Protestants and the pill: How US Christians helped make birth control mainstream
Protestant Christians have been debating — and more often than not, supporting — modern contraceptives since they first appeared. Bettmann/Bettman via Getty Images
Since May 3, 2022, when Politico reported that the Supreme Court was planning to strike down Roe v. Wade, many Christians have celebrated the prospect of an America where abortion is not a constitutionally protected right – or is someday banned entirely.
Meanwhile, other conservative Christians have been working on a related target: limiting access to some contraceptives.
In July 2020, when the Supreme Court ruled that organizations with “sincerely held religious or moral objection” are not obligated to provide contraceptive coverage to their employees, many conservative Christians applauded. Six years before, the evangelical owners of crafting chain Hobby Lobby took their objections to covering the IUD in their health insurance plans all the way to the Supreme Court. Hobby Lobby argued – incorrectly, according to most medical authorities – that it was a form of abortion, and therefore they should not have to cover employees’ health insurance for it. The justices sided with the chain’s owners.
Yet as access to both abortion and contraception comes under threat, the vast majority of Protestants use or have used some form of contraception. Their actions are supported by almost 100 years of pastoral advocacy on the issue. In my work as a scholar of religous studies, gender and sexuality, I have researched the Protestant leaders who campaigned to make contraception respectable, and therefore widely acceptable, in the mid-20th century.
History, I have found, provides a different story about the relationship between Protestants and birth control.
‘Responsible parenthood’
As new contraceptive options emerged in the first two-thirds of the 20th century, from the diaphragm to the birth control pill, Christian leaders wrestled with what to think. Many came to see birth control as a moral good that would allow married couples to have satisfying sex lives, while protecting women from the health risks of frequent pregnancies. They hoped it could ensure that couples would not have more children than they could care for, emotionally and economically.
Women with children stand outside Sanger Clinic, the first birth control clinic in United States, in Brooklyn, New York in 1916. Circa Images/GHI/Universal History Archive/Universal Images Group via Getty Images
They looked inward, considering the consequences of birth control for their own communities, and hoped that “planned” or “responsible” sex would create healthy families and decrease divorce. They also looked outward, thinking about birth control’s wider implications, at a time of widespread concern that the global population was rising too quickly to handle.
By the time the pill came on the market in the 1960s, liberal and even some conservative Protestants were advocating for birth control using new theological ideas about “responsible parenthood.”
“Responsible parenthood” reframed debates about family size around “Christian duty.” To be responsible in parenting was not only to avoid having more children than you could afford, nurture and educate. It also meant considering responsibilities outside the home toward churches, society and humanity.
Protestant leaders supporting contraception argued that the best kind of family was a father with a steady job and a homemaker mother, and that birth control could encourage this model, because smaller families could maintain a comfortable lifestyle on one income. They also hoped that contraception would help couples stay together by allowing them to have satisfying sex lives.
Multiple denominations endorsed birth control. In 1958, for example, the Anglican Communion stated that family planning was a “primary obligation of Christian marriage,” and chastised parents “who carelessly and improvidently bring children into the world, trusting in an unknown future or a generous society to care for them.”
The big picture
Religious leaders’ support for “responsible parenthood” was not just about deliberately creating the kind of Christian families they approved of. It was also about heading off the horrors of population explosion – a fear very much front of mind in mid-century America.
In the middle of the 20th century, with increased access to vaccines and antibiotics, more children were living to adulthood and life expectancies were rising. Protestant leaders feared this so-called population bomb would outstrip the Earth’s food supply, leading to famine and war.
In 1954, when the global population stood at about 2.5 billion, Rev. Harry Emerson Fosdick, one of the most prominent Protestant voices of the age, framed overpopulation as one of the world’s “basic problems,” and the birth control pill, which was then being developed, as the best potential solution.
Richard Fagley, a minister who served on the World Council of Church’s Commission of the Churches on International Affairs, argued that in family planning, science had provided Christians with a new venue for moral responsibility. Medical knowledge, Fagley wrote, is “a liberating gift from God, to be used to the glory of God, in accordance with his will for men.”
These “responsible parenthood” ideas held that religious couples had a responsibility to be good stewards of the earth by not having more children than the planet could support. In the context of marriage, contraception was viewed as moral, shoring up a particular form of Christian values.
Yesterday’s arguments
These ideas about “good” and “bad” families often rested on assumptions about race and gender that reproductive rights advocates find troubling today.
Early in the 20th century, predominantly white, Protestant clergy were very interested in increasing access to contraception for the poor, who were often Catholic or Jewish immigrants or people of color. Some scholars have argued that early support for contraception was predominantly about eugenics, particularly before World War II. Among some white leaders, there was concern about so-called race suicide: the racist fear that “they” would be overwhelmed.
Apart from some eugenicists, however, most of these clergy wanted to give people access to contraception in order to create “healthy” families, regardless of income level. Yet many were unable or unwilling to see how they were promoting a narrow view of the ideal family, and how that marginalized poor communities and people of color – themes I am studying in my current book project.
Moreover, many proponents were advocating for women’s health, but not reproductive freedom. Their priority was setting women up for success to attain their ideal of the middle-class, Christian motherhood. With fewer children, some hoped, families would be able to get by on just a husband’s salary, meaning more women at home raising children.
A battle won – and lost?
Over the decades, Protestant leaders have, in large part, disappeared from pro-birth control arguments.
There are many reasons. Mid-century agricultural technologies reduced fears of overpopulation – which have only recently been reawoken by the climate crisis. Meanwhile, mainline Protestant churches, and their public influence, are shrinking. Conservative leaders eventually grew concerned that birth control would lead to more working women, not fewer. And since the 1970s, evangelicals have grown increasingly opposed to abortion, which was increasingly linked to birth control through the broad term “family planning.”
In other words, since the “population bomb” was no longer ticking, contraception no longer seemed like such an urgent necessity – and some of its other implications troubled conservatives, breaking an almost pan-Protestant alliance.
Meanwhile, liberal Protestants had so embraced contraception that they no longer viewed it as turf that needed defending. Today, 99% of American girls and women between the ages of 15 and 44 who have ever had sex use or have used a contraceptive method. Reproductive rights advocates turned their attention to abortion rights – largely leaving religious views on birth control to their opponents.
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Samira Mehta does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.
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Over half of U.S. abortions now done with pills, not surgerySean Pavone // Shutterstock
One historic decision has been endlessly passed around states over the last year. Roe v. Wade expressly protects a pregnant person’s right to choose to have an abortion. It’s under review by a now supermajority conservative Supreme Court, but reports suggest it could be struck down at any moment, as more and more states bring their own abortion laws to the highest court in the land.
At the center of the pending case is a 2018 Mississippi law that banned abortions after 15 weeks of pregnancy. Mississippi’s attorney general directly asked the court to not only uphold the law but overturn Roe v. Wade, saying states should have more power over abortion access. Now, the Supreme Court has allowed a Texas law banning abortions at six weeks to stay in place until the lawsuit is resolved.
States have already employed many kinds of restrictions, including but not limited to: parental consent for young women seeking abortions, bans on telemedicine for medicated abortions, mandated counseling and ultrasounds before the procedure, and TRAP laws, which impose burdensome medical standards such as hospital-admitting privileges on abortion clinics. Florida is now considering a 15-week abortion limit in their state legislature just as the 2022 session begins.
Many states with either anti-choice governors or constituents against abortion are attacking Roe v. Wade by enacting laws they can't enforce, in case the Supreme Court decides in 2022 to overturn the decision. A decision on the famous Mississippi case is not expected until June 2022, but the pro-life movement is trying to kick down the door.
To find out which states would be most affected by this decision, Stacker consulted a July 2019 study published in reproductive health journal Contraception, updated in 2021 by Professor Caitlin Myers at Middlebury College. The study analyzed the impact of a post-Roe world by analyzing states’ current laws and political climate to identify states that would be at a high risk of outlawing abortion.
Eight states maintain so-called “trigger bans” that would immediately outlaw abortion if Roe v. Wade were overturned. Based on this and other information, any state that could quickly enact restrictions if Roe v. Wade was overturned is listed as “high-risk.” States could be classified as “high-risk” even if they have no laws currently on the books, but simply a political climate unamiable to abortion. Then, using Census demographic data, the study calculated the number of women that would be affected by an increase in travel time to the nearest abortion clinic in a scenario where all high-risk states ban abortion.
The makeup of the surrounding states is enough to limit abortion access by an over 1000% increase in distance. Keep reading to see which states will be most affected if Roe v. Wade is repealed.
Sean Pavone // ShutterstockOne historic decision has been endlessly passed around states over the last year. Roe v. Wade expressly protects a pregnant person’s right to choose to have an abortion. It’s under review by a now supermajority conservative Supreme Court, but reports suggest it could be struck down at any moment, as more and more states bring their own abortion laws to the highest court in the land.
At the center of the pending case is a 2018 Mississippi law that banned abortions after 15 weeks of pregnancy. Mississippi’s attorney general directly asked the court to not only uphold the law but overturn Roe v. Wade, saying states should have more power over abortion access. Now, the Supreme Court has allowed a Texas law banning abortions at six weeks to stay in place until the lawsuit is resolved.
States have already employed many kinds of restrictions, including but not limited to: parental consent for young women seeking abortions, bans on telemedicine for medicated abortions, mandated counseling and ultrasounds before the procedure, and TRAP laws, which impose burdensome medical standards such as hospital-admitting privileges on abortion clinics. Florida is now considering a 15-week abortion limit in their state legislature just as the 2022 session begins.
Many states with either anti-choice governors or constituents against abortion are attacking Roe v. Wade by enacting laws they can't enforce, in case the Supreme Court decides in 2022 to overturn the decision. A decision on the famous Mississippi case is not expected until June 2022, but the pro-life movement is trying to kick down the door.
