On the morning of Sept. 16, 2024, Emily Waldorf’s preschooler found her curled on the bathroom floor. Waldorf had felt a strange pressure during a shower, like a balloon bulging into her vagina, and was now bleeding. “I can be your pillow, mommy,” her daughter said, nuzzling into her neck.

Waldorf was 17 weeks pregnant. She and her husband, Justin, dropped their daughter off at her grandparents’ and rushed to Washington Regional Hospital in Fayetteville, Arkansas, where Waldorf worked as an acute care physical therapist.

In a dark room, a doctor pointed to an hourglass shape glowing on the ultrasound screen: There was her amniotic sac, funneling into her dilated cervix, and there was their tiny daughter’s foot, dipping out.

“Your body is about to miscarry,” the doctor said.

Three doctors gathered and told the couple that the longer Waldorf’s cervix remained open and her uterus exposed to bacteria, the higher her risk of developing a life-threatening infection. The standard of care, they explained, would be to quickly empty her womb.