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☆ Aspirin Can Prevent a Deadly Pregnancy Complication. Why Aren’t Women Told?
▼ + stars: | 2024-05-01 | by ( Roni Caryn Rabin | More About Roni Caryn Rabin | ) www.nytimes.com time to read: +3 min

Both the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine support the recommendation, saying low-dose aspirin is safe and not likely to cause complications. Despite all the data, too few pregnant women at risk are taking baby aspirin, and too few doctors recommend it. A 2022 study found that Black women are less likely to be told to take baby aspirin, even when they meet the criteria. In addition, only about one in five families surveyed said they were familiar with interventions like baby aspirin. Having had the condition once, Ms. Felix knew she might develop it again during her second pregnancy, so she decided to take baby aspirin.

Persons: haven’t, Harris, ”, Elizabeth Cherot, “, Allyson Felix, Felix, Cherot Organizations: U.S . Preventive Services Task Force, American College of Obstetricians, Society for, Dimes, Wednesday Locations: U.S

Justice Sonia Sotomayor asked Joshua Turner, the lawyer for the state of Idaho, about specific, real-life scenarios where pregnant people required emergency abortions. Later, she returned to the hospital, Sotomayor said, and received an abortion "because she was about to die." Pregnancy can be dangerous, particularly in the United States, which has the highest rate of maternal mortality in the developed world. About 10% to 20% of pregnancies end in miscarriage and many don’t require medical intervention, but some may require treatment using the same procedure used in an abortion. Miscarriages can put someone’s life at risk because of serious blood loss or infection if the miscarriage is not complete.

Persons: Sonia Sotomayor, Joshua Turner, Sotomayor Organizations: American College of Obstetricians, American Locations: Idaho, Florida, United States

The US Supreme Court will hear arguments soon on a case that could curtail access to mifepristone, one of two drugs used in medication abortion. How mifepristone works: Along with misoprostol, mifepristone is one of the drugs used for an abortion via medication, as opposed to surgery. Someone having a medication abortion takes mifepristone and then, after 24 to 48 hours, takes misoprostol. How often is mifepristone used? Read more about the abortion drug.

Persons: Mifepristone, misoprostol, Read Organizations: US Food and Drug, FDA, American College of Obstetricians, American Medical Association, Guttmacher Institute Locations: Texas

☆ Choosing to Skip Sex and Go Straight to I.V.F.
▼ + stars: | 2024-03-24 | by ( Alyson Krueger | ) www.nytimes.com time to read: +1 min

In February, in vitro fertilization, or I.V.F., was thrown into the spotlight when the Alabama Supreme Court ruled that frozen embryos in the state should be considered children. The decision led to a pause on I.V.F. procedures in parts of the state, and even a pause on shipping embryos out of state, to avoid potential criminal liability. At least 12 million babies have been born globally using I.V.F. Dr. Alan Copperman, the chief executive of RMA of New York, a fertility center, is one of many doctors seeing more couples, who are well aware of the challenges of conceiving and carrying a healthy baby to full term, skip sex and go straight to I.V.F.

Persons: Couples, Alan Copperman Organizations: Alabama, National Committee, Technologies, American College of Obstetricians Locations: United States, New York

☆ You'll soon be able to get birth control without a prescription. Here's what you need to know.
▼ + stars: | 2024-03-04 | by ( Allie Kelly | ) www.businessinsider.com time to read: +5 min

It is the first hormonal birth control available for retail and will expand access. Prescription-free birth control will expand accessThe introduction of Opill to family planning aisles will lower barriers to birth control. Since Opill is available without a prescription, people will no longer have to pay a doctor or pharmacist to access hormonal birth control. She urged policymakers to make sure non-prescription birth control is covered by insurance and assistance programs. AdvertisementProgestin-only birth control also carries a risk of ectopic pregnancy and can increase a person's risk for breast cancer, regardless of medical history.

