The number of women getting abortions in the U.S. actually went up in the first three months of 2024 compared with before the Supreme Court overturned Roe v Wade, a report released Wednesday found, reflecting the lengths that Democratic-controlled states went to expand access.
A major reason for the increase is that some Democratic-controlled states enacted laws to protect doctors who use telemedicine to see patients in places that have abortion bans, according to the quarterly #WeCount report for the Society of Family Planning, which supports abortion access.
The data comes ahead of November elections in which abortion-rights supporters hope the issue will drive voters to the polls. In some places, voters will have a chance to enshrine or reject state-level abortion protections.
Fallout from the Supreme Court’s June 2022 ruling in Dobbs v. Jackson Women’s Health Organization has remade the way abortion works across the country. The #WeCount data, which has been collected in a monthly survey since April 2022, shows how those providing and seeking abortion have adapted to changing laws.
The survey found that the number of abortions fell to nearly zero in states that ban abortion in all stages of pregnancy and declined by about half in places that ban it after six weeks of pregnancy, before many women know they are pregnant. Fourteen states are enforcing bans on abortion at all stages of pregnancy, with some exceptions, and four others bar it after about six weeks of pregnancy.
Numbers went up in places where abortion remains legal until further into pregnancy — and especially in states such as Illinois, Kansas and New Mexico, which border states with bans.
The report estimates that if not for the post-Dobbs bans, there would have been about 9,900 more abortions per month — and 208,000 total since — in those states. The numbers were up by more than 2,600 per month in Illinois, about 1,300 in Virginia, 1,200 in Kansas and more than 500 in New Mexico.
Abortion pills and telemedicine play a key role. In March, doctors in states with laws to protect medical providers used telemedicine to prescribe abortion pills to nearly 10,000 patients in states with bans or restrictions on abortion by telehealth — accounting for about 1 in 10 abortions in the U.S.
Laws to protect medical providers who use telemedicine to prescribe abortion pills started taking effect in some Democratic-led states last year.
“It eases the burden on clinics,” said Ushma Upadhyay, a University of California, San Francisco School of Medicine professor who co-leads #WeCount. “So it creates more space for the people who are coming to clinics.”
Abortion opponents say the fight over the abortion drug mifepristone isn’t over after a narrow Supreme Court ruling that preserved access to it for now. But so far there have not been legal challenges to shield laws.
The latest edition of the survey covers the first three months of this year, when it counted an average of just under 99,000 abortions per month, compared with 84,000 in the two months before Dobbs. January was the first time since the survey began that it has counted more than 100,000 abortions across the country in a single month.
The tracking effort collects monthly data from providers across the country, creating a snapshot of abortion trends. In some states, a portion of the data is estimated. The effort makes data public with less than a six-month lag, giving a picture of trends far faster than annual reports from the Centers for Disease Control and Prevention, where the most recent report covers abortion in 2021.
