SHREVEPORT, La. (Reuters) – A 27-year-old woman from southern Arkansas waited nervously at the Hope Medical Group for Women after traveling two hours for a medical procedure that is becoming increasingly difficult to obtain in certain parts of the United States: an abortion.

Four weeks pregnant, the woman felt she had no option but to seek an abortion because she suffered serious medical complications during her last pregnancy, which ended in stillbirth.

“I’m incredibly thankful for this place,” the woman told Reuters. “I don’t want to die.”

The future of the Hope clinic, located in the city of Shreveport in northwestern Louisiana, hangs in the balance. The clinic is housed in a windowless brick structure on a corner lot several miles from the casino hotel-dominated skyline of the city of about 190,000 people.

Its fate lies in the hands of the U.S. Supreme Court, which on March 4 is set to hear the clinic’s challenge to a tough Louisiana law placing new restrictions on doctors who perform abortions. If the law goes into effect, the clinic may have to close down.

Clinic staff members said some women would face considerable barriers to obtaining abortions if they have to travel further and some may ultimately forgo the procedure.

A 24-year-old woman who was nine weeks pregnant had traveled from east Texas. She said she sought an abortion because she was unable to take medication for a health condition while she is pregnant.

“It’s important that we can make our own decisions and not be forced to have a child,” the woman said.

Both clinic patients spoke to Reuters on condition that they not be named.

The Supreme Court’s ruling, expected by the end of June, could signal whether its 5-4 conservative majority, including two justices appointed by President Donald Trump, intends to make bold moves to curtail abortion rights. Anti-abortion activists are hoping the court will undermine and eventually overturn the landmark 1973 Roe v. Wade ruling that recognized a woman’s constitutional right to an abortion and legalized the procedure nationwide.

Trump’s administration has backed Louisiana in the case.

Abortion remains one of the most divisive social issues in the United States. Louisiana and other conservative states have in recent years passed various laws seeking to restrict abortion. The Supreme Court sets nationwide boundaries on how far states can go. A ruling in favor of Louisiana could embolden states to enact similar or even stricter laws.

When the Supreme Court in 1992 reaffirmed its Roe v. Wade ruling, it prohibited abortion laws that placed an “undue burden” on a woman’s ability to obtain an abortion.

The court in December left in place a Kentucky restriction requiring doctors to show and describe ultrasound images to women seeking an abortion, turning away a challenge arguing that the measure violated the free speech rights of physicians. Read more

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