On January 5, 1988, an 18-year-old patient identified as "S.G." underwent an abortion by Dr. Scott R. Barrett at Central Health Center for Women in Missouri.
S.G. awoke in pain during the abortion. While she was in recovery, her blood pressure fell, but nevertheless she was prepared for discharge. As S.G. was preparing to leave, she passed out. Barrett suctioned blood from her vagina, then instructed her family to take her home. Staff told them that S.G.'s problems were only a reaction to the anesthesia. But the family refused, staying at the facility with S.G.
S.G. and her family waited until after the facility had closed for the day. Family members brought S.G. soup at Barrett's suggestion, and remained at the facility waiting for S.G. to be provided with care. Four hours after the facility had closed, the family finally asked staff to call an ambulance, but they refused, so S.G.'s aunt called an ambulance herself. The ambulance crew found S.G. pale, lethargic, and in profound shock, with a pulse of 132. They transported her to a hospital, bringing with them a note form Barrett which misrepresented S.G's condition.
At the hospital, the emergency physician ordered additional IV fluids and 8 units of blood. S.G. had lost an estimated 2/3 of her blood volume. The surgeon found 2 liters of blood in S.G.'s abdomen. Her uterus was filled with clots. The surgeon repaired a 2.5 to 3-inch hole in S.G.'s uterus. S.G. remained hospitalized for six days.
Testimony at the medical board hearing reviewing Barrett's handling of the case characterized his conduct regarding S.G. as "incompetent," "grossly negligent," and "repeatedly negligent." However, these findings weren't enough to stop Barrett from practicing abortion. He went on to injure patient B.J. and to allow Stacy Ruckman to die under his care.