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reproductive justice
A Public Health Emergency: How Abortion Bans Are Fueling Maternal Deaths in America
People living in states that have banned abortion are nearly twice as likely to die during pregnancy, childbirth, or soon after compared with those in states where abortion remains legal and accessible.
Apr 10, 2026
The maternal mortality crisis in the United States is a national embarrassment, and it’s unfolding in real time. The US continues to have one of the highest maternal death rates among high-income countries, and the situation is getting worse, not better. Behind this trend is a growing body of research showing that state abortion bans directly contribute to increased maternal mortality, especially in communities already burdened by systemic inequities.
Maternal mortality has traditionally reflected deep structural problems in a healthcare system that fails to serve all people equally. In 2024, the US maternal mortality rate ticked upward again, reversing a brief decline and demonstrating that the crisis is far from over. Experts point to a range of causes, including reduced access to prenatal care, maternity care deserts, and strained hospital systems, all problems intensified in states with abortion restrictions and in states with increased Immigration and Customs Enforcement (ICE) agents.
A comprehensive analysis from the most recent Centers for Disease Control and Prevention (CDC) mortality figures shows that people living in states that have banned abortion are nearly twice as likely to die during pregnancy, childbirth, or soon after compared with those in states where abortion remains legal and accessible. What’s more, in supportive states where abortion has remained legal, maternal mortality has declined by about 21% since 2022, suggesting that access to comprehensive reproductive care saves lives.
Restricting abortion does more than eliminate a medical procedure; it forces people to carry pregnancies that pose very real health risks. Childbirth has inherent dangers from hemorrhage and infection to hypertensive disorders and cardiac events, and the risk of death from pregnancy is at least 44 times higher than from abortion. When abortion is inaccessible, people are compelled to continue unwanted or medically unsafe pregnancies. That dynamic alone drives increased deaths that could otherwise have been prevented.
Bans do not reduce the prevalence of abortion; they reduce its safety, push people into riskier medical scenarios, and leave pregnant people with fewer options even when their health is at stake.
Racial and socioeconomic disparities in maternal mortality did not begin with the reversal of Roe v. Wade. Black birthing people in the US have long faced significantly higher death rates than white birthing people, a symptom of deep structural racism in healthcare, poverty, and chronic stress. But abortion bans have exacerbated these inequities.
In states with abortion bans, Black birthing people are more than three times as likely as white birthing people in those same states to die from pregnancy-related causes. Those figures make crystal clear that when we talk about maternal mortality, we are talking about a crisis of racial inequity, class inequity, and political neglect. States with the worst maternal health outcomes, including Louisiana, Mississippi, and Texas, are predominantly in the South and have enacted some of the most restrictive reproductive laws.
These disparities compound with other conditions such as limited access to early prenatal care—which the CDC reports has declined across the country, with the steepest drops among Black mothers. Delays in early care are associated with worse outcomes for both mother and baby and are worsened by the closure of maternity care facilities in rural and under-resourced areas.
For undocumented and immigrant communities, the maternal mortality crisis is layered with additional barriers. Fear of immigration enforcement, including ICE, deters people from seeking care, even in emergencies. Clinics in border states with large immigrant populations were already medically underserved before Dobbs, and abortion bans have deepened that inaccessibility. Many undocumented people lack insurance, fear reporting, or face economic barriers that make traveling for care impossible. These structural obstacles do not just delay care, they can literally cost lives.
Immigrant and mixed-status families are disproportionately concentrated in states with abortion bans, like Texas, Arizona, and Florida, meaning that people who already face the greatest systemic barriers to healthcare are also the most likely to lack access to safe abortion or comprehensive maternal services. This intersection of racist policy, reproductive restriction, and anti-immigrant enforcement creates a perfect storm that pushes already vulnerable people further to the margins and deeper toward harm.
Critics of abortion argue from moral or ideological positions, but the evidence shows that access to abortion care is fundamentally a matter of public health. Bans do not reduce the prevalence of abortion; they reduce its safety, push people into riskier medical scenarios, and leave pregnant people with fewer options even when their health is at stake.
We are now witnessing a preventable loss of life, and the window to act is closing.
We know how to prevent many maternal deaths: Expand access to comprehensive reproductive care (including abortion), strengthen prenatal and postpartum support, increase Medicaid coverage, invest in maternity care infrastructure, and dismantle the historic and systemic inequities that predict who lives and who dies. We know these interventions work because states that have protected reproductive rights are already seeing declines in maternal mortality.
To ignore this crisis is to ignore evidence, dignity, and the lives of pregnant people, especially those in Black, Indigenous, immigrant, and economically disadvantaged communities.