To find out which states would be most affected by this decision, Stacker consulted a July 2019 study published in reproductive health journal Contraception, updated in 2021 by Professor Caitlin Myers at Middlebury College. The study analyzed the impact of a post-Roe world by analyzing states’ current laws and political climate to identify states that would be at a high risk of outlawing abortion.
Eight states maintain so-called “trigger bans” that would immediately outlaw abortion if Roe v. Wade were overturned. Based on this and other information, any state that could quickly enact restrictions if Roe v. Wade was overturned is listed as “high-risk.” States could be classified as “high-risk” even if they have no laws currently on the books, but simply a political climate unamiable to abortion. Then, using Census demographic data, the study calculated the number of women that would be affected by an increase in travel time to the nearest abortion clinic in a scenario where all high-risk states ban abortion.
The makeup of the surrounding states is enough to limit abortion access by an over 1000% increase in distance. Keep reading to see which states will be most affected if Roe v. Wade is repealed.

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Over half of U.S. abortions now done with pills, not surgeryJacob Boomsma // Shutterstock
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -0.2%
--- Affected population: 11,808 (2.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 11 miles (22.2% increase)
- Present day:
--- Abortion facilities: 9
--- Average distance to nearest abortion clinic: 9 miles
Though abortion will likely remain legal in Nevada, people in need of services will have to travel a bit farther to get them, due to bordering states that would outlaw them. Nevada residents voted to keep abortion rights for pregnant women under 24 weeks into the gestational period in 1990, and that law could only be repealed by another direct vote of the people.
Jacob Boomsma // Shutterstock- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -0.2%
--- Affected population: 11,808 (2.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 11 miles (22.2% increase)
- Present day:
--- Abortion facilities: 9
--- Average distance to nearest abortion clinic: 9 miles
Though abortion will likely remain legal in Nevada, people in need of services will have to travel a bit farther to get them, due to bordering states that would outlaw them. Nevada residents voted to keep abortion rights for pregnant women under 24 weeks into the gestational period in 1990, and that law could only be repealed by another direct vote of the people.
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Over half of U.S. abortions now done with pills, not surgeryCanva
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -0.2%
--- Affected population: 7,245 (0.9% of women aged 15-44)
--- New average distance to nearest abortion clinic: 16 miles (6.7% increase)
- Present day:
--- Abortion facilities: 15
--- Average distance to nearest abortion clinic: 15 miles
Oregon and Nevada share a border with California, a state with several abortion protections others do not have, including constitutional protection. Reproductive rights were recognized in California’s constitution in 1969, giving people in states like Oregon more options. Oregon passed the Reproductive Health Equity Act in 2017, which expanded abortion access by requiring private health insurance to cover abortions, and funding services for those who would otherwise be excluded from coverage, such as DACA recipients.
Canva- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -0.2%
--- Affected population: 7,245 (0.9% of women aged 15-44)
--- New average distance to nearest abortion clinic: 16 miles (6.7% increase)
- Present day:
--- Abortion facilities: 15
--- Average distance to nearest abortion clinic: 15 miles
Oregon and Nevada share a border with California, a state with several abortion protections others do not have, including constitutional protection. Reproductive rights were recognized in California’s constitution in 1969, giving people in states like Oregon more options. Oregon passed the Reproductive Health Equity Act in 2017, which expanded abortion access by requiring private health insurance to cover abortions, and funding services for those who would otherwise be excluded from coverage, such as DACA recipients.
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Over half of U.S. abortions now done with pills, not surgeryCanva
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -0.3%
--- Affected population: 20,488 (3.6% of women aged 15-44)
--- New average distance to nearest abortion clinic: 54 miles (1.9% increase)
- Present day:
--- Abortion facilities: 4
--- Average distance to nearest abortion clinic: 53 miles
Kansas already has a few common restrictions on abortion, such as limits on public and private funding for the procedure. Though the state supreme court ruled in 2019 the right to an abortion is protected in the Kansas constitution, conservative lawmakers recently voted to to put a proposed anti-abortion amendment to the state constitution on the 2022 ballot. The majority of the states surrounding Kansas are far more restrictive.
Canva- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -0.3%
--- Affected population: 20,488 (3.6% of women aged 15-44)
--- New average distance to nearest abortion clinic: 54 miles (1.9% increase)
- Present day:
--- Abortion facilities: 4
--- Average distance to nearest abortion clinic: 53 miles
Kansas already has a few common restrictions on abortion, such as limits on public and private funding for the procedure. Though the state supreme court ruled in 2019 the right to an abortion is protected in the Kansas constitution, conservative lawmakers recently voted to to put a proposed anti-abortion amendment to the state constitution on the 2022 ballot. The majority of the states surrounding Kansas are far more restrictive.
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Over half of U.S. abortions now done with pills, not surgerySean Pavone // Shutterstock
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -0.5%
--- Affected population: 40,320 (10.1% of women aged 15-44)
--- New average distance to nearest abortion clinic: 58 miles (1.8% increase)
- Present day:
--- Abortion facilities: 5
--- Average distance to nearest abortion clinic: 57 miles
Women in New Mexico were once facing a long-dormant abortion ban that was deemed unconstitutional and unenforceable, but they now have access to legal procedures and public funding. In February 2021, New Mexico Gov. Michelle Lujan Grisham signed a bill that finally overturned that law, which would have triggered a statewide ban if Roe v. Wade were reversed.
Sean Pavone // Shutterstock- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -0.5%
--- Affected population: 40,320 (10.1% of women aged 15-44)
--- New average distance to nearest abortion clinic: 58 miles (1.8% increase)
- Present day:
--- Abortion facilities: 5
--- Average distance to nearest abortion clinic: 57 miles
Women in New Mexico were once facing a long-dormant abortion ban that was deemed unconstitutional and unenforceable, but they now have access to legal procedures and public funding. In February 2021, New Mexico Gov. Michelle Lujan Grisham signed a bill that finally overturned that law, which would have triggered a statewide ban if Roe v. Wade were reversed.
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Over half of U.S. abortions now done with pills, not surgeryCanva
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -0.9%
--- Affected population: 92,473 (5.5% of women aged 15-44)
--- New average distance to nearest abortion clinic: 25 miles (19.0% increase)
- Present day:
--- Abortion facilities: 16
--- Average distance to nearest abortion clinic: 21 miles
Virginia is one of many states repealing previously restrictive abortion laws amid concerns for Roe v. Wade. As of 2020, Virginia health insurance carriers can cover abortion services, though they are not required to do so. Nearby in Maryland, those seeking abortions have protection outside of Roe v. Wade.
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Canva- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -0.9%
--- Affected population: 92,473 (5.5% of women aged 15-44)
--- New average distance to nearest abortion clinic: 25 miles (19.0% increase)
- Present day:
--- Abortion facilities: 16
--- Average distance to nearest abortion clinic: 21 miles
Virginia is one of many states repealing previously restrictive abortion laws amid concerns for Roe v. Wade. As of 2020, Virginia health insurance carriers can cover abortion services, though they are not required to do so. Nearby in Maryland, those seeking abortions have protection outside of Roe v. Wade.
You may also like: U.S. cities with the cleanest air
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Over half of U.S. abortions now done with pills, not surgeryCanva
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -1.1%
--- Affected population: 12,111 (11.2% of women aged 15-44)
--- New average distance to nearest abortion clinic: 138 miles (3.0% increase)
- Present day:
--- Abortion facilities: 2
--- Average distance to nearest abortion clinic: 134 miles
People won’t find abortion protections in Wyoming’s state law or its constitution, and will barely find a clinic they can use. What they will find is a legislature that is advancing bills that restrict abortion access, including one that prevents women from using student health insurance for the procedure. If Roe v. Wade were outlawed, the legality of abortions could be at risk.
Canva- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -1.1%
--- Affected population: 12,111 (11.2% of women aged 15-44)
--- New average distance to nearest abortion clinic: 138 miles (3.0% increase)
- Present day:
--- Abortion facilities: 2
--- Average distance to nearest abortion clinic: 134 miles
People won’t find abortion protections in Wyoming’s state law or its constitution, and will barely find a clinic they can use. What they will find is a legislature that is advancing bills that restrict abortion access, including one that prevents women from using student health insurance for the procedure. If Roe v. Wade were outlawed, the legality of abortions could be at risk.
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Over half of U.S. abortions now done with pills, not surgeryCanva
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -1.6%
--- Affected population: 95,799 (8.9% of women aged 15-44)
--- New average distance to nearest abortion clinic: 40 miles (25.0% increase)
- Present day:
--- Abortion facilities: 7
--- Average distance to nearest abortion clinic: 32 miles
The right to abortion has been protected in Minnesota since 1995, when the Minnesota Supreme Court ruled that a woman’s right to privacy includes the right to terminate a pregnancy. However, Minnesota shares a border with two very restrictive states that may try to immediately restrict abortions if Roe v. Wade is gone.
Canva- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -1.6%
--- Affected population: 95,799 (8.9% of women aged 15-44)
--- New average distance to nearest abortion clinic: 40 miles (25.0% increase)
- Present day:
--- Abortion facilities: 7
--- Average distance to nearest abortion clinic: 32 miles
The right to abortion has been protected in Minnesota since 1995, when the Minnesota Supreme Court ruled that a woman’s right to privacy includes the right to terminate a pregnancy. However, Minnesota shares a border with two very restrictive states that may try to immediately restrict abortions if Roe v. Wade is gone.
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Over half of U.S. abortions now done with pills, not surgeryCanva
- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -3.2%
--- Affected population: 708,893 (60.2% of women aged 15-44)
--- New average distance to nearest abortion clinic: 74 miles (10.4% increase)
- Present day:
--- Abortion facilities: 1
--- Average distance to nearest abortion clinic: 67 miles
Missouri is the first state on this list with a trigger ban. Though previous bans were declared unconstitutional, one recent ban would immediately go into effect if Roe v. Wade is repealed. In June 2021, a federal appeals court blocked Missouri from enforcing the bill that prohibits all abortions after eight weeks.
