The family said that staff failed to determine that Josefina had an extopic pregnancy before proceeding with a routine abortion procedure by D&C on May 23, 1985. After her abortion, Josefina was left unattended in a recovery room, where she hemorrhaged. She died the day of her abortion. Her death certificate notes "acute bronchopneumonia due to anoxic encephalopathy following cardiopulmonary arrest due to ruptured tubal gestation with hemorrhage" as the cause of Josefina’s death. Mention is made elsewhere on the death certificate of "status post uterine suction curettage."
Though in theory women who choose abortion should be less likely to die from ectopic pregnancy than women who intend to carry to term, they are actually more likely to die because sloppy practices lead them to believe that they had normal uterine pregnancies that were termianted. Thus, they ignore symptoms that would ordinarly lead them to seek prompt, life-saving medical care.
Because the abortion is noted only as a suction curettage, and is mentioned in a supplementary box rather than in the cause of death box on the death certificate, a data run on California death certificates did not identify Josefina as an abortion death.
Josefina is one of many women to die at this NAF facility after the National Abortion Federation was founded. Others known to have died after abortion at Allred's facilities include:
- Denise Holmes, age 24, 1970
- Patricia Chacon, age 16, 1984
- Mary Pena, age 43, 1984
- Susan Levy, age 30, 1992
- Lanice Dorsey, age 17, 1986
- Joyce Ortenzio, age 32, 1988
- Tami Suematsu, age 19, 1988
- Deanna Bell, age 13, 1992
- Christina Mora, age 18, 1994
- Kimberly Neil, 2000
- Chanelle Bryant, age 22, 2004