AUSTIN, Texas (AP) — A pregnant Texas woman is taking her fight for an abortion to the state Supreme Court in a pivotal and emotional battle of one of the most restrictive bans in the U.S. 31-year-old Kate Cox had spent nearly a week trying to obtain court permission to end her pregnancy due to complications arising from trisomy 18, a condition with low survival rates. Her health and ability to have more children are both at risk, her lawsuit argues.
The state’s abortion ban makes narrow exceptions when the life of the mother is in danger but not for fetal anomalies, leaving Cox in a desperate situation. “Her health is on the line. She’s been in and out of the emergency room and she couldn’t wait any longer,” explains Nancy Northup, president and CEO of the Center for Reproductive Rights, which is representing Cox in this case.
Despite the high stakes, Cox decided she could not afford to wait for the Texas court’s decision, leaving the state to receive an abortion. Hours later, the Texas Supreme Court issued a decision that ruled against Cox, compounding her difficult situation, and adding further layers to the high-profile nature of the case as it became the first known legal challenge after Roe v. Wade was overturned last year.
In addition to her own health risks, Cox’s case has become a test of bans in Texas and a dozen other GOP-controlled states, where abortion is prohibited at nearly all stages of pregnancy. As the legal battle discussions continue, Cox’s fight for her own rights, among others, is being watched closely.