Canva- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -3.2%
--- Affected population: 708,893 (60.2% of women aged 15-44)
--- New average distance to nearest abortion clinic: 74 miles (10.4% increase)
- Present day:
--- Abortion facilities: 1
--- Average distance to nearest abortion clinic: 67 miles
Missouri is the first state on this list with a trigger ban. Though previous bans were declared unconstitutional, one recent ban would immediately go into effect if Roe v. Wade is repealed. In June 2021, a federal appeals court blocked Missouri from enforcing the bill that prohibits all abortions after eight weeks.
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Over half of U.S. abortions now done with pills, not surgeryCanva
- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -8.4%
--- Affected population: 331,206 (88.6% of women aged 15-44)
--- New average distance to nearest abortion clinic: 69 miles (56.8% increase)
- Present day:
--- Abortion facilities: 3
--- Average distance to nearest abortion clinic: 44 miles
It’s already a felony to get an abortion after 20 weeks in Nebraska. Though there’s no trigger ban, the state government enacted a law last year prohibiting dilation and evacuation (D&E) abortions, which are performed in 95% of second trimester abortions.
Canva- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -8.4%
--- Affected population: 331,206 (88.6% of women aged 15-44)
--- New average distance to nearest abortion clinic: 69 miles (56.8% increase)
- Present day:
--- Abortion facilities: 3
--- Average distance to nearest abortion clinic: 44 miles
It’s already a felony to get an abortion after 20 weeks in Nebraska. Though there’s no trigger ban, the state government enacted a law last year prohibiting dilation and evacuation (D&E) abortions, which are performed in 95% of second trimester abortions.
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Over half of U.S. abortions now done with pills, not surgeryCanva
- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -12.9%
--- Affected population: 112,850 (69.6% of women aged 15-44)
--- New average distance to nearest abortion clinic: 189 miles (43.2% increase)
- Present day:
--- Abortion facilities: 1
--- Average distance to nearest abortion clinic: 132 miles
South Dakota has had a trigger law waiting to become enforceable since 2005. It escalates the practice of abortion to a felony for physicians who provide it. Like its neighbor North Dakota, the state has just one facility, which would have to stop providing abortions in a no-Roe country.
Canva- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -12.9%
--- Affected population: 112,850 (69.6% of women aged 15-44)
--- New average distance to nearest abortion clinic: 189 miles (43.2% increase)
- Present day:
--- Abortion facilities: 1
--- Average distance to nearest abortion clinic: 132 miles
South Dakota has had a trigger law waiting to become enforceable since 2005. It escalates the practice of abortion to a felony for physicians who provide it. Like its neighbor North Dakota, the state has just one facility, which would have to stop providing abortions in a no-Roe country.
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Over half of U.S. abortions now done with pills, not surgeryCanva
- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -15.5%
--- Affected population: 184,170 (58.5% of women aged 15-44)
--- New average distance to nearest abortion clinic: 126 miles (129.1% increase)
- Present day:
--- Abortion facilities: 2
--- Average distance to nearest abortion clinic: 55 miles
In 2018, 52% of West Virginia voters decided to amend the state’s constitution and ensure abortion is not protected if Roe v. Wade is repealed. West Virginia is surrounded by states with similar plans, apart from Maryland, so people will have to travel even farther to find services.
Canva- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -15.5%
--- Affected population: 184,170 (58.5% of women aged 15-44)
--- New average distance to nearest abortion clinic: 126 miles (129.1% increase)
- Present day:
--- Abortion facilities: 2
--- Average distance to nearest abortion clinic: 55 miles
In 2018, 52% of West Virginia voters decided to amend the state’s constitution and ensure abortion is not protected if Roe v. Wade is repealed. West Virginia is surrounded by states with similar plans, apart from Maryland, so people will have to travel even farther to find services.
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Over half of U.S. abortions now done with pills, not surgeryRandall Runtsch // Shutterstock
- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -20.4%
--- Affected population: 136,216 (91.9% of women aged 15-44)
--- New average distance to nearest abortion clinic: 323 miles (121.2% increase)
- Present day:
--- Abortion facilities: 1
--- Average distance to nearest abortion clinic: 146 miles
North Dakota’s trigger ban allows few exceptions for abortion procedures. People who are victims of rape or incest can get them, and those whose lives are at risk are also included. The 2007 ban was followed by several other restrictions, including the dilation and evacuation ban that Nebraska also put forward.
Randall Runtsch // Shutterstock- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -20.4%
--- Affected population: 136,216 (91.9% of women aged 15-44)
--- New average distance to nearest abortion clinic: 323 miles (121.2% increase)
- Present day:
--- Abortion facilities: 1
--- Average distance to nearest abortion clinic: 146 miles
North Dakota’s trigger ban allows few exceptions for abortion procedures. People who are victims of rape or incest can get them, and those whose lives are at risk are also included. The 2007 ban was followed by several other restrictions, including the dilation and evacuation ban that Nebraska also put forward.
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Over half of U.S. abortions now done with pills, not surgeryCanva
- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -24.1%
--- Affected population: 1,307,855 (99.8% of women aged 15-44)
--- New average distance to nearest abortion clinic: 129 miles (279.4% increase)
- Present day:
--- Abortion facilities: 7
--- Average distance to nearest abortion clinic: 34 miles
As part of the block of states in the Midwest ready to ban abortions via bills or amendments, Indiana has tried to repeal any protections for the procedure that exist. Their proposed ban is strict: should Roe v. Wade be nullified, there would be no abortions allowed, not even in cases of rape or incest, and if performed, they would be classified as murder.
Canva- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -24.1%
--- Affected population: 1,307,855 (99.8% of women aged 15-44)
--- New average distance to nearest abortion clinic: 129 miles (279.4% increase)
- Present day:
--- Abortion facilities: 7
--- Average distance to nearest abortion clinic: 34 miles
As part of the block of states in the Midwest ready to ban abortions via bills or amendments, Indiana has tried to repeal any protections for the procedure that exist. Their proposed ban is strict: should Roe v. Wade be nullified, there would be no abortions allowed, not even in cases of rape or incest, and if performed, they would be classified as murder.
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Over half of U.S. abortions now done with pills, not surgeryCanva
- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -24.8%
--- Affected population: 224,181 (65.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 173 miles (355.3% increase)
- Present day:
--- Abortion facilities: 4
--- Average distance to nearest abortion clinic: 38 miles
Idaho Gov. Brad Little signed an abortion ban in April 2021, along with a wave of other nearby states. It’s considered a “heartbeat bill,” one that requires doctors to decline abortions to mothers with a detectable fetal heartbeat, and would only go into effect if a federal appeals court upholds a similar heartbeat ban. A heartbeat can be detected as early as six weeks into a pregnancy.
Canva- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -24.8%
--- Affected population: 224,181 (65.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 173 miles (355.3% increase)
- Present day:
--- Abortion facilities: 4
--- Average distance to nearest abortion clinic: 38 miles
Idaho Gov. Brad Little signed an abortion ban in April 2021, along with a wave of other nearby states. It’s considered a “heartbeat bill,” one that requires doctors to decline abortions to mothers with a detectable fetal heartbeat, and would only go into effect if a federal appeals court upholds a similar heartbeat ban. A heartbeat can be detected as early as six weeks into a pregnancy.
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Over half of U.S. abortions now done with pills, not surgeryCanva
- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -27.9%
--- Affected population: 584,299 (100.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 250 miles (303.2% increase)
- Present day:
--- Abortion facilities: 1
--- Average distance to nearest abortion clinic: 62 miles
Mississippi is one of eight states that has a pre-Roe abortion ban, and a loud voice in the fight to repeal the landmark Supreme Court case. The Supreme Court decided in May 2021 to review Dobbs v. Jackson Women’s Whole Health, a case concerning Mississippi’s 15-week abortion ban. Though the state had initially focused its argument on defending that specific ban, it recently made overturning Roe v. Wade part of its pending argument before the Supreme Court. The court will have a decision by June 2022.
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Canva- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -27.9%
--- Affected population: 584,299 (100.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 250 miles (303.2% increase)
- Present day:
--- Abortion facilities: 1
--- Average distance to nearest abortion clinic: 62 miles
Mississippi is one of eight states that has a pre-Roe abortion ban, and a loud voice in the fight to repeal the landmark Supreme Court case. The Supreme Court decided in May 2021 to review Dobbs v. Jackson Women’s Whole Health, a case concerning Mississippi’s 15-week abortion ban. Though the state had initially focused its argument on defending that specific ban, it recently made overturning Roe v. Wade part of its pending argument before the Supreme Court. The court will have a decision by June 2022.
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Over half of U.S. abortions now done with pills, not surgeryCanva
- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -28.8%
--- Affected population: 578,319 (100.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 314 miles (330.1% increase)
- Present day:
--- Abortion facilities: 2
--- Average distance to nearest abortion clinic: 73 miles
Surrounded on all sides by abortion-restrictive states, Arkansas is in a precarious spot when it comes to protecting the right to abortion. Along with several states that introduced new bans in 2021, its legislature introduced an expansive abortion ban that was blocked by a federal judge in July 2021. Arkansas’ pre-Roe ban on abortion has not been repealed.
Canva- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -28.8%
--- Affected population: 578,319 (100.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 314 miles (330.1% increase)
- Present day:
--- Abortion facilities: 2
--- Average distance to nearest abortion clinic: 73 miles
Surrounded on all sides by abortion-restrictive states, Arkansas is in a precarious spot when it comes to protecting the right to abortion. Along with several states that introduced new bans in 2021, its legislature introduced an expansive abortion ban that was blocked by a federal judge in July 2021. Arkansas’ pre-Roe ban on abortion has not been repealed.