Persons: —, Opill, Victoria Nichols, Nichols, Dr, Tania Serna Organizations: Amazon, Walgreens, CVS, Target, Walmart, Service, US Food and Drug Administration, Guttmacher, Guttmacher Institute, Affordable Care, Kaiser Family Foundation, The American College of Obstetricians, OB, University of California Locations: San Francisco

☆ Amy Schumer responds to criticism of her 'puffier than normal' face and explains that she's dealing with medical issues
▼ + stars: | 2024-02-16 | by ( Eve Crosbie | ) www.businessinsider.com time to read: +3 min

download the appSign up to get the inside scoop on today’s biggest stories in markets, tech, and business — delivered daily. Read previewAmy Schumer has responded to comments speculating on her appearance during recent interviews, explaining that her face is "puffier than normal" due to endometriosis. And you're right it is puffier than normal right now." "There are some medical and hormonal things going on in my world right now, but I'm okay," Schumer added. In September 2021, Schumer underwent surgery to remove her uterus and appendix as a treatment for endometriosis.

Persons: —, Amy Schumer, I've, Schumer, Jimmy Fallon, Gene David, Chris Fischer Organizations: Service, Business, World Health Organization, WHO, American College of Obstetricians, endometriosis

☆ After trying for years, I got pregnant twice for less than $300 with an at-home, artificial insemination kit
▼ + stars: | 2024-01-30 | by ( Kelly Burch | ) www.businessinsider.com time to read: +6 min

She conceived the first time she used a home insemination kit. Although we weren't yet actively trying to conceive, we thought I'd get pregnant quickly when we removed the precautions. AdvertisementA home insemination kit worked on the first tryThen, I found something interesting in my research — Mosie Baby, a home insemination kit. The Mosie kit cost about $99 when I first used it, so it's a fraction of the cost of an IUI. Even though we'd been having sex for years, using the kit made us a bit shy.

Persons: Mandi, —, Andrew, I'd, they've, we'd, Everly, Mosie, Olivia, I've, We've Organizations: Mandi Pitzer, Service, American College of Obstetricians, Google Locations: Mandi Pitzer

(AP) — A Missouri abortion-rights campaign announced Thursday that it's throwing support behind an amendment that would enshrine access to the procedure in the state constitution while allowing restrictions in later stages of pregnancy. Supporters include the ACLU of Missouri, local Planned Parenthood affiliates and Abortion Action Missouri. Political Cartoons View All 253 ImagesAnd Missourians for Constitutional Freedom has funding difficulties, ending 2023 with no money in the bank. Missourians for Constitutional Freedom's announcement comes as abortion activists nationwide are divided over whether to support constitutional amendments that allow any regulation of abortion after viability. Current Missouri law includes an exception for medical emergencies, but not in cases of rape and incest.

Persons: Freedom, “, ”, Iman Alsaden, State Jay Ashcroft, Roe, Wade Organizations: JEFFERSON CITY, —, Missouri, Constitutional, Republican, State, Freedom, American College of Obstetricians Locations: Mo, Missouri

☆ A Simple Way to Save Premature Babies
▼ + stars: | 2023-11-17 | by ( Roni Caryn Rabin | ) www.nytimes.com time to read: +4 min

Preterm babies are those born before 37 weeks of gestation. In preterm infants, delayed clamping leads to improved circulation, less need for blood transfusions and a lower incidence of serious complications, such as necrotizing enterocolitis, or inflammation of the digestive tract. Worldwide, some 13 million premature babies are born every year, and almost a million of them die within a month of birth. A low-cost, low-tech intervention like delayed cord clamping has the potential to save many lives. Many preterm babies in the United States are born by cesarean section and require resuscitation.

Persons: Anna Lene Seidler, “, Seidler, Anup Katheria, Katheria Organizations: American College of Obstetricians, University of Sydney, National Center for Health Statistics, Sharp Mary Birch Hospital for Women Locations: Australia, Britain, India, Iran, United States, San Diego

☆ Using marijuana during pregnancy may heighten risk for baby
▼ + stars: | 2023-11-16 | by ( Sandee Lamotte | ) edition.cnn.com time to read: +5 min

The vast majority of marijuana use was during the first three months of pregnancy, the study found, and it was predominantly recreational rather than medical. A 2020 study found that women who used weed during pregnancy were 1.5 times more likely to have a child with autism. However, mothers using marijuana during pregnancy were 2.6 times more likely to give birth to a baby with a low birth weight, which can contribute to difficulties in eating, gaining weight and fighting infection. Indeed, the study also found that infants born to moms using marijuana were 2.5 times more likely to need to be admitted for intensive care. A warning for pregnant peopleAny woman using marijuana who discovers she is pregnant should immediately discuss the issue with her doctors, experts say.

