Intrauterine pregnancies with unclear viability are prevalent, and recommendations for detecting early pregnancy loss must balance the danger of disrupting a viable pregnancy with the distress and medical problems that might come from a delayed diagnosis. Two instances of suspected early pregnancy loss appearing as intrauterine pregnancies with questionable viability are documented, with dramatic variations in care availability due to state reproductive health care legislation. 

Abortion restrictions, medical and societal stigma, and intrinsic pronatalism in diagnostic criteria all interfere with professional judgment and can harm patients’ physical and emotional health.