In the 80s and 90s there were over a dozen abortion clinics in the state of Alabama. Now there are only five. Just two of these clinics can care for patients who have advanced beyond the first trimester and one clinic, in Mobile, offers abortions only up to 9 weeks gestation.

It’s been extremely tough for the remaining five clinics. Four out of the five clinics are operating only because of intervention by the courts and the most active clinic in the state, in Tuscaloosa, closed for seven months this year following a doctor's retirement. Meanwhile, a 48-hour waiting period that went into effect in 2014 requires two in-person clinic visits before an abortion can be obtained. For many, that means either traveling hundreds of miles from their homes and staying overnight for two nights or making the hours-long trip more than once.