Persons: CNN —, ”, Maryam Sorkhou, “, ” Beth Bailey Organizations: CNN, CNN — Infants, University of Toronto, National Institute on Drug, US Centers for Disease Control, Central Michigan University’s College of Medicine, American College of Obstetricians Locations: United States, Canada, Mount Pleasant

☆ Elon Musk's dad, 77, says he'd have more kids — but only if he could find a woman under 35
▼ + stars: | 2023-09-30 | by ( Grace Kay | ) www.businessinsider.com time to read: +5 min

Errol Musk said he'd be open to having more children if he could find a woman under the age of 35. Much like his son Elon Musk — who has 10 known living children — Errol Musk told Insider he believes people need to have more children and said he'd consider having more kids. "Men are all the same," Errol Musk told Insider. So if a woman came along who was able to have children, she'd have to be under 35 because a woman's cutoff for having children is 35, believe it or not." AdvertisementAdvertisementLast year, Errol Musk told Insider he thinks Elon Musk should have more children.

Persons: Errol Musk, Elon Musk's, he'd, —, isn't, Elon Musk, we're, Maye Musk, Heide Bezuidenhout, Jana Bezuidenhout, Jana, Walter Isaacson, Tesla, Errol, Elon, Isaacson Organizations: Service, Elon, American College of Obstetricians, US Centers for Disease Control Locations: Jana

☆ PMS now could mean more than twice the risk of early menopause later, study shows
▼ + stars: | 2023-09-20 | by ( Madeline Holcombe | ) edition.cnn.com time to read: +5 min

Menopause is considered early when it occurs before age 45, which will happen in 5% to 10% of women, Yang said. Early menopause is concerning because of the shortened reproductive years, but also because of links to other health concerns, she added. A 2010 study found that women who experience early menopause are at an increased risk for overall mortality, including cardiovascular diseases, osteoporosis and neurological diseases. How are PMS and early menopause connected? Women also need to know that there are ways to manage early menopause and the bothersome hot flashes, she said.

Persons: ”, Yihui Yang, Yang, Stephanie Faubion, Faubion, —, Donghao Lu, ” Faubion, Elizabeth Bertone, Johnson, “ Organizations: CNN, Karolinska Institutet, Mayo Clinic Center, Women’s Health, PMDs, Karolinska, University of Massachusetts Amherst, American College of Obstetricians, Women’s, US Department of Health, Human Services Locations: Sweden

They claim the Florida Constitution's privacy clause for more than 40 years has explicitly protected a right to abortion in the state. Florida officials contend the Supreme Court has in the past erroneously concluded the privacy clause covers abortion rights when it was actually intended more as a guard for “informational privacy, like the disclosure of private facts." The six-week ban DeSantis signed into law earlier this year would take effect 30 days after a Supreme Court decision to affirm the current ban. The privacy clause was put into the Florida Constitution by a voter referendum in 1980 and later affirmed as including abortion rights by the state Supreme Court. An appeals court overturned the injunction, bringing the case before the state Supreme Court.

Persons: Ron DeSantis, DeSantis, —, Dobbs, Roe, Wade, ”, Jennifer Canady, Charles Canady Organizations: Republican Gov, GOP, Planned, American Civil Liberties Union, Voters, Supreme, Republican, American College of Obstetricians, American Medical Association Locations: Florida, Tallahassee, “, U.S, Leon

☆ As Abortion Laws Drive Obstetricians From Red States, Maternity Care Suffers
▼ + stars: | 2023-09-06 | by ( Sheryl Gay Stolberg | More About Sheryl Gay Stolberg | ) www.nytimes.com time to read: +2 min

Across the country, in red states like Texas, Oklahoma and Tennessee, obstetricians — including highly skilled doctors who specialize in handling complex and risky pregnancies — are leaving their practices. The departures may result in new maternity care deserts, or areas that lack any maternity care, and they are placing strains on physicians like Dr. Gustafson who are left behind. Restrictive abortion laws, experts say, are making that problem much worse. “This isn’t an issue about abortion,” said Dr. Stella Dantas, the president-elect of the American College of Obstetricians and Gynecologists. A temporary order issued by a federal judge also permits abortion in some circumstances when a woman’s health is at risk.