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National Abortion Providers, Thank You!
On this National Abortion Provider Appreciation Day, during Women’s History Month, we reflect on what it truly means to lead change by honoring providers who stand courageous in clinics across the country.
Mar 10, 2026
Each March, as the world turns its gaze toward Women’s History Month, we are reminded of the countless women whose courage, intellect, resilience, and leadership have reshaped our world. For 2026, the national theme—“Leading the Change: Women Shaping a Sustainable Future”—honors the women who are reimagining and rebuilding systems to ensure long-term sustainability: environmental, economic, educational, and societal. It recognizes women’s leadership in creating a future rooted in equity, justice, and opportunity for all.
Within that narrative sits a group of women and gender-expansive people whose work rarely appears in history books but whose impact resonates through lives across the nation: abortion providers.
On March 10, National Abortion Provider Appreciation Day, we are called to honor these fearless caregivers who sit at the frontlines of reproductive healthcare. They embody the very essence of this year’s Women’s History Month theme of leading change and shaping a future where bodily autonomy, dignity, and compassionate care are not just ideals but realities.
Abortion providers deliver essential medical care in the face of extraordinary adversity. They confront threats, protests, harassment, legal warfare, and violence—all aimed at trying to silence them, intimidate them, or push them out of the work they know is crucial. They endure anti-clinic demonstrations, surveillance by extremists, and political rhetoric designed to vilify not just a medical procedure but the fundamental humanity of the people they serve. Despite this, they show up day after day with resolve and open hearts.
Just as the suffragists, civil rights leaders, and healthcare pioneers of earlier eras were architects of change, today’s abortion providers are reshaping what justice looks like in the 21st century.
Their courage is deeply personal. It is the exam room conversation where a provider listens without judgment. It is the moment they guide a patient through a complex decision with clarity and care. It is the steady hand on a shoulder trembling with fear and hope. This is leadership: not in some distant boardroom, but in shared humanity. This is sustainability: building systems of care that endure in the face of relentless attack.
At the Women’s Reproductive Rights Assistance Project (WRRAP), we fund patients and eliminate financial barriers. But it is abortion providers who make care happen. They are the ones with the medical training, the compassion, the resilience, and sometimes the very bodies standing between patients and an unsafe, uncertain future.
Our work at WRRAP could not exist without these providers at the forefront. They are our partners in every sense bridging policy and possibility, funding and freedom, fear and resilience. We provide financial support so a patient doesn’t have to choose between rent and care, but it is the provider who opens their door, who holds space for people, who offers healing and hope in a world that so often refuses it.
To the providers who dedicate their lives to this work: We see you, we thank you, and we honor you. You are shaping a sustainable future, one where people have autonomy over their bodies and futures; one where care is delivered with compassion, dignity, and respect; one where equity is more than a slogan but a lived practice.
The work of abortion providers is history making. Just as the suffragists, civil rights leaders, and healthcare pioneers of earlier eras were architects of change, today’s abortion providers are reshaping what justice looks like in the 21st century. They are environmental stewards of well-being, economic innovators in equitable care delivery, educators in dignity and consent, and societal leaders in advancing reproductive freedom for all.
Being a provider today means doing the work under threats that others can scarcely imagine. It means navigating legal labyrinths designed to block care, enduring hostile legislative sessions, and facing protests that seek to make the act of healing itself controversial. And yet, providers persist, not because it is easy, but because it is necessary.
On this National Abortion Provider Appreciation Day, during Women’s History Month, we reflect on what it truly means to lead change by honoring providers who stand courageous in clinics across the country, whose safety has been threatened because they chose care over fear, whose compassion has saved futures with every patient they serve.
To every abortion provider today: Thank you for leading. Thank you for caring. Thank you for building a future rooted in justice, compassion, and dignity.
We are grateful beyond words, and we stand with you. This is our collective power.
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Immigration Detention Is Reproductive Violence
Politicians who call themselves “pro-life” support policies that detain pregnant people, criminalize pregnancy, and separate families.
Dec 21, 2025
Early this month, The 19th reported that a 22-year-old mother named Nayra Guzman was kidnapped by Immigration and Customs Enforcement on her way to the neonatal intensive care unit to see her newborn daughter, just days after a long and complicated delivery. While her daughter remained hospitalized, Guzman—still recovering from a C-section and managing Type 1 diabetes—was taken to an immigration detention center and held for 34 hours without adequate medical care, food, or water, or access to a breast pump.
This is not an isolated failure. It is reproductive violence by design.
