Abortion Trends Before and After Dobbs
Abortion Travel Surges Post-Dobbs, Impacting Fertility and Infant Mortality
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The landscape of reproductive healthcare in the United States has been dramatically reshaped since the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization, which overturned Roe v. Wade. New data reveals a significant increase in interstate travel for abortion care, with profound implications for fertility rates and infant mortality in states with restrictive abortion laws.
The Growing Trend of Interstate Abortion Travel
Even before the Dobbs decision, nearly one in ten individuals seeking abortions in 2020 traveled across state lines. This was frequently enough due to considerable restrictions in many states, even where abortion was legal. The latest data indicates this trend has intensified, with 155,000 patients traveling out of state for abortion care in 2024. This represents a slight decrease from 170,000 in 2023 but is nearly double the 81,000 travelers recorded in 2020.States bordering at least one state where abortion is banned are experiencing the highest influx of patients seeking care. Illinois, North Carolina, Kansas, and New Mexico are among those with the highest numbers of inbound travelers, as illustrated in Figure 9.
Shifting Dynamics in Key States
The volume of interstate travel into Florida and North Carolina is notably noteworthy. Both states were among the last in the Southern region to maintain abortion legality beyond six weeks of gestation in 2023. Though, policy changes have as tightened access. North Carolina moved from a 20-week ban to a 12-week ban in July 2023. Florida’s 15-week ban was replaced by a 6-week ban in May 2024.
Thes policy shifts have had a direct impact on travel patterns. Florida saw a decline in inbound travelers, dropping from 9,100 in 2023 to 4,010 in 2024.Conversely, North Carolina experienced an increase, with travel rising from 14,860 in 2023 to 16,640 in 2024. This surge into North Carolina is largely attributed to Florida’s stricter gestational stage ban, which has curtailed abortion access across the region and forced patients in Southern states to seek care elsewhere.
Broader Repercussions: Fertility and Infant Mortality
beyond abortion counts, the ongoing legal challenges, state legislative efforts, and federal executive actions related to reproductive care are creating wider societal impacts. Recent research highlights a concerning correlation between states with complete or six-week abortion bans and increased fertility rates, particularly among populations facing significant structural disadvantages and barriers to accessing abortion care.
Together, a concurrent study has revealed a rise in infant mortality rates in these same states. Many of these states already grapple with some of the nation’s most severe maternal, infant, and child health outcomes. These findings underscore the far-reaching consequences of policies designed to restrict abortion access, impacting not only reproductive choices but also broader public health indicators.
