Since January, Dr. Stacy Seyb, a maternal-fetal medicine specialist in Boise, Idaho, has had at least four of his patients wheeled onto emergency flights and airlifted out of the state while experiencing severe pregnancy complications.

One of them was a woman whose water broke around 20 weeks into her pregnancy, putting her at risk of infection. In these types of emergencies, ending the patient’s pregnancy can be part of the standard of care. But doctors at the hospital where Seyb works say they have been forced to transfer patients who have these complications out of state to comply with the state’s abortion ban.

“This has become the new normal, which is sad,” he said.