Persons: obstetricians, Gustafson, ”, Stella Dantas, Roe, Wade Organizations: American College of Obstetricians, Doctors Locations: Texas , Oklahoma, Tennessee, Idaho

Circuit Court of Appeals stopped short of ruling that the drug must be pulled off the market altogether, as a lower court had done. A spokesperson for the U.S. Department of Justice said that the Biden administration will appeal the ruling to the U.S. Supreme Court. President Joe Biden, a Democrat, supports abortion rights and last year ordered the federal health agency to expand access to mifepristone. [1/2]Used boxes of Mifepristone, the first pill in a medical abortion, line a trash can at Alamo Women's Clinic in Carbondale, Illinois, U.S., April 20, 2023. The U.S. Supreme Court last year overturned its landmark Roe v. Wade ruling that had legalized abortion nationwide.

Persons: Biden, Joe Biden, Matthew Kacsmaryk, Kacsmaryk, Erin Hawley, Susan B, Anthony Pro, Alexis McGill Johnson, Evan Masingill, Evelyn Hockstein, James Ho, mifepristone, telemedicine, Jennifer Walker Elrod, Wade, Brendan Pierson, Patrick Wingrove, Nate Raymond, Sharon Bernstein, Trevor Hunnicutt, Cynthia Osterman Organizations: Circuit, U.S . Department of Justice, U.S, Supreme, Alliance, Hippocratic Medicine, FDA, Alliance Defending, Planned Parenthood Federation of America, U.S . Food, Alamo Women's, REUTERS, Guttmacher Institute, American College of Obstetricians, American Medical Association, Reuters, Thomson Locations: U.S, New Orleans, Amarillo , Texas, Alamo, Carbondale , Illinois, New York, Boston, Sacramento , California, Washington

Used boxes of Mifepristone, the first pill in a medical abortion, line a trash can at Alamo Women's Clinic in Carbondale, Illinois, U.S., April 20, 2023. Circuit Court of Appeals stopped short of ruling that the drug must be pulled off the market altogether, as a lower court had done. The three-judge 5th Circuit panel was reviewing an order in April by U.S. District Court Judge Matthew Kacsmaryk in Amarillo, Texas. They contend the FDA used an improper process when it approved mifepristone in 2000 and did not adequately consider the drug's safety when used by minors. The court also reversed the agency's 2016 decision to allow mifepristone to be used up to 10 weeks of pregnancy, up from seven.

Persons: Evelyn Hockstein, Matthew Kacsmaryk, Kacsmaryk, Erin Hawley, William Ho, mifepristone, telemedicine, Jennifer Walker Elrod, Wade, Brendan Pierson, Nate Raymond, Cynthia Osterman Organizations: Alamo Women's, REUTERS, Circuit, U.S, Supreme, U.S . Food, Drug Administration, White, Alliance, Hippocratic Medicine, FDA, Alliance Defending, STATES, Guttmacher Institute, American College of Obstetricians, American Medical Association, Thomson Locations: Alamo, Carbondale , Illinois, U.S, New Orleans, Amarillo , Texas, New York, Boston

☆ ‘Barbie’ movie’s ending is an important reminder for women’s health
▼ + stars: | 2023-07-26 | by ( Madeline Holcombe | ) edition.cnn.com time to read: +9 min

The final scene in "Barbie" is important for normalizing women's health, CNN Medical Analyst Dr. Leana Wen said. Jaap Buitendijk/Courtesy of Warner Bros. PicturesCNN: Do we give enough attention to women’s reproductive health? Dr. Leana Wen: Reproductive health care is still not regarded as part of total health and well-being. It solidifies the understanding that reproductive health is an integral part of overall health. This is a general preventive health visit in which the health care provider begins to establish a relationship of trust with the patient in a one-on-one, confidential setting.

Persons: “ Barbie, ”, Ruth Handler, Barbie, Leana Wen, Margot Robbie, Jaap Buitendijk, Barbie ”, Wen, normalizes, Pap Organizations: CNN, George Washington University Milken Institute School of Public Health, Warner Bros . Pictures CNN, American College of Obstetricians

☆ Opill: The FDA approved the US’ first over-the-counter birth control pill. What happens next?
▼ + stars: | 2023-07-21 | by ( Amanda Musa | ) edition.cnn.com time to read: +8 min

CNN —The US Food and Drug Administration has approved the oral contraceptive Opill for over-the-counter use, making it the first nonprescription birth control pill in the United States, but it will be months before it’s available. The typical combination birth control pill, the most commonly used form of oral contraception, uses both hormones to prevent pregnancy. “People use birth control for things outside of preventing pregnancy like [polycystic ovary syndrome], treating heavy periods, painful periods,” she said. “There’s a lot of uses for it outside of birth control that people also will benefit if they can get it over the counter.”Who can use Opill? This could have a major impact for adolescents and young adults who may not otherwise have the resources to access birth control, according to Brandi.

