HOUSTON — Some women covered their ears as the sounds of fetal heartbeats echoed into their exam rooms at a Houston abortion clinic.

Others tried to drown out the noise with their own voices, said Planned Parenthood officials, nervously humming or talking over the sounds of fetuses in their wombs. Still others turned their heads away from ultrasound images, an effort to opt out of part of the state's new sonogram requirement for abortions, which the Department of State Health Services began enforcing Tuesday.

"These patients are livid, they are hurt," said Tram Nguyen, director of Planned Parenthood Gulf Coast, describing recent scenes at her Houston clinic. "They feel that we are the ones being condescending and questioning their decision when we are just messengers."

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