Violence and disruption against abortion clinics in the US increased to its highest levels since the 1990s last year, a report by the National Abortion Federation has found.

The increase in violence was attributed, at least in part, to president Donald Trump and his administration’s rhetoric.

The report noted a significant increase in obstruction, vandalism, and trespassing, with 1,135 incidents of trespassing recorded in 2018 - the most since the NAF began tracking the crime in 1999.

There were also 3,038 instances of obstruction, a 78 per cent increase compared to the previous year, and nearly 100,000 instances of picketing.

“Anti-choice individuals and groups have been emboldened by the rhetoric of president Trump, vice president Pence, and other elected officials and we are seeing this play out in more instances of activities meant to intimidate abortion providers and disrupt patient services,” said Dr Katherine Hancock Ragsdale, who serves as interim president and CEO of NAF.

Supreme Court strikes down abortion restrictions Show all 23 1 /23 Supreme Court strikes down abortion restrictions Supreme Court strikes down abortion restrictions Abortion rights activists hold placards outside of the US Supreme Court ahead of an expected ruling on abortion clinic restrictions on June 27, 2016 in Washington, DC. Mandel Ngan/AFP/Getty Supreme Court strikes down abortion restrictions An abortion rights activist holds placards outside of the US Supreme Court before the Court struck down a Texas law placing restrictions on abortion clinics on June 27, 2016 in Washington, DC. The US Supreme Court on Monday struck down a Texas law placing a raft of restrictions on abortion clinics, handing a major victory to the "pro-choice" camp in the country's most important ruling on the divisive issue in a generation. Mandel Ngan/AFP/Getty Supreme Court strikes down abortion restrictions WASHINGTON, DC - JUNE 27: Pro-life activists pray on the steps of the United States Supreme Court on June 27, 2016 in Washington, DC. In a 5-3 decision, the U.S. Supreme Court struck down one of the nation's toughest restrictions on abortion, a Texas law that women's groups said would have forced more than three-quarters of the state's clinics to close. Pete Marovich/Getty Supreme Court strikes down abortion restrictions WASHINGTON, DC - JUNE 27: Texas abortion provider Amy Hagstrom-Miller looks on as Nancy Northup, President of The Center for Reproductive Rights speaks to the media outside of the U.S. Supreme Court on June 27, 2016 in Washington, DC. In a 5-3 decision, the U.S. Supreme Court struck down one of the nation's toughest restrictions on abortion, a Texas law that women's groups said would have forced more than three-quarters of the state's clinics to close. Pete Marovich/Getty Supreme Court strikes down abortion restrictions An abortion rights activist holds placards outside of the US Supreme Court before the Court struck down a Texas law placing restrictions on abortion clinics on June 27, 2016 in Washington, DC. The US Supreme Court on Monday struck down a Texas law placing a raft of restrictions on abortion clinics, handing a major victory to the "pro-choice" camp in the country's most important ruling on the divisive issue in a generation. Getty Supreme Court strikes down abortion restrictions Texas abortion provider Amy Hagstrom-Miller wipes a tear as she walks down the steps of the United States Supreme Court with Nancy Northup, President of The Center for Reproductive Rights on June 27, 2016 in Washington, DC. In a 5-3 decision, the U.S. Supreme Court struck down one of the nation's toughest restrictions on abortion, a Texas law that women's groups said would have forced more than three-quarters of the state's clinics to close. Pete Marovich/Getty Supreme Court strikes down abortion restrictions Abortion rights activists cheer after the US Supreme Court struck down a Texas law placing restrictions on abortion clinics, outside of the Supreme Court on June 27, 2016 in Washington, DC. In a case with far-reaching implications for millions of women across the United States, the court ruled 5-3 to strike down measures which activists say have forced more than half of Texas's abortion clinics to close. Mandel Ngan/AFP/Getty Supreme Court strikes down abortion restrictions Abortion rights activists cheer after the US Supreme Court struck down a Texas law placing restrictions on abortion clinics, outside of the Supreme Court on June 27, 2016 in Washington, DC. In a case with far-reaching implications for millions of women across the United States, the court ruled 5-3 to strike down measures which activists say have forced more than half of Texas's abortion clinics to close. Mandel Ngan/AFP/Getty Supreme Court strikes down abortion restrictions WASHINGTON, DC - JUNE 27: Abortion rights activists Morgan Hopkins of Boston, left, and Alison Turkos of New York City, celebrate on the steps of the United States Supreme Court on June 27, 2016 in Washington, DC. In a 5-3 decision, the U.S. Supreme Court struck down one of the nation's toughest restrictions on abortion, a Texas law that women's groups said would have forced more than three-quarters of the state's clinics to close. Pete Marovich/Getty Supreme Court strikes down abortion restrictions Abortion rights activists cheer after the US Supreme Court struck down a Texas law placing restrictions on abortion clinics, outside of the Supreme Court on June 27, 2016 in Washington, DC. In a case with far-reaching implications for millions of women across the United States, the court ruled 5-3 to strike down measures which activists say have forced more than half of Texas's abortion clinics to close. Getty Supreme Court strikes down abortion restrictions WASHINGTON, DC - JUNE 27: Abortion rights activists Morgan Hopkins of Boston, left, and Alison Turkos of New York City, celebrate on the steps of the United States Supreme Court on June 27, 2016 in Washington, DC. In a 5-3 decision, the U.S. Supreme Court struck down one of the nation's toughest restrictions on abortion, a Texas law that women's groups said would have forced more than three-quarters of the state's clinics to close. (Photo by Pete Marovich/Getty Images) Getty Images Supreme Court strikes down abortion restrictions Abortion rights