Persons: Gynecologists, ” ACOG, Carolyn Westhoff, they’re, “, ”, Opill, Kristyn Brandi, Brandi, ” Brandi, Anne, Marie Amies Oelschlager, Amies Oelschlager, Jennifer Robinson, ” Robinson, Frederique, Joe Biden, Court’s Dobbs, Dr, Sanjay Gupta, Meg Tirrell Organizations: CNN, Food and Drug Administration, American College of Obstetricians, FDA, Columbia University, Physicians for Reproductive Health, Gynecology, of Gynecology, Johns Hopkins University, Treasury, Labor, Human, CNN Health Locations: United States, Opill, New Jersey

☆ FDA approves Opill, the first over-the-counter birth control pill
▼ + stars: | 2023-07-13 | by ( Annika Kim Constantino | ) www.cnbc.com time to read: +3 min

HRA Pharma expects a final decision by the FDA this summer on its application for nonprescription sales of Opill, which is generically called norgestrel. The Food and Drug Administration on Thursday approved the first over-the-counter birth control pill, a landmark decision that will allow more women and girls in the U.S. to prevent unintended pregnancies without a prescription. The daily pill, called Opill, was first approved by the FDA as a prescription in 1973. Medical organizations like the American College of Obstetricians and Gynecologists and women's health advocates have pushed for wider access. More than 50 members of Congress in March 2022 also called on FDA Commissioner Dr. Robert Califf to ensure the agency reviewed applications for over-the-counter birth control pills without delay.

Persons: Biden, Wade, –, Welgryn, Robert Califf, Patrizia Cavazzoni, Opill Organizations: HRA Pharma, FDA, Drug Administration, American College of Obstetricians, FDA's Center, Drug, Research Locations: U.S, Paris, Dublin

☆ A Year After Dobbs, Advocates Push in the States for a Right to Birth Control
▼ + stars: | 2023-06-17 | by ( Sheryl Gay Stolberg | ) www.nytimes.com time to read: +1 min

“It’s going to be up to Republicans to choose whether they want to protect the right to contraception,” Senator Edward J. Markey, Democrat of Massachusetts and the sponsor of the failed Senate bill, said in an interview before the governor’s veto. Mr. Markey called the Dobbs decision “a preview of coming atrocities.”On Wednesday, Mr. Markey and Representative Kathy Manning, Democrat of North Carolina, reintroduced legislation to create a national right to contraception. With the House now controlled by Republicans and Senate Democrats well short of the 60 votes needed to break a filibuster, the legislation is most likely dead on arrival in Washington. Polls have consistently shown broad bipartisan support for access to contraception, and while Republicans may not be eager to enshrine a right to it in federal law, neither do they generally want to ban it. Still, some opposition to birth control does exist.

Persons: “, Edward J, Markey, Kathy Manning Organizations: Democrat, Republicans, Senate Democrats, Roman Catholic Church, American College of Obstetricians, and Drug Administration Locations: Massachusetts, North Carolina, Washington, implanting

☆ What is eclampsia, the condition that may have killed Olympian Tori Bowie?
▼ + stars: | 2023-06-14 | by ( Sandee Lamotte | ) edition.cnn.com time to read: +9 min

But it can develop in anyone, including someone who’s thin and super healthy,” said Dr. Nicole Calloway Rankins, a maternal health advocate and obstetrician-gynecologist in Richmond, Virginia. However, high blood pressure, often called the “silent killer,” does not always show signs, so the best prevention is regular checkups and blood pressure readings throughout pregnancy, experts say. That’s literally a hypertensive crisis.”For people worried about heart disease, blood pressure at those levels would be concerning, but not a crisis. What is it about pregnancy that makes high blood pressure so dangerous? “We really have to be vigilant and understand that blood pressure in pregnancy is different than outside of pregnancy.

