July 14, 2026

A Black woman was criminally charged after a miscarriage. It shows the perils of pregnancy post-Roe

U.S. Supreme Court building with columns

byย JULIE CARR SMYTH Associated Press

Ohio was in the throes ofย a bitter debate over abortion rightsย this fall when Brittany Watts, 21 weeks and 5 days pregnant, began passing thick blood clots.

The 33-year-old Watts, who had not shared the news of her pregnancy even with her family, made her first prenatal visit to a doctorโ€™s office behind Mercy Health-St. Josephโ€™s Hospital in Warren, a working-class city about 60 miles (100 kilometers) southeast of Cleveland.

The doctor said that, while a fetal heartbeat was still present, Wattsโ€™ water had broken prematurely and the fetus she was carrying would not survive. He advised heading to the hospital to have her labor induced, so she could have what amounted to an abortion to deliver the nonviable fetus. Otherwise, she would face โ€œsignificant riskโ€ of death, records of her case show.

That was a Tuesday in September. What followed was a harrowing three days entailing: multiple trips to the hospital; Watts miscarrying into, and then flushing and plunging, a toilet at her home; a police investigation of those actions; and Watts, who is Black, being charged with abuse of a corpse. Thatโ€™s a fifth-degree felony punishable by up to a year in prison and a $2,500 fine.

Her case was sent last month to a grand jury. It has touched off a national firestorm over the treatment of pregnant women, and especially Black women, in the aftermath of the U.S. Supreme Courtโ€™s Dobbs v. Jackson Womenโ€™s Health Organization decision thatย overturned Roe v. Wade.

Civil rights attorney Benjamin Crumpย elevated Wattsโ€™ plight in a post to X, formerly Twitter.

Michele Goodwin, a law professor at the University of California, Irvine, and author of โ€œPolicing The Womb,โ€ said the case follows a pattern of womenโ€™s pregnancies being criminalized against them. She said those efforts have long overwhelmingly targeted Black and brown women.

Even before Roe was overturned, studies show that Black women who visited hospitals for prenatal care were 10 times more likely than white women to have child protective services and law enforcement called on them, even when their cases were similar, she said.

โ€œPost-Dobbs, what we see is kind of a wild, wild West,โ€ said Goodwin. โ€œYou see this kind of muscle-flexing by district attorneys and prosecutors wanting to show that they are going to be vigilant, theyโ€™re going to take down women who violate the ethos coming out of the stateโ€™s legislature.โ€

She called Black women โ€œcanaries in the coal mineโ€ for the โ€œhyper-vigilant type of policingโ€ women of all races might expect from the nationโ€™s network of health-care providers, law enforcers and courts now that abortion isnโ€™t federally protected.

At the time of Wattsโ€™ miscarriage, abortion was legal in Ohio through 21 weeks, six days of pregnancy. Her lawyer, Traci Timko, said Watts sat for eight hours at Mercy Health-St. Josephโ€™s awaiting care on the eve of her pregnancy reaching 22 weeks, before leaving without being treated.

Timko said hospital officials had been deliberating over the legalities.

โ€œIt was the fear of, is this going to constitute an abortion and are we able to do that,โ€ Timko said. The hospital didnโ€™t return calls seeking confirmation and comment.

But B. Jessie Hill, a law professor at Case Western Reserve University School of Law, said the hospital was in a bind.

โ€œThese are the razorโ€™s edge decisions that health care providers are being forced to make,โ€ she said. โ€œAnd all the incentives are pushing hospitals to be conservative, because on the other side of this is criminal liability.โ€

Warren Assistant Prosecutor Lewis Guarnieri told Warren Municipal Court Judge Terry Ivanchak during Wattsโ€™ preliminary hearing that she left home for a hair appointment after miscarrying, leaving the toilet clogged. Police would later find the fetus wedged in the pipes.

โ€œThe issue isnโ€™t how the child died, when the child died,โ€ Guarnieri told the judge, according to TV station WKBN. โ€œItโ€™s the fact the baby was put into a toilet, was large enough to clog up the toilet, left in that toilet, and she went on (with) her day.โ€

In court, Timko bristled.

โ€œThis 33-year-old girl with no criminal record is demonized for something that goes on every day,โ€ she said.

The size and stage of development of Wattsโ€™ fetus became an issue during her preliminary hearing.

At the time, vigorous campaigning over Issue 1, an ultimately successful amendment to enshrine a right to abortion in Ohioโ€™s constitution, included ads alleging the amendment wouldย allow abortions “until birth.”

A county forensic investigator reported feeling โ€œwhat appeared to be a small foot with toesโ€ inside Wattsโ€™ toilet. Police seized the toilet and broke it apart to retrieve the intact fetus as evidence. An autopsy confirmed that the fetus died in utero before passing through the birth canal and identified โ€œno recent injuries.โ€

The judge acknowledged the caseโ€™s complexities when he bound the case over to the grand jury.

โ€œThere are better scholars than I am to determine the exact legal status of this fetus, corpse, body, birthing tissue, whatever it is,โ€ he said from the bench.

Assistant Trumbull County Prosecutor Diane Barber, lead prosecutor on Wattsโ€™ case, could not speak specifically about the case, other than to note the county is compelled to move forward with it. She doesnโ€™t expect a grand jury finding this month.

Timko, a former prosecutor, said Ohioโ€™s abuse-of-corpse statute is vague.

โ€œFrom a legal perspective, thereโ€™s no definition of โ€˜corpse,โ€™โ€ she said. โ€œCan you be a corpse if you never took a breath?โ€

Grace Howard, assistant justice studies professor at San Josรฉ State University, said clarity on what about Wattsโ€™ behavior constituted a crime is essential.

โ€œHer miscarriage was entirely ordinary,โ€ she said. โ€œSo I just want to know what (the prosecutor) thinks she should have done. If we are going to require people to collect and bring used menstrual products to hospitals so that they can make sure it is indeed a miscarriage, itโ€™s as ridiculous and invasive as it is cruel.โ€

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