activist Morgan Hopkins of Boston, celebrates on the steps of the United States Supreme Court on June 27, 2016 in Washington, DC. In a 5-3 decision, the U.S. Supreme Court struck down one of the nation's toughest restrictions on abortion, a Texas law that women's groups said would have forced more than three-quarters of the state's clinics to close. Pete Marovich/Getty Supreme Court strikes down abortion restrictions Abortion rights activists embrace after the US Supreme Court struck down a Texas law placing restrictions on abortion clinics, outside of the Supreme Court on June 27, 2016 in Washington, DC. In a case with far-reaching implications for millions of women across the United States, the court ruled 5-3 to strike down measures which activists say have forced more than half of Texas's abortion clinics to close. AFP/Getty Images Supreme Court strikes down abortion restrictions Abortion rights activists hold placards outside of the US Supreme Court ahead of a ruling on abortion clinic restrictions on June 27, 2016 in Washington, DC. In a case with far-reaching implications for millions of women across the United States, the court ruled 5-3 to strike down measures which activists say have forced more than half of Texas's abortion clinics to close. Mandel Ngan/AFP/Getty Supreme Court strikes down abortion restrictions In a case with far-reaching implications for millions of women across the United States, the court ruled 5-3 to strike down measures which activists say have forced more than half of Texas's abortion clinics to close. Mandel Ngan/AFP/Getty Supreme Court strikes down abortion restrictions Abortion rights activists cheer after the US Supreme Court struck down a Texas law placing restrictions on abortion clinics, outside of the Supreme Court on June 27, 2016 in Washington, DC. In a case with far-reaching implications for millions of women across the United States, the court ruled 5-3 to strike down measures which activists say have forced more than half of Texas's abortion clinics to close. AFP/Getty Images Supreme Court strikes down abortion restrictions Abortion rights activists cheer after the US Supreme Court struck down a Texas law placing restrictions on abortion clinics, outside of the Supreme Court on June 27, 2016 in Washington, DC. In a case with far-reaching implications for millions of women across the United States, the court ruled 5-3 to strike down measures which activists say have forced more than half of Texas's abortion clinics to close. / AFP / MANDEL NGAN (Photo credit should read MANDEL NGAN/AFP/Getty Images) AFP/Getty Images Supreme Court strikes down abortion restrictions Abortion rights activists cheer after the US Supreme Court struck down a Texas law placing restrictions on abortion clinics, outside of the Supreme Court on June 27, 2016 in Washington, DC. In a case with far-reaching implications for millions of women across the United States, the court ruled 5-3 to strike down measures which activists say have forced more than half of Texas's abortion clinics to close. / AFP / MANDEL NGAN (Photo credit should read MANDEL NGAN/AFP/Getty Images) AFP/Getty Images Supreme Court strikes down abortion restrictions Abortion rights activists embrace after the US Supreme Court struck down a Texas law placing restrictions on abortion clinics, outside of the Supreme Court on June 27, 2016 in Washington, DC. In a case with far-reaching implications for millions of women across the United States, the court ruled 5-3 to strike down measures which activists say have forced more than half of Texas's abortion clinics to close. AFP/Getty Images Supreme Court strikes down abortion restrictions Pro-choice activist, Alissa Manzoeillo, of Washington, D.C. waits for rulings in front of the U.S. Supreme Court on June 27, 2016 in Washington, DC. A ruling is expected in Whole Woman's Health v. Hellerstedt, a Texas case the places restrictions on abortion clinics, as well as rulings in the former Virginia Governor's corruption case and a gun rights case. Pete Marovich/Getty Supreme Court strikes down abortion restrictions Abortion rights activists cheer after the US Supreme Court struck down a Texas law placing restrictions on abortion clinics, outside of the Supreme Court on June 27, 2016 in Washington, DC. In a case with far-reaching implications for millions of women across the United States, the court ruled 5-3 to strike down measures which activists say have forced more than half of Texas's abortion clinics to close. Supreme Court strikes down abortion restrictions Abortion rights activists hold placards outside of the US Supreme Court ahead of an expected ruling on abortion clinic restrictions on June 27, 2016 in Washington, DC. AFP/Getty Images Supreme Court strikes down abortion restrictions Abortion rights activists hold placards outside of the US Supreme Court ahead of an expected ruling on abortion clinic restrictions on June 27, 2016 in Washington, DC. AFP/Getty Images

She added: “Demonising health care providers and women who rely on them for abortion care has become one of the go-to tactics for anti-choice politicians. Those lies have consequences and it is not the anti-choice politicians who are facing those consequences; it is those who are denied abortion care and the providers targeted by threats, harassment, and violence who are. It is time for the demonizing of abortion providers and their patients to end.

“Given the political climate and the increase in hate incidents throughout the country, it is more important than ever that law enforcement and prosecutors appropriately respond to anti-abortion criminal activity.”

The study did note a decrease in stalking, burglary, assault, and battery against abortion providers.

It comes during a fresh wave of anti-abortion legislation such as the Alabama abortion ban, which is currently being contested in a lawsuit from the American Civil Liberties Union and Planned Parenthood, and “heartbeat bills” which ban elective abortion after a foetal heartbeat is detectable.

As a foetal heartbeat is first detectable at six weeks - a point where many pregnant people may not even know they are pregnant - these initiatives are seen as a back-door abortion ban and are also being contested in court.

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