Health care providers across the Twin Cities report that pregnant immigrants are avoiding or missing prenatal care visits due to fear of ICE enforcement during Operation Metro Surge, leading to increased no-show rates and serious complications. Providers have documented cases of preterm premature rupture of membranes, gestational diabetes, high blood pressure, and depression among patients who delay or forgo care. Some patients are requesting home births without informing providers, avoiding grocery stores due to fear, and requesting fewer prenatal visits, which can result in complications going undetected—including one documented case where a patient with high-risk pregnancy history postponed a monitoring appointment and subsequently delivered at 20 weeks, resulting in pregnancy loss.