In this issue of NEJM Evidence, Dr. Goulding and colleagues present the case of a patient with second-trimester rupture of membranes managed expectantly despite the patient's request for termination of her nonviable pregnancy.1 This case occurred in Texas, one of the states that immediately passed even more restrictive laws when the Supreme Court's decision in Dobbs v. Jackson Women's Health Organization ended a person's constitutional right to abortion.2.