Obviously, this woman wanted to have a baby very much, as evidenced through the number of miscarriages she suffered, and by her reluctance to undergo a second attempt to remove products of conception (POC) after the D&C showed no POC were actually removed, and her refusal to take a medication (probably something like methotrexate) that would facilitate the expulsion of POC tells me that she did not want to violate her personal beliefs as a JW.
An ectopic pregnancy is a medical emergency. The pregnancy will not go to term (therefore is NOT VIABLE) and if the structure housing the embryo ruptures, it can very quickly result in the patient's death. In this case, it would have left another infant without his mother.
Maybe it's just me, but I find this excerpt to be very offensive:
After Surgery in 2009 to correct some deficiencies and to firm up her womb she was able to deliver a full term, healthy boy at the end of her previous pregnancy. L became pregnant again at the end of 2009, approximately October or the beginning of November.
Seriously, the way they describe the "surgery ... to correct some deficiencies and to firm up her womb" is repugnant and demonstrates a complete ignorance of medical interventions used in the female reproductive system. Listen here, asshats: at least try to use the correct terminology when describing medical procedures. I'm pretty sure they are referring to a "cerclage" which is used to prevent premature birth in women who have what is known as an "incompetent cervix".
I've said this before and I'll say it again: if this issue involved men, it would be a non-issue. But because pregnancy and childbirth are the sole domain of women, and considering the harsh manner by which JW women are judged during this most vulnerable times of their lives, the WTS and its toadie Elders™ demonstrate in the most revolting manner possible, their complete and utter disdain for the lives, health and well-being of women and children. Not only are they attacking a vulnerable person during a stressful, tragic time in life, but they are threatening the individual's spiritual well-being as well, by attempting to ostracise her from what is likely the only support network she has ever known. They aren't Spiritual Shepherds™ at all... very plainly they are misogynistic bullies. They should be thoroughly ashamed for even giving this issue Judicial™ attention, instead of rallying around and offering comfort to the bereaved family, like Christians should do.
As far as a HIPAA violation goes, if the patient voluntarily shares personal medical information with other parties who are not bound by HIPAA's confidentiality requirements, then there is no violation. It's just like if you talk to your co-worker about your medical problems and they gossip about it to other people in your office - there can be no expectation of confidentiality when information is voluntarily disclosed to anyone not bound by HIPAA. It lets the WTS and the Elders™ off the hook.