Some fertility clinics and transport services are worried about shipping embryos following the Alabama Supreme Court’s ruling that embryos are children.

Some fertility clinics and shipping services plan to hold off on sending frozen embryos from Alabama to other states as they weigh the legal implications of an Alabama court ruling that says embryos created through in vitro fertilization are children.

Many doctors and patients are confused about which elements of fertility treatment are restricted, following the Alabama Supreme Court decision last week, and at least three Alabama providers have paused IVF services. Some IVF patients have considered moving their embryos out of the state to continue the process elsewhere, only to learn that the option isn’t available to them right now.