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Over half of U.S. abortions now done with pills, not surgeryCanva
- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -30.4%
--- Affected population: 848,023 (100.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 266 miles (315.6% increase)
- Present day:
--- Abortion facilities: 2
--- Average distance to nearest abortion clinic: 64 miles
In former Kentucky Gov. Matt Bevin’s quest to become “the most pro-life governor in America,” he signed four anti-abortion bills during his term, two of which were blocked by federal judges. House Bill 148, Kentucky’s full ban on abortion, is unenforceable while Roe v. Wade is still intact. The state’s current governor, Democrat Andy Beshear, is pro-choice. Beshear has had difficulty stopping pro-life legislation from becoming law since the state House and Senate have a Republican supermajority.
Canva- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -30.4%
--- Affected population: 848,023 (100.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 266 miles (315.6% increase)
- Present day:
--- Abortion facilities: 2
--- Average distance to nearest abortion clinic: 64 miles
In former Kentucky Gov. Matt Bevin’s quest to become “the most pro-life governor in America,” he signed four anti-abortion bills during his term, two of which were blocked by federal judges. House Bill 148, Kentucky’s full ban on abortion, is unenforceable while Roe v. Wade is still intact. The state’s current governor, Democrat Andy Beshear, is pro-choice. Beshear has had difficulty stopping pro-life legislation from becoming law since the state House and Senate have a Republican supermajority.
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Over half of U.S. abortions now done with pills, not surgeryCanva
- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -32.2%
--- Affected population: 759,207 (98.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 191 miles (416.2% increase)
- Present day:
--- Abortion facilities: 5
--- Average distance to nearest abortion clinic: 37 miles
Oklahoma’s trigger ban was enacted in 2021, though its existing abortion laws were already restrictive for young women and for clinics. Oklahoma, and many of its surrounding states, have TRAP laws, or what Planned Parenthood calls “medically unnecessary,” building requirements that a clinic must meet to provide abortions.
Canva- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -32.2%
--- Affected population: 759,207 (98.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 191 miles (416.2% increase)
- Present day:
--- Abortion facilities: 5
--- Average distance to nearest abortion clinic: 37 miles
Oklahoma’s trigger ban was enacted in 2021, though its existing abortion laws were already restrictive for young women and for clinics. Oklahoma, and many of its surrounding states, have TRAP laws, or what Planned Parenthood calls “medically unnecessary,” building requirements that a clinic must meet to provide abortions.
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Over half of U.S. abortions now done with pills, not surgeryCanva
- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -32.3%
--- Affected population: 2,017,049 (98.1% of women aged 15-44)
--- New average distance to nearest abortion clinic: 169 miles (576.0% increase)
- Present day:
--- Abortion facilities: 19
--- Average distance to nearest abortion clinic: 25 miles
The governor of North Carolina has vetoed multiple anti-abortion bills, one of which would have made it a crime to refuse treatment to “any infant born alive after an abortion.” (In his veto, Gov. Roy Cooper noted that “[this] practice simply does not exist.”) With an unconstitutional, pre-Roe abortion ban, and four border states without any legal protections, people in this state will be greatly affected by the conflict. North Carolina’s governor has demonstrated pro-choice stances, which may be helpful in the future.
Canva- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -32.3%
--- Affected population: 2,017,049 (98.1% of women aged 15-44)
--- New average distance to nearest abortion clinic: 169 miles (576.0% increase)
- Present day:
--- Abortion facilities: 19
--- Average distance to nearest abortion clinic: 25 miles
The governor of North Carolina has vetoed multiple anti-abortion bills, one of which would have made it a crime to refuse treatment to “any infant born alive after an abortion.” (In his veto, Gov. Roy Cooper noted that “[this] practice simply does not exist.”) With an unconstitutional, pre-Roe abortion ban, and four border states without any legal protections, people in this state will be greatly affected by the conflict. North Carolina’s governor has demonstrated pro-choice stances, which may be helpful in the future.
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Over half of U.S. abortions now done with pills, not surgeryCanva
- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -32.5%
--- Affected population: 912,878 (96.2% of women aged 15-44)
--- New average distance to nearest abortion clinic: 224 miles (622.6% increase)
- Present day:
--- Abortion facilities: 5
--- Average distance to nearest abortion clinic: 31 miles
The southern states feature pre-Roe and post-Roe bans, and if the decision is repealed, the amount of clinics that are available to provide abortions will be severely limited in the area. Alabama was prosecuting misdemeanor abortion cases in the ’60s and ’70s, and it still hasn’t repealed the law that originally enforced that ban. In 2019, Alabama's governor signed another law banning most types of abortions that would be enforceable should Roe fall.
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Canva- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -32.5%
--- Affected population: 912,878 (96.2% of women aged 15-44)
--- New average distance to nearest abortion clinic: 224 miles (622.6% increase)
- Present day:
--- Abortion facilities: 5
--- Average distance to nearest abortion clinic: 31 miles
The southern states feature pre-Roe and post-Roe bans, and if the decision is repealed, the amount of clinics that are available to provide abortions will be severely limited in the area. Alabama was prosecuting misdemeanor abortion cases in the ’60s and ’70s, and it still hasn’t repealed the law that originally enforced that ban. In 2019, Alabama's governor signed another law banning most types of abortions that would be enforceable should Roe fall.
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Over half of U.S. abortions now done with pills, not surgeryCanva
- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -33.2%
--- Affected population: 2,171,938 (98.2% of women aged 15-44)
--- New average distance to nearest abortion clinic: 181 miles (624.0% increase)
- Present day:
--- Abortion facilities: 9
--- Average distance to nearest abortion clinic: 25 miles
Ohio’s “most restrictive abortion law in modern history” arrived with the wave of 2019 laws to undermine Roe v. Wade. A judge blocked Ohio’s recent “heartbeat” bill, which bans abortion at the detection of a fetal heartbeat, around six weeks into pregnancy, and which progressive lawmakers argued would put women’s lives at a high risk. Though the judge in this case said the law potentially conflicts with the constitution, it has a chance of taking effect in a post-Roe country.
Canva- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -33.2%
--- Affected population: 2,171,938 (98.2% of women aged 15-44)
--- New average distance to nearest abortion clinic: 181 miles (624.0% increase)
- Present day:
--- Abortion facilities: 9
--- Average distance to nearest abortion clinic: 25 miles
Ohio’s “most restrictive abortion law in modern history” arrived with the wave of 2019 laws to undermine Roe v. Wade. A judge blocked Ohio’s recent “heartbeat” bill, which bans abortion at the detection of a fetal heartbeat, around six weeks into pregnancy, and which progressive lawmakers argued would put women’s lives at a high risk. Though the judge in this case said the law potentially conflicts with the constitution, it has a chance of taking effect in a post-Roe country.
-
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Over half of U.S. abortions now done with pills, not surgeryCanva
- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -34.3%
--- Affected population: 922,449 (100.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 294 miles (525.5% increase)
- Present day:
--- Abortion facilities: 3
--- Average distance to nearest abortion clinic: 47 miles
The heartbeat bill streak made its way to Louisiana in May 2019, in the form of a trigger ban that would go into effect if Roe is repealed. Making it constitutional to ban abortions before people are aware they are pregnant would affect the entire South.
Canva- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -34.3%
--- Affected population: 922,449 (100.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 294 miles (525.5% increase)
- Present day:
--- Abortion facilities: 3
--- Average distance to nearest abortion clinic: 47 miles
The heartbeat bill streak made its way to Louisiana in May 2019, in the form of a trigger ban that would go into effect if Roe is repealed. Making it constitutional to ban abortions before people are aware they are pregnant would affect the entire South.
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Over half of U.S. abortions now done with pills, not surgeryCanva
- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -35.7%
--- Affected population: 644,869 (91.8% of women aged 15-44)
--- New average distance to nearest abortion clinic: 272 miles (597.4% increase)
- Present day:
--- Abortion facilities: 2
--- Average distance to nearest abortion clinic: 39 miles
Utah is in a peculiar place, politically and geographically. Pre-Roe, there were no express bans on abortion, but post-Roe, there were no express protections for it, either. It’s also too far from California for anyone to benefit from nearby clinics. In March 2020, a trigger ban was passed to prep for a Roe v. Wade recall. The state also passed an 18-week ban on abortions in 2019.
Canva- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -35.7%
--- Affected population: 644,869 (91.8% of women aged 15-44)
--- New average distance to nearest abortion clinic: 272 miles (597.4% increase)
- Present day:
--- Abortion facilities: 2
--- Average distance to nearest abortion clinic: 39 miles
Utah is in a peculiar place, politically and geographically. Pre-Roe, there were no express bans on abortion, but post-Roe, there were no express protections for it, either. It’s also too far from California for anyone to benefit from nearby clinics. In March 2020, a trigger ban was passed to prep for a Roe v. Wade recall. The state also passed an 18-week ban on abortions in 2019.
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Over half of U.S. abortions now done with pills, not surgeryCanva
- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -36%
--- Affected population: 2,035,985 (93.4% of women aged 15-44)
--- New average distance to nearest abortion clinic: 249 miles (789.3% increase)
- Present day:
--- Abortion facilities: 14
--- Average distance to nearest abortion clinic: 28 miles
The center of the South’s legacy of abortion bans is Georgia. The Georgia legislature rode the anti-abortion legislation wave early with a sweeping abortion ban signed in 2019, set to take effect in 2020, but permanently blocked in the summer of that year. This version of the “heartbeat” bill solidified the state’s stance against Roe v. Wade.
Canva- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -36%
--- Affected population: 2,035,985 (93.4% of women aged 15-44)
--- New average distance to nearest abortion clinic: 249 miles (789.3% increase)
- Present day:
--- Abortion facilities: 14
--- Average distance to nearest abortion clinic: 28 miles
The center of the South’s legacy of abortion bans is Georgia. The Georgia legislature rode the anti-abortion legislation wave early with a sweeping abortion ban signed in 2019, set to take effect in 2020, but permanently blocked in the summer of that year. This version of the “heartbeat” bill solidified the state’s stance against Roe v. Wade.
