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Stories of Third-Trimester Abortion Care
by Shelley Sella
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.
"Sella does a stellar job of straightforwardly and compassionately explaining why third-trimester abortions happen... .This bursts with insight." —Publishers Weekly
"Beyond Limits is an important addition to the literature on abortion and reproductive justice. Interweaving the real stories of the people whose abortions she performed with her own personal history, Shelley Sella has written a narrative that is emotionally powerful, intimate, and engaging." —Laura Kaplan, author of The Story of Jane: The Legendary Underground Feminist Abortion Service
"Through heartbreaking stories culled from Dr. Shelley Sella's remarkable career as an abortion provider to all who need care, Beyond Limits reminds us that when we leave third-trimester abortions on the floor of political compromise, we abandon some of the most vulnerable among us. This beautiful, devastating book may do what seems impossible in our viciously divided country: it just may change a few minds." —Khiara M. Bridges, author of Critical Race Theory: A Primer
This information about Beyond Limits was first featured
in "The BookBrowse Review" - BookBrowse's membership magazine, and in our weekly "Publishing This Week" newsletter. Publication information is for the USA, and (unless stated otherwise) represents the first print edition. The reviews are necessarily limited to those that were available to us ahead of publication. If you are the publisher or author and feel that they do not properly reflect the range of media opinion now available, send us a message with the mainstream reviews that you would like to see added.
Any "Author Information" displayed below reflects the author's biography at the time this particular book was published.
Dr. Shelley Sella is a board-certified ob-gyn and the first woman to openly practice third-trimester abortion care in the US, which she did for 20 years. She was prominently featured in the Emmy Award–winning documentary After Tiller. Dr. Sella served two terms on the board of the National Abortion Federation and in 2022 was awarded its highest honor, the Christopher Tietze Humanitarian Award. She is retired from clinical practice and now focuses on advocacy.
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