Alex shouldn't have put herself in the position she's in - I 100% agree with that and have said so previously. She doesn't have the luxury of doing motherhood this way and expecting it to go well because of her condition. She is immature and did something stupid that may create many, many problems for herself and others. That doesn't mean I could justify taking her autonomy away in my own mind. If she were to decide one baby attempt is enough and that her body isn't meant for carrying children, and I think she should consider this, then her looking into options to prevent that going forward would be ideal.
I'm overly sensitive on this particular topic, and I admit that. Part of it comes from knowing some awesome disabled parents, ones who have supportive partners and made long-term plans ahead of time. Alex is not that sort of person and has already started the process without forethought. So far, she's not showing signs of becoming responsible, but maybe she'll get there? I hope she proves everyone wrong; I'd love to see a happy outcome against the odds.
The other part is that this is personal. I had been diagnosed with a serious mental illness and went to my gyno, not to discuss that - Because why would I? - but to talk about my heavy periods. She had spoken with my psych team beforehand and suggested endometrial ablation, burning away my uterus lining. It's used to lessen monthly bleeding but is only suitable for someone who never intends to become pregnant. She said I'd have to be sterilized as well. Or, I could have a hysterectomy. No other options were offered, no tests were done, just these two procedures or nothing. I was 25 and in a relationship, in psych treatment, educated, and financially stable.
Her exact words were "You shouldn't be getting pregnant, so this will solve both problems". I refused, not because I wanted to have a baby at that time, and I haven't had any since because I do understand I'm not a suitable candidate for motherhood for various reasons, but because I wanted to keep my organs intact and that's not someone else's choice to make for me. Right or wrong, this experience makes me uneasy whenever I hear talk about taking away another woman's choice.