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Doctors seek more guidance from Louisiana officials as new maternal care drug law takes effect • Louisiana Illuminator

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Doctors seek more guidance from Louisiana officials as new maternal care drug law takes effect • Louisiana Illuminator


NEW ORLEANS — Louisiana’s new law reclassifying pregnancy care pills as controlled dangerous substances took effect Tuesday, creating an outcry from the state’s medical community as doctors, pharmacists and hospital lawyers try to determine how to navigate new protocols. The drugs are being targeted because they can be used to induce abortion.

The law, which Republican Gov. Jeff Landry signed in May, makes misoprostol and mifepristone Schedule IV drugs, adding the requirement that they be locked, securely stored and their use closely documented. Health care providers have shared worries that any delays in access to misoprostol, which has multiple other uses beyond medication abortions, could create life-threatening delays for patients bleeding post delivery. 

The New Orleans health department hosted a learning session for physicians and pharmacists Sept. 19 about the law, Act 246. After the session, city health director Dr. Jennifer Avegno sent a letter to Louisiana Surgeon General Dr. Ralph Abraham and Health Secretary Michael Harrington compiling some of the most pressing questions and seeking guidance. 

“We believe it is imperative that these questions are submitted to LDH for any necessary clarification, guidance, or additional rule-making, so that providers have legally accurate and medically appropriate tools,” Avegno wrote in the letter, a copy of which The Illuminator obtained. 

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Avegno is also in charge of an investigation into the law’s impact and whether it leads to any delay of care issues. The city’s health department created a reporting form health care workers and patients can complete to submit confidential information about any challenges.

Questions from last month’s webinar included asking for photographs of and specific instructions for officially approved and legal “secured areas” where the drugs can be stored for immediate access. The Louisiana Department of Health issued a memo in early September suggesting hospitals store the drugs in a “locked or secured area of an obstetric hemorrhage cart.”

So far, hospitals have not found this to be a feasible option because of the logistics involved with tracking and storing controlled substances. Instead, they are storing misoprostol in passcode-protected storage lockers made by Pyxis Corp. and named after the company. They are located outside of patient rooms.

Another question dealt with the word “abortion.” Medically-speaking and outside of political context, abortion can mean a miscarriage and pregnancy loss. There are several common, legal and medically appropriate diagnosis words that include the word abortion, including missed abortion, incomplete abortion and spontaneous abortion. 

While elective abortions are almost entirely illegal in Louisiana, misoprostol is still safe and legal for use in miscarriage management. But providers are worried that pharmacists, particularly those in rural areas, might be fearful of filling any prescriptions with the word “abortion” in it. 

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The webinar panel encouraged additional education and outreach to make sure pharmacists and patients understood the distinction, and they asked the state health department for additional clarification.

Act 246 has gained nationwide attention, with Louisiana becoming the first state to make these medications controlled substances.

Maternal fetal medicine specialist Dr. Jane Martin of New Orleans wrote a commentary for StatNews, a health and medicine periodical, criticizing the reclassification of the drugs.

A pregnant uterus receives 700 milliliters of blood per minute leading up to delivery, and the same amount can be lost each minute if a postpartum hemorrhage is not adequately treated immediately after being recognized,” Martin wrote. She describes how the original version of the bill criminalized coerced abortion and had wide support, but it took “an unprecedented turn” when amendments were added to reclassify pregnancy care pills as controlled dangerous substances. 

“I didn’t choose this profession to navigate legal obstacles, but to provide compassionate care during some of the most pivotal and vulnerable moments in someone’s life,” Martin added, saying that restricting access to misoprostol puts her patients in “unnecessary danger.’ 

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“The delivery room is a place of healing, not hesitation,” she wrote “The last thing I need to be asking myself during an emergency, while running through my mental checklist that I’ve used in every postpartum hemorrhage I’ve ever attended, is ‘Could I go to jail for this?”

