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Beyond Limits: Stories of Third-Trimester Abortion Care

by Shelley, MD Sella

Care and complexity in third-trimester abortion

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Awards & Recognition

  • Critical praise

    Praise from Diana Greene Foster, author of The Turnaway Study

    Diana Greene Foster praises the book as moving, personal, insightful, and powerfully written, and says it helps ...

AlbakiReads Editorial

Care and complexity in third-trimester abortion

Drawing on Dr. Shelley Sella’s two decades as an abortion provider, the book organizes its account around a typical week at her clinic, weaving the provider’s own journey together with patients’ varied circumstances. The examples in the description include a pregnancy affected by a severe fetal diagnosis, an IVF pregnancy with anomalous test results, and a patient whose account involves abuse. Together, these stories place third-trimester abortion in the context of individual lives and medical circumstances. The book also examines how the subject is stigmatized and misunderstood in public debate, and argues for care grounded in competence, compassion, and sensitivity.

Good fit for readers who enjoy

  • Readers seeking personal accounts of third-trimester abortion care
  • Readers interested in how abortion is discussed across political movements
  • Readers exploring the experiences of abortion providers and patients

Themes

Third-trimester abortion carePatient experiences and medical circumstancesStigma and political debateProvider perspectiveCompassionate care

Based on publisher information and book metadata.

Book overview

"Beyond Limits is moving, personal, insightful, and powerfully written. This book helps us to see people who seek abortions with clarity and compassion, as people in the real world, rather than as the objects of an abstract moral or political debate."--Diana Greene Foster, author of The Turnaway Study

A compassionate perspective on late-term abortion that challenges preconceived notions of who gets abortions and why


Within both the anti-abortion and pro-choice movements, third-trimester abortion is often stigmatized and misunderstood. For 20 years, Dr. Shelley Sella saw patients whose diverse backgrounds and circumstances led them to the same difficult decision: to end their pregnancies.

Now, interweaving her own journey as a provider, Dr. Sella invites readers into a typical week at her clinic to demystify the experience. She shares the stories of people like

  • Clarissa, a mother of 2 whose third suffered a massive stroke in utero with no chance of recovery
  • Mary, a devoted Catholic whose fourth round of IVF offered a late-in-life chance at motherhood, only to be dashed by anomalous test results
  • Laura, a mother to 4 already whose bruised arms tell a painful story, one she couldn't bring herself to write a fifth child into

Beyond Limits is not just a testament to a standard of care grounded in competence, compassion, and sensitivity. It is also a call for a paradigm shift that moves beyond Dobbs, beyond Roe, beyond limits to provide care. And it is a tribute to the real people whose hearts, reasons, and stories are more complex than politicized conversations about abortion lead us to believe.
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