With the likelihood that the U.S. Supreme Court will overturn Roe v. Wade, a number of states are taking steps to make the punishments for abortion stricter and to eliminate any exceptions, such as rape, incest or the life of the mother. some states will treat abortion as homicide, with criminal penalties for those who perform them.

The Washington Post reported a recent incident where medical staff at a Cleveland medical facility worked feverishly to save the lives of a pregnant woman and the child she very much wanted.

The pregnant woman was bleeding heavily by the time she arrived at the hospital.

Maria Phillis, an obstetrician/gynecologist, and other doctors on duty at the Cleveland medical facility transfused her with bags of blood, but her condition deteriorated rapidly. It wasn’t long before the mother faced an awful choice: Her placenta, a part of the womb, had attached in the wrong place, wreaking havoc in her body. But the baby was far too young to survive on its own.

The pregnancy was terminated to save the woman’s life — an outcome painful for all involved. “This was a very desired pregnancy,” Phillis said.

Now Phillis replays the recent medical crisis in her head, wondering about the implications in a world where Roe v. Wade is overturned and abortion becomes illegal in her home state of Ohio. State lawmakers are weighing a bill to make performing the procedure a fourth-degree felony. Might she be charged with a crime for providing care she believes is moral and necessary?

Anti-abortion laws frequently make exceptions for women whose lives are in danger.

Emboldened conservatives in some states are pushing to narrow and in some cases eliminate such exceptions, arguing that they create loopholes that are easily exploited. Doctors say such restrictions will complicate medical decisions for pregnant women, increasing the risk of death in a country that already has the highest rates of maternal mortality in the industrialized world.

Idaho Lt. Gov. Janice McGeachin on Monday called for a special legislative session to remove most exceptions from that state’s “trigger law” banning abortion. In Georgia, Pennsylvania and Wisconsin, leading Republican gubernatorial candidates have teamed up with antiabortion groups to push bans that would not allow the procedure even if the mother’s health is endangered. In some states, exceptions for the “life of the mother,” rather than the “health of the mother” have been written into trigger laws or proposed measures, significantly limiting the scope of when they can be used.

“What we are calling for is a total ban, no exceptions,” Matt Sande, legislative director of Pro-Life Wisconsin, said in an interview. “We don’t think abortion is ever necessary to save the life of the mother.”

If a woman dies because of such anti-abortion zealots, they should be held criminally responsible for her death.