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Over half of U.S. abortions now done with pills, not surgeryCanva
- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -37.1%
--- Affected population: 6,018,754 (99.7% of women aged 15-44)
--- New average distance to nearest abortion clinic: 471 miles (1077.5% increase)
- Present day:
--- Abortion facilities: 22
--- Average distance to nearest abortion clinic: 40 miles
Other states have trigger bans, but Texas added a unique proposition where citizens would be allowed to sue clinics that perform abortions. This is in addition to a ban on abortions around six weeks, which was signed into law May 2020.
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Canva- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -37.1%
--- Affected population: 6,018,754 (99.7% of women aged 15-44)
--- New average distance to nearest abortion clinic: 471 miles (1077.5% increase)
- Present day:
--- Abortion facilities: 22
--- Average distance to nearest abortion clinic: 40 miles
Other states have trigger bans, but Texas added a unique proposition where citizens would be allowed to sue clinics that perform abortions. This is in addition to a ban on abortions around six weeks, which was signed into law May 2020.
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Over half of U.S. abortions now done with pills, not surgeryCanva
- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -37.4%
--- Affected population: 1,333,861 (100.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 294 miles (716.7% increase)
- Present day:
--- Abortion facilities: 7
--- Average distance to nearest abortion clinic: 36 miles
Tennessee has several restrictions in place already. Gov. Bill Lee signed a heartbeat bill into law in 2020, which a federal judge temporarily blocked from taking effect shortly after it was passed. It is still making its way through the courts. In 2020, the state’s legislature put forth a bill that allows fathers to deny the pregnant mothers of their children an abortion, without the woman’s consent.
Canva- Policies: Trigger ban, high-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -37.4%
--- Affected population: 1,333,861 (100.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 294 miles (716.7% increase)
- Present day:
--- Abortion facilities: 7
--- Average distance to nearest abortion clinic: 36 miles
Tennessee has several restrictions in place already. Gov. Bill Lee signed a heartbeat bill into law in 2020, which a federal judge temporarily blocked from taking effect shortly after it was passed. It is still making its way through the courts. In 2020, the state’s legislature put forth a bill that allows fathers to deny the pregnant mothers of their children an abortion, without the woman’s consent.
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Over half of U.S. abortions now done with pills, not surgeryCanva
- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -38.6%
--- Affected population: 984,181 (100.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 267 miles (790.0% increase)
- Present day:
--- Abortion facilities: 3
--- Average distance to nearest abortion clinic: 30 miles
South Carolina’s latest abortion law, which bans the procedure at the detection of a fetal heartbeat, hit snags in federal court back in March 2021 when it was indefinitely blocked. Not only is South Carolina surrounded geographically by states with similar problems, but it is also supported by 20 other states that want this abortion ban to succeed.
Canva- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -38.6%
--- Affected population: 984,181 (100.0% of women aged 15-44)
--- New average distance to nearest abortion clinic: 267 miles (790.0% increase)
- Present day:
--- Abortion facilities: 3
--- Average distance to nearest abortion clinic: 30 miles
South Carolina’s latest abortion law, which bans the procedure at the detection of a fetal heartbeat, hit snags in federal court back in March 2021 when it was indefinitely blocked. Not only is South Carolina surrounded geographically by states with similar problems, but it is also supported by 20 other states that want this abortion ban to succeed.
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Over half of U.S. abortions now done with pills, not surgeryCanva
- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -39.6%
--- Affected population: 1,876,586 (99.9% of women aged 15-44)
--- New average distance to nearest abortion clinic: 239 miles (1393.8% increase)
- Present day:
--- Abortion facilities: 26
--- Average distance to nearest abortion clinic: 16 miles
Michigan’s court has decided the state’s pre-Roe ban of abortion procedures is only unconstitutional (as applied to physicians) thanks to Roe v. Wade, so the debate on that case’s constitutionality will directly affect it. Still, Michigan Gov. Gretchen Whitmer is seen as pro-choice, and was once criticized by anti-abortion activists for calling abortion “life-sustaining.” Michigan’s attorney general has also said she would not prosecute doctors performing abortions or anyone seeking them.
Canva- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -39.6%
--- Affected population: 1,876,586 (99.9% of women aged 15-44)
--- New average distance to nearest abortion clinic: 239 miles (1393.8% increase)
- Present day:
--- Abortion facilities: 26
--- Average distance to nearest abortion clinic: 16 miles
Michigan’s court has decided the state’s pre-Roe ban of abortion procedures is only unconstitutional (as applied to physicians) thanks to Roe v. Wade, so the debate on that case’s constitutionality will directly affect it. Still, Michigan Gov. Gretchen Whitmer is seen as pro-choice, and was once criticized by anti-abortion activists for calling abortion “life-sustaining.” Michigan’s attorney general has also said she would not prosecute doctors performing abortions or anyone seeking them.
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Over half of U.S. abortions now done with pills, not surgeryCanva
- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -40.3%
--- Affected population: 1,316,221 (94.1% of women aged 15-44)
--- New average distance to nearest abortion clinic: 247 miles (1352.9% increase)
- Present day:
--- Abortion facilities: 8
--- Average distance to nearest abortion clinic: 17 miles
In the renewed fight to restrict abortions, Arizona lawmakers are ready to challenge Roe v. Wade. One new Arizona law expressly rejects any federal decisions on abortion laws, which may not be constitutional. Since the ’60s, the state has passed laws banning abortion that cannot be enforced until the Supreme Court’s landmark decision falls.
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Canva- Policies: High-risk
- If abortion bans take effect in all high-risk states:
--- Predicted change in abortion rate: -40.3%
--- Affected population: 1,316,221 (94.1% of women aged 15-44)
--- New average distance to nearest abortion clinic: 247 miles (1352.9% increase)
- Present day:
--- Abortion facilities: 8
--- Average distance to nearest abortion clinic: 17 miles
In the renewed fight to restrict abortions, Arizona lawmakers are ready to challenge Roe v. Wade. One new Arizona law expressly rejects any federal decisions on abortion laws, which may not be constitutional. Since the ’60s, the state has passed laws banning abortion that cannot be enforced until the Supreme Court’s landmark decision falls.
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Paid family leave makes people happier, global data showsAfrica Studio // Shutterstock
Compared to other developed nations, the United States regularly ranks among the worst countries for maternal and infant health outcomes. Childbirth outcomes are often tied to a birthing parent’s circumstances, fueling wide disparities at the geographic, demographic, and income levels.
Research has shown that access to prenatal care, family planning services, and other contraceptive resources decreases maternal and infant mortality. However, an increasing number of counties throughout the country are losing access to obstetric care. Aging populations, limited staff, and low reimbursement rates for Medicaid patients are factors that have made rural hospital birth units costly to operate.
Even in areas with access to maternal care, other challenges like poverty, limited transit, lack of insurance, and systematic racism can put families at risk of poor maternal and infant health outcomes. Estimates from the CDC show that 60% of pregnancy-related deaths in the U.S. are preventable, but inadequate treatment and identification of health risks contribute to hundreds of maternal deaths annually.
Pregnant Black people face disproportionate risks when giving birth. The infant mortality rate for Black children in the U.S. is double the rate for white children. Maternal mortality rates show similarly grim patterns, with 44 deaths per 100,000 live births among Black people compared to 17.9 per 100,000 live births for white people.
Stacker followed the March of Dimes' definition of a maternity care desert, including counties with no hospitals with obstetric care, OB/GYNs, or certified nurse-midwives. To identify affected counties, Stacker analyzed the Area Health Resource Files from the Health Resources and Services Administration and merged this data with county-level birth data collected by the National Vital Statistics System to calculate how many births in each state are to parents who live in maternal health care deserts.
Stacker also used 2020 Census population data to calculate what percentage of a state’s population lives in counties without access to maternal health care. Stacker used population data across all sexes and ages to include county-level demographic data and more deeply compare racial disparities—although maternal health care deserts have a disproportionate impact on people between the ages 15–44, who can become pregnant.
Keep reading to learn about the challenges facing maternal health care in 15 states and how state policies and community-driven programs seek to bridge rural and demographic health care disparities.
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Africa Studio // ShutterstockCompared to other developed nations, the United States regularly ranks among the worst countries for maternal and infant health outcomes. Childbirth outcomes are often tied to a birthing parent’s circumstances, fueling wide disparities at the geographic, demographic, and income levels.
Research has shown that access to prenatal care, family planning services, and other contraceptive resources decreases maternal and infant mortality. However, an increasing number of counties throughout the country are losing access to obstetric care. Aging populations, limited staff, and low reimbursement rates for Medicaid patients are factors that have made rural hospital birth units costly to operate.
Even in areas with access to maternal care, other challenges like poverty, limited transit, lack of insurance, and systematic racism can put families at risk of poor maternal and infant health outcomes. Estimates from the CDC show that 60% of pregnancy-related deaths in the U.S. are preventable, but inadequate treatment and identification of health risks contribute to hundreds of maternal deaths annually.
Pregnant Black people face disproportionate risks when giving birth. The infant mortality rate for Black children in the U.S. is double the rate for white children. Maternal mortality rates show similarly grim patterns, with 44 deaths per 100,000 live births among Black people compared to 17.9 per 100,000 live births for white people.
Stacker followed the March of Dimes' definition of a maternity care desert, including counties with no hospitals with obstetric care, OB/GYNs, or certified nurse-midwives. To identify affected counties, Stacker analyzed the Area Health Resource Files from the Health Resources and Services Administration and merged this data with county-level birth data collected by the National Vital Statistics System to calculate how many births in each state are to parents who live in maternal health care deserts.
Stacker also used 2020 Census population data to calculate what percentage of a state’s population lives in counties without access to maternal health care. Stacker used population data across all sexes and ages to include county-level demographic data and more deeply compare racial disparities—although maternal health care deserts have a disproportionate impact on people between the ages 15–44, who can become pregnant.