Martin isn’t the only one speaking out forcefully. Dr. Veronica Gillispie-Bell, the state health department’s leading expert on maternal mortality, penned a column for  MSNBC voicing her opposition. She practices medicine in the New Orleans area.

“As an OB-GYN whose patients expect me to give the best care to them (and their babies), I’m convinced that this new law endangers them,” Gillispie-Bell wrote.  “Lawmakers must engage with physicians to craft evidence-based policies that protect our patients, not increase their risk of death.

Republican Attorney General Liz Murrill and anti-abortion group Louisiana Right to Life have accused the news media of fear-mongering and spreading ”disinformation” about the controversial law.

“The appropriate and professional way to obtain answers to questions about the law is to ask them, not to create and perpetuate confusion,” Murrill said Tuesday, when the law took effect, in a video address

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Avegno sent the letter with doctors’ questions Sept. 26 but has yet to hear back, she said.

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This report was published in partnership with the Pulitzer Center’s StoryReach U.S. fellowship. Read more of our coverage.





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Louisiana

A Dead 3-Year-Old Was Brought to a Louisiana Hospital. Now, 3 People Face Charges of Abuse

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A Dead 3-Year-Old Was Brought to a Louisiana Hospital. Now, 3 People Face Charges of Abuse


Three people have been charged in Louisiana after allegedly bringing a 3-year-old child to the hospital dead, according to authorities.

The Bienville Parish Sheriff’s Office shared in a social media post on Wednesday, March 5, that Kewanna Monique Lard, 44, Dewanequa Monique Nykeria Lard, 23, and Szysznyk DeWayne Phillips, 48, were charged with cruelty to juveniles.

Kewanna and Dewanequa were also charged with second-degree cruelty to juveniles and obstruction of justice.

According to the sheriff’s office, investigators responded to Bienville Medical Center on Feb. 13 after being informed about Bienville Parish residents “who arrived at the emergency room with the deceased child.” An autopsy was conducted on the 3-year-old as officers investigated what led to the child’s death.

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“Following an autopsy, investigators began to look further into suspected physical abuse of the deceased child as well as a [14-year-old child] who resided in the same household,” police said in a statement.

Police vehicle with lights (stock image).

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Police said that Kewanna, Dewanequa and Phillips lived together with the 14-year-old child and 3-year-old child — both of whom were not identified — in a home in Lucky, La., according to the release.

Want to keep up with the latest crime coverage? Sign up for PEOPLE’s free True Crime newsletter for breaking crime news, ongoing trial coverage and details of intriguing unsolved cases.   

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The sheriff’s office said investigators were able to obtain “sufficient evidence” in order to arrest the trio and charge them. They were booked into the Bienville Parish Jail, with bond set at $100,000 on each count, police said. 

Police said that their “investigation is ongoing” and “additional charges are pending” in the case. 

PEOPLE has reached out to the Bienville Parish Sheriff’s Office for more information on the case.

Local outlet KTBS-TV identified the deceased 3-year-old as Rayshawn “Nico” Lard. According to an online obituary, the child was born in Castor, La., on Oct. 9, 2021.

He was described as a child who “loved PAW Patrol,” as well as “his mom, siblings and cookies.” His funeral was held by his family on Feb. 28.

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Sheriff John Ballance told KTBS-TV that at this point in their investigation, none of the three people arrested so far have been charged with homicide. 

If you suspect child abuse, call the Childhelp National Child Abuse Hotline at 1-800-4-A-Child or 1-800-422-4453, or go to www.childhelp.org. All calls are toll-free and confidential. The hotline is available 24/7 in more than 170 languages.



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Man charged with manslaughter after Louisiana student hazing death

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Man charged with manslaughter after Louisiana student hazing death


A man has been charged in connection with the death of a Louisiana college student who collapsed after being repeatedly punched in the chest during a hazing ritual, police said.