Immigration in the US has always been about control—controlling who belongs, who gets to build a family, and who is deemed worthy of safety and care. Early laws like the 1882 Chinese Exclusion Act and the 1924 Immigration Act codified eugenicist ideas about which communities were deemed “desirable” and which the country sought to exclude. During World War II, Japanese Americans were subject to mass incarceration, families were separated, pregnancies endangered, and women sterilized. More recently, between 2017 and 2021, more than 4,600 children were kidnapped at the US border—1,360 of whom still remain unaccounted for.
Reports show this has been the deadliest year in immigration detention since 2004. Next year is projected to be even worse. People are dying from untreated infections, suicide, dehydration, and preventable complications. Investigations have documented hundreds of human-rights abuses—including pregnant people miscarrying, being shacked across their stomachs during transport, placed in solitary confinement, and denied translation during medical procedures.
We must dismantle the systems that cage people, separate families, and dictate who is allowed to parent safely.
Major medical, public health, and advocacy organizations have long recognized that pregnant and postpartum people should not be incarcerated. Under the Obama administration, ICE was directed to avoid the detention of pregnant people whenever possible, citing serious health risks and the agency’s inability to provide appropriate care. Under both Trump terms, those protections were rolled back. And last month, Intercept uncovered that the Trump administration has been actively concealing how many pregnant people are in ICE custody.
What we don’t know should scare us even more. Until recently, the Department of Homeland Security was required to publish semiannual reports detailing how many pregnant, postpartum, and lactating people were detained, and what care they received. Since the start of President Donald Trump’s second term, those reports have stopped, and Congress quietly dropped the reporting requirement altogether.
Without even basic reporting requirements, what happens inside detention becomes nearly impossible to track, and people vanish. They are transferred in the middle of the night, across state lines, with no transparency, and no way for their families to know where their loved ones are or if they’re safe.
What we are seeing today are the consequences of a system rooted in racialized policing and mass incarceration—one that criminalizes migration and is built to financially benefit from human suffering. Today, detention quotas and private contracts dictate immigration policy.
For nearly a century after Ellis Island first opened, immigration detention was relatively rare. But by the 1980s, as the "War on Drugs" expanded the criminal legal system, immigration enforcement adopted the same punitive logic. The Reagan administration imposed the nation’s first immigration detention quota, ensuring that thousands of migrants—many fleeing violence or seeking family reunification—would be incarcerated at any given time. After 9/11, detention intensified with the “War on Terror” and the creation of the Department of Homeland Security. Private prison companies secured lucrative federal contracts, new facilities opened nationwide, and immigration violations—many of them civil, not criminal—were now punished with incarceration. ICE’s own data shows roughly 72% of people in detention have no criminal record. Yet thousands are incarcerated for civil violations that carry no criminal penalty under federal law.
As prison beds became profitable, people became commodities. Today, the US operates the largest and fastest-growing immigration detention system in the world. In July, Congress budgeted $45 billion for ICE to build more immigration detention centers, and an additional $30 billion for arrests and deportation. The two biggest private prison companies, CoreCivic and GEO Group, have reported record-breaking profits and described the Trump administration as offering “unprecedented growth opportunities.”
As climate change, war, and economic and political instability drive global displacement and migration, the US has responded with cages instead of care. And apathy feels endless. Politicians who call themselves “pro-life” support policies that detain pregnant people, criminalize pregnancy, and separate families. The American people, exhausted and complacent, have learned to tune it out. Silence has become a coping mechanism.
Working in policy, I live with a constant tension: I know change is incremental, that the system moves slowly, but I am also an abolitionist. I do not believe in prisons or borders. I believe health and reproduction are human rights, and that no one should be imprisoned for migrating or for being pregnant. I think of my policy work as harm reduction—protecting people’s dignity and autonomy now, as we fight for collective liberation in the future.
Calls to release pregnant people from detention are growing. In November, the Democratic Women’s Caucus declared the treatment of pregnant, postpartum, and nursing people in ICE custody “unacceptable,” and last week, Illinois Rep. Delia Ramirez introduced a resolution urging congressional action.
But that demand cannot come from advocates and politicians alone—change depends on ordinary people determined to not look away. Our outrage is long overdue. Call your representatives and let them know that cruelty is a political choice we refuse to normalize. Join groups organizing on the ground, donate to local defense funds, and talk about this in your circles.
In the long term, we must dismantle the systems that cage people, separate families, and dictate who is allowed to parent safely. That vision is at the heart of reproductive justice—because every struggle is connected, and every win brings us closer to the world we deserve.
As Fannie Lou Hamer said, “Nobody’s free until everybody’s free.”
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