Keep reading to learn about the challenges facing maternal health care in 15 states and how state policies and community-driven programs seek to bridge rural and demographic health care disparities.
You may also like: Most prevalent chronic conditions in American seniors

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Paid family leave makes people happier, global data showsHelen Sushitskaya // Shutterstock
- Percent of state's births to parents who live in maternal health care deserts: 9.9% (2,142 births)
- Population who lives in maternal health care desert: 10.3%
--- 10.3% of state's white population
--- 2.5% of state's Black population
--- 10.0% of state's Native American population
--- 12.5% of state's Hispanic population
--- 4.4% of state's Native Hawaiian/Pacific Islander population
--- 3.2% of state's Asian population
With obstetric services limited in rural areas, research has shown that accredited, midwife-led birth centers offer patients with low-risk pregnancies meaningful options outside of a hospital setting. However, Idaho is one of 11 states that don’t regulate birth centers, meaning Medicaid and some commercial insurances won't cover the costs of childbirth. Although birth centers are the setting for only a tiny portion of the state’s births, midwives in Idaho and other Western states are working to improve health care access for rural, low-risk patients.
Helen Sushitskaya // Shutterstock- Percent of state's births to parents who live in maternal health care deserts: 9.9% (2,142 births)
- Population who lives in maternal health care desert: 10.3%
--- 10.3% of state's white population
--- 2.5% of state's Black population
--- 10.0% of state's Native American population
--- 12.5% of state's Hispanic population
--- 4.4% of state's Native Hawaiian/Pacific Islander population
--- 3.2% of state's Asian population
With obstetric services limited in rural areas, research has shown that accredited, midwife-led birth centers offer patients with low-risk pregnancies meaningful options outside of a hospital setting. However, Idaho is one of 11 states that don’t regulate birth centers, meaning Medicaid and some commercial insurances won't cover the costs of childbirth. Although birth centers are the setting for only a tiny portion of the state’s births, midwives in Idaho and other Western states are working to improve health care access for rural, low-risk patients.
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Paid family leave makes people happier, global data showsProstock-studio // Shutterstock
- Percent of state's births to parents who live in maternal health care deserts: 10.8% (1,227 births)
- Population who lives in maternal health care desert: 11.3%
--- 11.3% of state's white population
--- 5.6% of state's Black population
--- 15.7% of state's Native American population
--- 6.8% of state's Hispanic population
--- 7.0% of state's Native Hawaiian/Pacific Islander population
--- 4.5% of state's Asian population
About 44% of Montana’s population lives in rural areas. With counties as large as 5,500 square miles, even pregnant people lucky enough to live in counties with maternal health access can still find themselves navigating long distances for prenatal care. Montana is working toward bridging the gaps in maternal care access: Funding from HRSA and the state’s public health department established the Montana Obstetrics and Maternal Support Program, which provides obstetric training for rural GPs, supports mobile clinics, and scales up telemedicine offerings.
Prostock-studio // Shutterstock- Percent of state's births to parents who live in maternal health care deserts: 10.8% (1,227 births)
- Population who lives in maternal health care desert: 11.3%
--- 11.3% of state's white population
--- 5.6% of state's Black population
--- 15.7% of state's Native American population
--- 6.8% of state's Hispanic population
--- 7.0% of state's Native Hawaiian/Pacific Islander population
--- 4.5% of state's Asian population
About 44% of Montana’s population lives in rural areas. With counties as large as 5,500 square miles, even pregnant people lucky enough to live in counties with maternal health access can still find themselves navigating long distances for prenatal care. Montana is working toward bridging the gaps in maternal care access: Funding from HRSA and the state’s public health department established the Montana Obstetrics and Maternal Support Program, which provides obstetric training for rural GPs, supports mobile clinics, and scales up telemedicine offerings.
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Paid family leave makes people happier, global data showsnimito // Shutterstock
- Percent of state's births to parents who live in maternal health care deserts: 11.2% (6,434 births)
- Population who lives in maternal health care desert: 11.7%
--- 13.6% of state's white population
--- 9.5% of state's Black population
--- 14.6% of state's Native American population
--- 7.6% of state's Hispanic population
--- 8.7% of state's Native Hawaiian/Pacific Islander population
--- 3.5% of state's Asian population
Louisiana was one of the first states to implement a nurse-family partnership program. In 90% of the state’s parishes, eligible people pregnant for the first time are paired with specially trained nurses until the child’s second birthday. Most participants are enrolled in Medicaid, and the median household income is $6,000 annually. 88% of babies in the program were born full-term, compared to the state’s average of 86.9% across all income levels.
Other efforts specifically target Black parents, who are four times more likely to die from pregnancy complications than white people in Louisiana. The first Black-owned birth center opened in Lafayette this year. The Maternal and Child Health Coalition in New Orleans has advocated for municipal/state health care policies and inclusive hospital hiring practices.
nimito // Shutterstock- Percent of state's births to parents who live in maternal health care deserts: 11.2% (6,434 births)
- Population who lives in maternal health care desert: 11.7%
--- 13.6% of state's white population
--- 9.5% of state's Black population
--- 14.6% of state's Native American population
--- 7.6% of state's Hispanic population
--- 8.7% of state's Native Hawaiian/Pacific Islander population
--- 3.5% of state's Asian population
Louisiana was one of the first states to implement a nurse-family partnership program. In 90% of the state’s parishes, eligible people pregnant for the first time are paired with specially trained nurses until the child’s second birthday. Most participants are enrolled in Medicaid, and the median household income is $6,000 annually. 88% of babies in the program were born full-term, compared to the state’s average of 86.9% across all income levels.
Other efforts specifically target Black parents, who are four times more likely to die from pregnancy complications than white people in Louisiana. The first Black-owned birth center opened in Lafayette this year. The Maternal and Child Health Coalition in New Orleans has advocated for municipal/state health care policies and inclusive hospital hiring practices.
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Paid family leave makes people happier, global data showsJuice Verve // Shutterstock
- Percent of state's births to parents who live in maternal health care deserts: 12.4% (1,193 births)
- Population who lives in maternal health care desert: 12.2%
--- 7.6% of state's white population
--- 5.0% of state's Black population
--- 34.6% of state's Native American/Alaska Native population
--- 9.0% of state's Hispanic population
--- 6.3% of state's Native Hawaiian/Pacific Islander population
--- 14.3% of state's Asian population
Alaska has a lower maternal mortality rate than the rest of the country, at 8.3 per 100,000 live births. However, for the Alaska Native population, this figure jumps to 19.2 per 100,000 live births. The Indian Health Service is the primary provider of culturally conscious health care in Indigenous communities, but its limited funding means facilities don't always provide obstetric care. Pregnant Indigenous people who travel to seek care from traditional hospitals may also find institutional racism ingrained in their treatment.
Beyond racial disparities, some communities in Alaska are not even within driving distance of a hospital with obstetric services. Facilities have sought to bridge these gaps, like a prematernal home in Bethel where pregnant people from interior regions can live for a month before their due date.
Juice Verve // Shutterstock- Percent of state's births to parents who live in maternal health care deserts: 12.4% (1,193 births)
- Population who lives in maternal health care desert: 12.2%
--- 7.6% of state's white population
--- 5.0% of state's Black population
--- 34.6% of state's Native American/Alaska Native population
--- 9.0% of state's Hispanic population
--- 6.3% of state's Native Hawaiian/Pacific Islander population
--- 14.3% of state's Asian population
Alaska has a lower maternal mortality rate than the rest of the country, at 8.3 per 100,000 live births. However, for the Alaska Native population, this figure jumps to 19.2 per 100,000 live births. The Indian Health Service is the primary provider of culturally conscious health care in Indigenous communities, but its limited funding means facilities don't always provide obstetric care. Pregnant Indigenous people who travel to seek care from traditional hospitals may also find institutional racism ingrained in their treatment.
Beyond racial disparities, some communities in Alaska are not even within driving distance of a hospital with obstetric services. Facilities have sought to bridge these gaps, like a prematernal home in Bethel where pregnant people from interior regions can live for a month before their due date.
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Paid family leave makes people happier, global data showsPetrovich Nataliya // Shutterstock
- Percent of state's births to parents who live in maternal health care deserts: 14.7% (5,444 births)
- Population who lives in maternal health care desert: 15.6%
--- 17.3% of state's white population
--- 2.6% of state's Black population
--- 7.8% of state's Native American population
--- 8.2% of state's Hispanic population
--- 9.0% of state's Native Hawaiian/Pacific Islander population
--- 3.4% of state's Asian population
In 2019, Iowa was one of nine states to receive a grant from HRSA to address disparities in maternal health. The state has seen rising maternal death rates over the past two decades, and over 30 hospital birth units have closed in the state since 2000. The 2020 census revealed a declining birth rate across America, and in Iowa counties with aging populations, hospitals lose money in the operation of local birth centers. It’s an issue that’s even more prevalent in counties where a high proportion of births are funded through Medicaid since private insurance payments to hospitals are often greater than Medicaid rates.
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Petrovich Nataliya // Shutterstock- Percent of state's births to parents who live in maternal health care deserts: 14.7% (5,444 births)
- Population who lives in maternal health care desert: 15.6%
--- 17.3% of state's white population
--- 2.6% of state's Black population
--- 7.8% of state's Native American population
--- 8.2% of state's Hispanic population
--- 9.0% of state's Native Hawaiian/Pacific Islander population
--- 3.4% of state's Asian population
In 2019, Iowa was one of nine states to receive a grant from HRSA to address disparities in maternal health. The state has seen rising maternal death rates over the past two decades, and over 30 hospital birth units have closed in the state since 2000. The 2020 census revealed a declining birth rate across America, and in Iowa counties with aging populations, hospitals lose money in the operation of local birth centers. It’s an issue that’s even more prevalent in counties where a high proportion of births are funded through Medicaid since private insurance payments to hospitals are often greater than Medicaid rates.
