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Right after Dobbs, Allegheny Repro, as it’s known, was receiving five hundred calls a day, mostly from Ohio, yet Helen somehow got through. Helen was desperate to find a new provider, and began to call around. One of the closest places they recommended was an independent clinic in Pittsburgh, two and a half hours away, called Allegheny Reproductive Health Center. Later that night, she received a call from Preterm, cancelling her appointment and telling her where she might be able to get care outside of Ohio. “I knew nothing about it until I got off,” she said.

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The day Roe was overturned, she was at the dry-cleaning shop where she works full time. Within a few hours of the Supreme Court’s ruling in Dobbs, Ohio clinics were prohibited from seeing most of their scheduled patients. Instead, Ohio’s attorney general, Dave Yost, almost immediately filed a motion to have the injunction lifted, and the judge agreed. Abortion-rights advocates in Ohio believed that the state’s “fetal heartbeat” law, which banned abortions after about six weeks, and had been blocked by a federal judge in 2019, would soon be reinstated, but they expected the process to take up to a month.

But the day before the scheduled procedure, on June 24th, the Supreme Court overturned Roe v. She went back to Preterm for the consultation and ultrasound and got an appointment for the abortion on June 25th. She and her partner still agreed that another baby would be too much. Six months later, in mid-June, Helen learned that she was pregnant once again. She went to Preterm for the initial consultation and ultrasound required by Ohio law-at the time, the state allowed abortions up to twenty-two weeks-and ended the pregnancy. “The house is full,” she recalls thinking. But when she found herself accidentally pregnant, at nine weeks, she and her partner decided that it would be best not to have the child. Helen never thought she’d have an abortion, though she supported other people’s right to choose. She has spent much of her life as a caregiver: first for her younger siblings, then for her four children, the youngest of whom is three. Helen is a thirty-five-year-old dry cleaner with short hair and a throaty laugh.

In December, a woman I’ll call Helen went to Preterm, a clinic in Cleveland, to get an abortion.

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