Officials said Caleb McCray, 23, a member of the Omega Psi Phi Fraternity, allegedly punched Caleb Wilson multiple times during the off-campus initiation ceremony. He was charged with criminal hazing and manslaughter.

Mr Wilson was a 20-year-old college band member and mechanical engineering student at Southern University and A&M, Baton Rouge, Louisiana.

The suspect’s lawyer said in a statement his client deserved due process and asked the public “to withhold rushing to judgment until all the evidence is heard”.

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Hazing, which is illegal in most US states, is a tradition where people pledge their loyalty by doing something painful, humiliating or dangerous.

Speaking at a news conference, Baton Rouge Police Chief Thomas Morse Jr stated that Mr Wilson’s death on 27 February was a “direct result” of the hazing incident.

According to police, a group of individuals dropped Mr Wilson off at a hospital and allegedly lied to the staff, saying he had collapsed while playing basketball. They left before authorities arrived.

But detectives later determined that information to be inaccurate.

A police arrest report reviewed by US media outlets states that Mr Wilson and eight others pledging the Omega Psi Phi Fraternity were struck by Mr McCray and at least two others wearing boxing gloves.

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Mr McCray allegedly hit Mr Wilson four times in the chest, after which he collapsed, suffered a seizure, and lost control of his bodily functions, the arrest warrant affidavit said.

No-one present attempted to call for emergency assistance, police said. Mr Wilson was later pronounced dead at the hospital.

An autopsy found no significant trauma to his body, aside from a small bruise on the right side of his chest, according to the affidavit.

It also noted that investigators found no indication that Mr McCray intended to “cause death or great bodily harm to any of the pledges”.

Mr McCray, a member of Omega Psi Phi and reportedly a Louisiana Army National Guard member, is said to have graduated from Southern University in December 2024, according to ABC News.

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East Baton Rouge District Attorney Hillar Moore said two additional people, who have not been publicly identified, will be charged with misdemeanour hazing.

The investigation is ongoing and remains active.

Southern University System President Dennis Shields expressed deep sorrow over Mr Wilson’s death.

“Words cannot express how deeply saddened we are by the loss of our student, Caleb Wilson,” he said.

Mr Shields said the campus chapter of Omega Psi Phi has been ordered to suspend all activities. Students involved in the incident could face expulsion.

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Additionally, all Greek organisations at the university – a historically black college – have been barred from accepting new members for the remainder of the academic year.

Mr Wilson’s passing has sparked widespread grief.

The Human Jukebox Marching Band, which recently performed at the Super Bowl, honoured him in a Facebook post.

“A talented trumpet player, a dedicated student, and a bright soul, Caleb was a mechanical engineering major who poured his passion into both his studies and his time with the Human Jukebox. His energy, spirit, and impact on those around him will never be forgotten.”

Hundreds of people gathered for a vigil outside Southern University’s Smith-Brown Student Union.

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One friend, speaking of Mr Wilson, told local media outlet WAFB: “His light does not die with himself. It dies with all of us. We have to make sure his light lives within all of us and make sure you stand up tall like he’s on your shoulders reaching for the sky.”

The Omega Psi Phi Fraternity released a statement offering condolences and supporting law enforcement’s efforts “to seek the truth”.

Under Louisiana state law, if a person dies or is seriously injured during a hazing ritual, it can be prosecuted as a criminal offence under the Max Gruver Act.

Max Gruver was a Louisiana State University student who died of alcohol poisoning after hazing in 2018.

Those prosecuted can face up to a $10,000 (£7,745) fine and five years in prison. Organisations and educational institutions can also face penalties under the act.

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Louisiana researchers leave labs to rally for science at State Capitol 

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Louisiana researchers leave labs to rally for science at State Capitol 


A crowd of Louisiana scientists gathered Friday at the State Capitol to protest the Trump administration’s proposed research funding cuts.  The gathering of over 100 professors, students and other researchers was part of a nationwide “Stand Up for Science” demonstration, with scientists from across the country walking out of their labs in defense of their […]



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