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Paid family leave makes people happier, global data showsRawpixel.com // Shutterstock
- Percent of state's births to parents who live in maternal health care deserts: 15.3% (8,703 births)
- Population who lives in maternal health care desert: 16.2%
--- 17.9% of state's white population
--- 13.2% of state's Black population
--- 19.1% of state's Native American population
--- 13.1% of state's Hispanic population
--- 8.9% of state's Native Hawaiian/Pacific Islander population
--- 5.7% of state's Asian population
Alabama finally decriminalized midwifery in 2016, after the practice had been illegal for over four decades, although certified nurse-midwives were allowed to work in hospital settings. This decriminalization has promoted the resurgence of Alabama’s rich midwifery history. Under Jim Crow laws, Black parents couldn’t access white hospitals, and Black midwives played a crucial role in overseeing births. Today, in a state where Black people are nearly five times more likely to die during pregnancy than white people, reproductive justice advocates believe historic midwifery models of care could better serve pregnant Black patients, especially in rural areas.
Rawpixel.com // Shutterstock- Percent of state's births to parents who live in maternal health care deserts: 15.3% (8,703 births)
- Population who lives in maternal health care desert: 16.2%
--- 17.9% of state's white population
--- 13.2% of state's Black population
--- 19.1% of state's Native American population
--- 13.1% of state's Hispanic population
--- 8.9% of state's Native Hawaiian/Pacific Islander population
--- 5.7% of state's Asian population
Alabama finally decriminalized midwifery in 2016, after the practice had been illegal for over four decades, although certified nurse-midwives were allowed to work in hospital settings. This decriminalization has promoted the resurgence of Alabama’s rich midwifery history. Under Jim Crow laws, Black parents couldn’t access white hospitals, and Black midwives played a crucial role in overseeing births. Today, in a state where Black people are nearly five times more likely to die during pregnancy than white people, reproductive justice advocates believe historic midwifery models of care could better serve pregnant Black patients, especially in rural areas.
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Paid family leave makes people happier, global data showsReshetnikov_art // Shutterstock
- Percent of state's births to parents who live in maternal health care deserts: 16.1% (4,034 births)
- Population who lives in maternal health care desert: 16.9%
--- 18.7% of state's white population
--- 3.7% of state's Black population
--- 37.6% of state's Native American population
--- 11.9% of state's Hispanic population
--- 19.3% of state's Native Hawaiian/Pacific Islander population
--- 3.1% of state's Asian population
Nebraska’s Maternal Infant Early Childhood Home Visiting program is a community health initiative aimed at pregnant individuals and families with children under 5. The program supports parents at risk of poverty, substance abuse, exposure to violence, or other challenges by pairing them with counselors who promote positive parenting techniques. At the national level, the Tribal Home Visiting program provides grants to Native American tribes to offer similar, culturally conscious services.
Reshetnikov_art // Shutterstock- Percent of state's births to parents who live in maternal health care deserts: 16.1% (4,034 births)
- Population who lives in maternal health care desert: 16.9%
--- 18.7% of state's white population
--- 3.7% of state's Black population
--- 37.6% of state's Native American population
--- 11.9% of state's Hispanic population
--- 19.3% of state's Native Hawaiian/Pacific Islander population
--- 3.1% of state's Asian population
Nebraska’s Maternal Infant Early Childhood Home Visiting program is a community health initiative aimed at pregnant individuals and families with children under 5. The program supports parents at risk of poverty, substance abuse, exposure to violence, or other challenges by pairing them with counselors who promote positive parenting techniques. At the national level, the Tribal Home Visiting program provides grants to Native American tribes to offer similar, culturally conscious services.
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Paid family leave makes people happier, global data showsDollydoll29 // Shutterstock
- Percent of state's births to parents who live in maternal health care deserts: 16.7% (8,205 births)
- Population who lives in maternal health care desert: 18.0%
--- 19.7% of state's white population
--- 7.9% of state's Black population
--- 27.3% of state's Native American population
--- 11.1% of state's Hispanic population
--- 4.4% of state's Native Hawaiian/Pacific Islander population
--- 3.4% of state's Asian population
Since 2010, 14 hospital birth centers have closed in Oklahoma. In rural hospitals across the country, balancing the cost of keeping trained obstetric staff on call with the dwindling birth rates in rural areas has left large swaths of the state without hospitals with birth units. Oklahoma is also one of the worst states for maternal mortality, with 2018 data showing 30.1 maternal deaths per 100,000 live births, compared to 17.4 nationally. A recently formed maternal mortality review committee reviewed eight maternal death incidents in the state and found that seven of those cases were preventable with timelier interventions.
Dollydoll29 // Shutterstock- Percent of state's births to parents who live in maternal health care deserts: 16.7% (8,205 births)
- Population who lives in maternal health care desert: 18.0%
--- 19.7% of state's white population
--- 7.9% of state's Black population
--- 27.3% of state's Native American population
--- 11.1% of state's Hispanic population
--- 4.4% of state's Native Hawaiian/Pacific Islander population
--- 3.4% of state's Asian population
Since 2010, 14 hospital birth centers have closed in Oklahoma. In rural hospitals across the country, balancing the cost of keeping trained obstetric staff on call with the dwindling birth rates in rural areas has left large swaths of the state without hospitals with birth units. Oklahoma is also one of the worst states for maternal mortality, with 2018 data showing 30.1 maternal deaths per 100,000 live births, compared to 17.4 nationally. A recently formed maternal mortality review committee reviewed eight maternal death incidents in the state and found that seven of those cases were preventable with timelier interventions.
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Paid family leave makes people happier, global data showsDragana Gordic // Shutterstock
- Percent of state's births to parents who live in maternal health care deserts: 17.9% (12,881 births)
- Population who lives in maternal health care desert: 17.9%
--- 20.7% of state's white population
--- 3.9% of state's Black population
--- 22.0% of state's Native American population
--- 11.1% of state's Hispanic population
--- 22.2% of state's Native Hawaiian/Pacific Islander population
--- 3.7% of state's Asian population
A report from Missouri's Office of Rural Health revealed that pregnancy-related deaths were 47% higher in rural areas than urban areas. Nine of the 10 Missouri counties with the highest infant mortality rate are considered rural. As an increasing number of hospitals close, nonprofit health care systems like Missouri Highlands have sought to expand their presence in rural parts of the state. Missouri laws now allow nurse practitioners to work up to 75 miles away from a collaborating physician, expanding a clinic’s rural reach.
Dragana Gordic // Shutterstock- Percent of state's births to parents who live in maternal health care deserts: 17.9% (12,881 births)
- Population who lives in maternal health care desert: 17.9%
--- 20.7% of state's white population
--- 3.9% of state's Black population
--- 22.0% of state's Native American population
--- 11.1% of state's Hispanic population
--- 22.2% of state's Native Hawaiian/Pacific Islander population
--- 3.7% of state's Asian population
A report from Missouri's Office of Rural Health revealed that pregnancy-related deaths were 47% higher in rural areas than urban areas. Nine of the 10 Missouri counties with the highest infant mortality rate are considered rural. As an increasing number of hospitals close, nonprofit health care systems like Missouri Highlands have sought to expand their presence in rural parts of the state. Missouri laws now allow nurse practitioners to work up to 75 miles away from a collaborating physician, expanding a clinic’s rural reach.
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Paid family leave makes people happier, global data showsRossHelen // Shutterstock
- Percent of state's births to parents who live in maternal health care deserts: 19.7% (2,072 births)
- Population who lives in maternal health care desert: 21.1%
--- 21.6% of state's white population
--- 3.8% of state's Black population
--- 36.0% of state's Native American population
--- 15.6% of state's Hispanic population
--- 7.4% of state's Native Hawaiian/Pacific Islander population
--- 6.7% of state's Asian population
In North Dakota’s 2016 Health Assessment Report, the state outlined priority areas to address maternal and infant health, including reducing tobacco use among pregnant people, increasing the breastfeeding rate, and reducing disparities in infant mortality. Data from 2014–2018 showed that Native American infants in the state were twice as likely to die than white infants. Native American people in North Dakota were also less likely to receive maternal care in the first trimester than white people, and at least 6% of pregnant Native Americans received no prenatal care at all.
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RossHelen // Shutterstock- Percent of state's births to parents who live in maternal health care deserts: 19.7% (2,072 births)
- Population who lives in maternal health care desert: 21.1%
--- 21.6% of state's white population
--- 3.8% of state's Black population
--- 36.0% of state's Native American population
--- 15.6% of state's Hispanic population
--- 7.4% of state's Native Hawaiian/Pacific Islander population
--- 6.7% of state's Asian population
In North Dakota’s 2016 Health Assessment Report, the state outlined priority areas to address maternal and infant health, including reducing tobacco use among pregnant people, increasing the breastfeeding rate, and reducing disparities in infant mortality. Data from 2014–2018 showed that Native American infants in the state were twice as likely to die than white infants. Native American people in North Dakota were also less likely to receive maternal care in the first trimester than white people, and at least 6% of pregnant Native Americans received no prenatal care at all.
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Paid family leave makes people happier, global data showsKieferPix // Shutterstock
- Percent of state's births to parents who live in maternal health care deserts: 19.7% (3,465 births)
- Population who lives in maternal health care desert: 21.1%
--- 21.9% of state's white population
--- 13.2% of state's Black population
--- 18.6% of state's Native American population
--- 13.8% of state's Hispanic population
--- 11.8% of state's Native Hawaiian/Pacific Islander population
--- 5.3% of state's Asian population
There is only one OB/GYN in central West Virginia specializing in high-risk pregnancies, and the doctor there openly advocates against abortion. For high-risk patients, abortion can be a legitimate consideration for preventing mortality, and the second-closest OB/GYNs with similar specialties are over an hour away, leaving limited options for pregnant people in need of specialized care.