Persons: Tori Bowie, Bowie, ”, Nicole Calloway Rankins, “, Antonia Oladipo, Eclampsia, Eleni Tsigas, Alastair Grant, Rankins, Tori, ” Tsigas, “ We’ve, Tsigas, it’s, don’t, ” Rankins, something’s, Joe Biden, Iffath Abbasi Hoskins, Gynecologists, ” Hoskins, ” CNN’s Jacqueline Howard Organizations: CNN, US Centers for Disease Control, CDC, Cleveland Clinic, Hackensack Meridian School of Medicine, Preeclampsia Foundation, National Institutes of Health, Commonwealth Fund, Dimes, Century Foundation, Data, National Center for Health Statistics, American College of Obstetricians Locations: preeclampsia, Richmond , Virginia, New Jersey, Melbourne , Florida, Florida, London, Orlando , Florida, United States

☆ Fact Check-Tdap vaccine use in pregnancy proven safe in studies, not ‘an experiment’
▼ + stars: | 2023-05-18 | by ( Reuters Fact Check | ) www.reuters.com time to read: +4 min

TDAP TRIALSThe Tdap vaccine can help prevent three diseases: tetanus, diphtheria, and pertussis, which is also known as whooping cough (here). Whooping cough can be “extremely serious especially in babies and young children, causing pneumonia, convulsions, brain damage, or death,” according to the CDC (here). FDA-approved vaccine package-insert documentation for Adacel (here) and Boostrix (here) shows that neither manufacturer states the vaccine has not been tested in clinical trials. In 2017, about 49% of all pregnant women in the U.S. received a Tdap vaccine during their pregnancy (here). Clinical trials and population data have shown the Tdap vaccine to be safe and effective in pregnancy.

May 17 (Reuters) - Federal appeals court judges appeared to express support on Wednesday for opponents of the abortion pill mifepristone to pursue their challenge to its U.S. approval, which has potentially far-reaching consequences for abortion access across the country. Circuit Court of Appeals in New Orleans to overturn last month's unprecedented ruling by U.S. District Judge Matthew Kacsmaryk in Amarillo, Texas suspending mifepristone's approval. [1/2] A patient prepares to take Mifepristone, the first medication in a medical abortion, at Alamo Women's Clinic in Carbondale, Illinois, U.S., April 20, 2023. Circuit Judges James Ho and Wilson were appointed by Donald Trump. SAFE AND EFFECTIVEMifepristone remains available for now, following an emergency order from the U.S. Supreme Court putting Kacsmaryk's order on hold during the appeal.

[1/2] A patient prepares to take Mifepristone, the first medication in a medical abortion, at Alamo Women's Clinic in Carbondale, Illinois, U.S., April 20, 2023. REUTERS/Evelyn Hockstein/File PhotoMay 17 (Reuters) - U.S. appeals court judges began hearing arguments on Wednesday in a legal battle over the availability of the abortion pill mifepristone, with potentially far-reaching consequences for abortion access across the United States. Circuit Court of Appeals in New Orleans to overturn last month's unprecedented ruling by U.S. District Judge Matthew Kacsmaryk in Amarillo, Texas suspending mifepristone's approval. Danco Laboratories, which sells the drug under the brand name Mifeprex, is also expected to argue before the court. The emergency room doctors said they were being forced to complete surgical abortions, which was against their conscience, for women who took the pill and failed to complete a medical abortion.

[1/2] A patient prepares to take Mifepristone, the first medication in a medical abortion, at Alamo Women's Clinic in Carbondale, Illinois, U.S., April 20, 2023. REUTERS/Evelyn Hockstein/File PhotoMay 17 (Reuters) - A federal appeals court in New Orleans will hear arguments on Wednesday in a closely watched case brought by anti-abortion activists seeking to ban the abortion pill mifepristone, with potentially far-reaching impact on abortion access across the United States. Circuit Court of Appeals to overturn last month's unprecedented ruling by U.S. District Judge Matthew Kacsmaryk in Amarillo, Texas suspending mifepristone's FDA approval. Mifepristone remains available for now, following an emergency order from the U.S. Supreme Court putting Kacsmaryk's order on hold during the appeal. Whichever way the 5th Circuit panel rules, the decision is sure to be appealed, first to the full court and then to the U.S. Supreme Court.

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