after Oliver.

Regional Obstetrical Consultants is a chain of clinics that specialize in high-risk pregnancies. The practice didn't respond to the article.

The family was told that the fetus didn't have a skull. She would survive a few hours, if not minutes, after birth, even with surgery, because there wouldn't be any protection to the brain.

She wanted to carry the baby to term so that she could meet her baby and donate her organs.

She said that it was the only option. Things happen for a reason.

Doctors told her that the fetus brain matter was leaking into the umbilical sac, which could lead to critical illness or death. She was told by doctors to end the pregnancy for her own sake.

She thought she might be able to beat the odds. But then I became frightened. She said that she wanted to make sure that she wasn't regretting it. We will have to be the ones dealing with it for the rest of our lives.

The abortion was scheduled for Monday, June 27th at the Regional Obstetrical Consultants location.

There was a nationwide battle.

Prior to the Supreme Court ruling, Tennessee allowed abortion up until 24 weeks into a pregnant woman's life, but clinics rarely performed after 20 weeks.

Only a few medical centers in the state provided abortion services. The center stopped providing abortions on the Friday after the decision was made to overturn the law.

The state attorney general filed a motion for the 6th US Circuit Court of Appeals to lift an injunction that had blocked an attempt to ban abortions after about the sixth week of pregnancies. One day after the abortion was canceled, the injunction was removed.

Her parents and grandparents thought it was a sign to reconsider. They had prayed for God to stop the abortion, and when it didn't happen, they were convinced that she should try to carry the baby to term.

Her mother said they were just hoping for a miracle

She was told to give birth so she could see her final resting place.

She didn't tell them yes. After crying in between words, she said she was doing what she thought she could handle.

Queen's mother supports the couple's decision from the beginning. She gave birth to a stillborn baby after she was raped at a young age.

It has nothing to do with religion. She said that if you have to have an abortion, don't feel bad about it.

Queen left his job to take care of the couple. His mother raised money from the crowd funding website. The money would be used to pay for the cremation of the fetus.

The baby is going to die.

Two cars left Pikeville at 2 a.m. in July to make an appointment at an abortion clinic in Georgia. Queen and his mother were the only ones in the car.

She cried when they stopped at the third Circle K. Her parents decided to go with her even if they didn't agree.

He rubbed her back while they sat in a corner booth at a restaurant.

She would have a procedure called a D&E over the course of a couple of days. She would be sent to her hotel room to wait for the medication to kick in. She returned to the clinic the next day to complete the procedure. The staff warned the family about the protesters. They drove past a man with signs showing dead babies.

He asked if all of them were okay with killing babies.

His mother rolled down the window as he approached the car.

Her mother said they were on the same side of things. The doctors said the baby was going to die.

He said that he trusts doctors more than God.

The couple went up a hill to the entrance. She wore headphones so she wouldn't hear the protesters.

They came back out after six hours. There was no noise in the parking lot.

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