West Virginia leaders recently announced a $1 million grant from the U.S. Department of Health and Human Services to support the state’s Rural Maternity and Obstetrics Management Strategies Program. The program collects data, builds health care networks, determines regional approaches to risk-aware care, and supports telehealth to provide comprehensive maternal care in rural communities.
KieferPix // Shutterstock- Percent of state's births to parents who live in maternal health care deserts: 19.7% (3,465 births)
- Population who lives in maternal health care desert: 21.1%
--- 21.9% of state's white population
--- 13.2% of state's Black population
--- 18.6% of state's Native American population
--- 13.8% of state's Hispanic population
--- 11.8% of state's Native Hawaiian/Pacific Islander population
--- 5.3% of state's Asian population
There is only one OB/GYN in central West Virginia specializing in high-risk pregnancies, and the doctor there openly advocates against abortion. For high-risk patients, abortion can be a legitimate consideration for preventing mortality, and the second-closest OB/GYNs with similar specialties are over an hour away, leaving limited options for pregnant people in need of specialized care.
West Virginia leaders recently announced a $1 million grant from the U.S. Department of Health and Human Services to support the state’s Rural Maternity and Obstetrics Management Strategies Program. The program collects data, builds health care networks, determines regional approaches to risk-aware care, and supports telehealth to provide comprehensive maternal care in rural communities.
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Paid family leave makes people happier, global data showsLightField Studios // Shutterstock
- Percent of state's births to parents who live in maternal health care deserts: 22.1% (8,014 births)
- Population who lives in maternal health care desert: 23.4%
--- 26.2% of state's white population
--- 17.1% of state's Black population
--- 22.3% of state's Native American population
--- 14.1% of state's Hispanic population
--- 9.6% of state's Native Hawaiian/Pacific Islander population
--- 8.7% of state's Asian population
Arkansas’s health department provides 5,000 patients with prenatal care annually through local health clinics, which provide services including family planning, STD testing, and prenatal education and counseling. The state’s Antenatal and Neonatal Guidelines, Education and Learning System (ANGELS) program provides telemedicine training to physicians and other specialists on managing high-risk pregnancies. Before the program’s establishment, high-risk patients were referred to specialists concentrated in urban centers. The program has minimized long commutes for prenatal care and equipped rural physicians with the tools they need to oversee riskier pregnancies.
LightField Studios // Shutterstock- Percent of state's births to parents who live in maternal health care deserts: 22.1% (8,014 births)
- Population who lives in maternal health care desert: 23.4%
--- 26.2% of state's white population
--- 17.1% of state's Black population
--- 22.3% of state's Native American population
--- 14.1% of state's Hispanic population
--- 9.6% of state's Native Hawaiian/Pacific Islander population
--- 8.7% of state's Asian population
Arkansas’s health department provides 5,000 patients with prenatal care annually through local health clinics, which provide services including family planning, STD testing, and prenatal education and counseling. The state’s Antenatal and Neonatal Guidelines, Education and Learning System (ANGELS) program provides telemedicine training to physicians and other specialists on managing high-risk pregnancies. Before the program’s establishment, high-risk patients were referred to specialists concentrated in urban centers. The program has minimized long commutes for prenatal care and equipped rural physicians with the tools they need to oversee riskier pregnancies.
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Paid family leave makes people happier, global data showsDebra Anderson // Shutterstock
- Percent of state's births to parents who live in maternal health care deserts: 22.4% (11,821 births)
- Population who lives in maternal health care desert: 23.8%
--- 26.7% of state's white population
--- 6.4% of state's Black population
--- 20.7% of state's Native American population
--- 12.3% of state's Hispanic population
--- 10.8% of state's Native Hawaiian/Pacific Islander population
--- 4.3% of state's Asian population
Mary Breckinridge founded Frontier Nursing Service almost a century ago, training nurses on horseback to provide vital midwifery care to isolated communities in Kentucky’s Appalachian Mountains. Breckinridge founded Hyden Hospital and Health Center, and in 2020, the hospital moved from the eastern part of the state to Versailles, outside Lexington. The move coincided with a decline in the number of rural hospitals in Appalachia, exposing the region's limited maternal care infrastructure for maternal care.
Kentucky is lifting its previously stringent regulations on midwifery: Before 2019, the last Certified Professional Midwife permit was issued in 1975, but midwives can now get permits and reach families who may not otherwise receive prenatal care. Kentucky also lifted a collaborative agreement rule for certified nurse-midwives, meaning they no longer have to work with a regional physician to practice in an area.
Debra Anderson // Shutterstock- Percent of state's births to parents who live in maternal health care deserts: 22.4% (11,821 births)
- Population who lives in maternal health care desert: 23.8%
--- 26.7% of state's white population
--- 6.4% of state's Black population
--- 20.7% of state's Native American population
--- 12.3% of state's Hispanic population
--- 10.8% of state's Native Hawaiian/Pacific Islander population
--- 4.3% of state's Asian population
Mary Breckinridge founded Frontier Nursing Service almost a century ago, training nurses on horseback to provide vital midwifery care to isolated communities in Kentucky’s Appalachian Mountains. Breckinridge founded Hyden Hospital and Health Center, and in 2020, the hospital moved from the eastern part of the state to Versailles, outside Lexington. The move coincided with a decline in the number of rural hospitals in Appalachia, exposing the region's limited maternal care infrastructure for maternal care.
Kentucky is lifting its previously stringent regulations on midwifery: Before 2019, the last Certified Professional Midwife permit was issued in 1975, but midwives can now get permits and reach families who may not otherwise receive prenatal care. Kentucky also lifted a collaborative agreement rule for certified nurse-midwives, meaning they no longer have to work with a regional physician to practice in an area.
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Paid family leave makes people happier, global data showsTyler Olson // Shutterstock
- Percent of state's births to parents who live in maternal health care deserts: 23.2% (2,715 births)
- Population who lives in maternal health care desert: 22.6%
--- 21.8% of state's white population
--- 4.8% of state's Black population
--- 41.2% of state's Native American population
--- 15.7% of state's Hispanic population
--- 25.2% of state's Native Hawaiian/Pacific Islander population
--- 5.8% of state's Asian population
In 2016, the Rosebud Sioux Tribe sued the federal government for closing the emergency department of the reservation’s only hospital. Services like obstetric care were disrupted, and patients were diverted to alternative facilities ranging from 45–220 miles away. A federal appeals court recently ruled in the tribe’s favor, but the legal battle highlighted the challenges facing underfunded Indian Health Service hospitals.
Across South Dakota, pregnant Native Americans face poorer outcomes than pregnant white people. The maternal mortality rate for Indigenous people is 121 per 100,000, compared to 44 per 100,000 among white parents in the state. Access to transportation, eligibility for Medicaid, and systematic racism are some of the core factors causing this disparity. Proposed solutions to these complex challenges include reservation-based birthing centers, supporting traditional birth methods, and deploying telemedicine.
Tyler Olson // Shutterstock- Percent of state's births to parents who live in maternal health care deserts: 23.2% (2,715 births)
- Population who lives in maternal health care desert: 22.6%
--- 21.8% of state's white population
--- 4.8% of state's Black population
--- 41.2% of state's Native American population
--- 15.7% of state's Hispanic population
--- 25.2% of state's Native Hawaiian/Pacific Islander population
--- 5.8% of state's Asian population
In 2016, the Rosebud Sioux Tribe sued the federal government for closing the emergency department of the reservation’s only hospital. Services like obstetric care were disrupted, and patients were diverted to alternative facilities ranging from 45–220 miles away. A federal appeals court recently ruled in the tribe’s favor, but the legal battle highlighted the challenges facing underfunded Indian Health Service hospitals.
Across South Dakota, pregnant Native Americans face poorer outcomes than pregnant white people. The maternal mortality rate for Indigenous people is 121 per 100,000, compared to 44 per 100,000 among white parents in the state. Access to transportation, eligibility for Medicaid, and systematic racism are some of the core factors causing this disparity. Proposed solutions to these complex challenges include reservation-based birthing centers, supporting traditional birth methods, and deploying telemedicine.
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Paid family leave makes people happier, global data showsRachaphak // Shutterstock
- Percent of state's births to parents who live in maternal health care deserts: 23.6% (8,484 births)
- Population who lives in maternal health care desert: 23.5%
--- 23.8% of state's white population
--- 23.9% of state's Black population
--- 51.3% of state's Native American population
--- 19.1% of state's Hispanic population
--- 11.9% of state's Native Hawaiian/Pacific Islander population
--- 5.6% of state's Asian population
According to the CDC, Mississippi has the country’s highest infant mortality rate, at 9.7 deaths per 1,000 live births. A report from the state’s department of health shows that the high mortality rate connects to a large number of preterm births. Effective ways to reduce preterm births include screening pregnant people for conditions that may put them at a higher risk.
Community-driven health measures have been shown to improve infant health outcomes, and Mississippi has begun pilot programs to coordinate prenatal support for pregnant people living in poverty. However, Mississippi is also at the center of a major Supreme Court battle over whether it is constitutional to ban abortion after 15 weeks.
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Rachaphak // Shutterstock- Percent of state's births to parents who live in maternal health care deserts: 23.6% (8,484 births)
- Population who lives in maternal health care desert: 23.5%
--- 23.8% of state's white population
--- 23.9% of state's Black population
--- 51.3% of state's Native American population
--- 19.1% of state's Hispanic population
--- 11.9% of state's Native Hawaiian/Pacific Islander population
--- 5.6% of state's Asian population
According to the CDC, Mississippi has the country’s highest infant mortality rate, at 9.7 deaths per 1,000 live births. A report from the state’s department of health shows that the high mortality rate connects to a large number of preterm births. Effective ways to reduce preterm births include screening pregnant people for conditions that may put them at a higher risk.
Community-driven health measures have been shown to improve infant health outcomes, and Mississippi has begun pilot programs to coordinate prenatal support for pregnant people living in poverty. However, Mississippi is also at the center of a major Supreme Court battle over whether it is constitutional to ban abortion after 15 weeks.
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