Michigan reproductive-health advocates are urging residents to be aware of anti-abortion groups known as "crisis pregnancy centers."

They offer pregnancy tests and counseling to encourage patients to carry out a pregnancy, and sometimes other resources such as diapers or baby clothes.

Lara Chelian is the board president of Reclaim, a community group and the only abortion fund in southeastern Michigan. She said these anti-abortion centers use deceptive advertising - often having names and logos similar to nearby reproductive-health clinics.

She said it's important to increase access to the full range of reproductive care, but that these centers are not filling that role.

"They oppose abortion and they won't help someone who wants an abortion with a referral to a place that provides one," said Chelian. "We want someone to be able to find a place that will support them in their full range of options, whether it be parenting or seeking an abortion or choosing adoption."

Michigan has almost five times as many of these centers as there are clinics that provide abortions.

And according to the National Committee for Responsive Philanthropy, from 2015 to 2019 Michigan centers received more than $50 million - while reproductive-rights issues in the state received just $2.5 million, and abortion services, clinics and funds only $135,000.

A 2020 study surveyed 21 pregnant women who had been to these centers in Maryland and Louisiana. Most of the women, who were low-income and not considering abortion, had chosen the center because it offered free pregnancy-related services, goods and support.

But the report notes resources were often limited and contingent on participating in the center's activities. Chelian said pregnant people need accurate and timely information about their full range of options, and she recommends finding clinics that offer that.

"They actually are there to offer the full range of health-care options," said Chelian. "And they also understand that pregnancy-related decisions are time sensitive, and that the patient's needs should always come first."

She points to the National Abortion Federation's website as a resource for patients to find a provider that they know will offer the full range of services.

A federal judge has temporarily blocked an anti-abortion law in Idaho restricting people's ability to travel to other states for the procedure.

During the 2023 legislative session, state lawmakers passed a law restricting "abortion trafficking," which it describes as an adult bringing a child across state lines for an abortion with the intent to conceal it from the child's parents or guardians.

Kelly O'Neill, staff attorney for the nonprofit Legal Voice, said a U.S. district court judge agreed to their preliminary injunction request, blocking the law while the case is decided.

"The judge agreed that the law is unconstitutional and that it violates First Amendment freedoms, the right to interstate travel, and that it's unconstitutionally vague and that it's confusing," O'Neill outlined. "A person can't determine what conduct is legal and what might land you in prison for a minimum of two years."

Idaho has some of the most restrictive abortion laws in the country, with the procedure banned in nearly every instance. While abortions have decreased in the state, research shows they've increased in neighboring states where it is protected since Roe v. Wade was overturned, such as in Washington.

O'Neill noted Idaho is not the only state where lawmakers are attempting to restrict abortion.

"There's a huge wave of anti-abortion laws coming out of Idaho in particular and every state in the nation," O'Neill pointed out. "People are working and doing their part to try to push back against those and restore options of choices and freedom, and this is certainly a way that we're helping to do that."

The suit challenging the Idaho law was filed in July. The parties involved gave oral arguments in September.


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A Kansas state court judge has blocked several abortion-related restrictions, in a decision which is bound to have an effect in neighboring Missouri.

It is being considered a win for the Center for Reproductive Rights and Planned Parenthood on behalf of Kansas abortion providers. The ruling blocks laws requiring providers to give government-scripted information to patients, and to impose mandatory waiting periods, which delay care.

Alice Wang, staff attorney at the Center for Reproductive Rights, argued the restrictions violate the Kansas Constitution, including the rights to abortion and free speech.

"These restrictions are especially harmful now that Roe v. Wade was overturned, and Kansas clinics are overwhelmed with patients from neighboring states where abortion is banned," Wang pointed out. "Abortion is a human right, and Kansans deserve accurate, candid medical information."

Judge Krishnan Christopher Jayaram wrote the restrictions only serve to "stigmatize the procedure and instill fear in patients that are contemplating an abortion, such that they make an alternative choice, based upon disproven and unsupportable claims."

Emily Wales, president and CEO of Planned Parenthood Great Plains, said patients should not be denied care because they printed a form in the wrong color or format.

"We have been forced to turn away patients for reasons that are medically wrong and ethically unjustifiable," Wales pointed out. "Despite post-Dobbs, we'll do as we've always done, provide our patients with expert care informed by best medical practices. Our first question will be about care, and not font size."

There have been hearings on multiple abortion-related laws in Kansas this year, including a ban on the most common procedure used after 14 to 15 weeks of pregnancy, known as dilation and evacuation. Abortion has been illegal in Missouri since last June.


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Maternal mortality, or death from pregnancy-related issues, nearly doubled in the U.S. between 2018 and 2021 - and a person who is Black is three times more likely to die from these issues than one who is white. Nebraska ranked 17th
for maternal mortality, with a higher rate than the national average during those years.

Ashlei Spivey, executive director of the organization "I Be Black Girl," which works in Nebraska for reproductive justice, said data show some practitioners take Black patients' complaints of pain less seriously, with some erroneously believing Black people have a higher pain tolerance.

"How can we make sure medical practitioners - no matter if they're the OB or the phlebotomists - are getting cultural awareness training, that they're being in tune to the experiences of all the different types of patients that they're seeing, especially their Black patients,?" she said.

Awareness-raising events during this Black Maternal Health Month will culminate with a Reproductive Justice Summit on October 27th. Spivey said the speakers and breakout sessions will cover a number of issues that affect "reproductive well-being," including housing, transportation and wages. The keynote speaker will be renowned activist, author and professor Angela Davis. Registration closes after today.

Spivey said one of the steps they're taking is working with partner agencies to increase the number of doula-friendly
hospitals in the state.

"They're a trained companion that can help, and know that pregnant person more intimately," she explained. "And so they know this is this person's birth plan, how can we make sure that it's honored, and help that person have power and choice when working with their medical team - to address some of the things around not being heard."

Research shows doulas have a positive impact for both mothers and babies, and several states now include Medicaid coverage for doula care.

Spivey sees the "transactional" nature of U.S. healthcare - factors like insurance billing, what's covered and what isn't, and how many patients a practitioner is expected to see in a day - as contributing to the risks for patients.

"I think we need to remove that as transactional and really spend time with people, understanding what they're needing, and also making sure people feel empowered to hold doctors accountable. You know, people feel like they're the experts - they don't want to question," she continued.