Roe v. Wade reversal leads to 'heartbreaking' scenes at U.S. abortion clinics

Shortly after 9 a.m. local time on Friday at Little Rock Family Planning Services, staff at the abortion clinic in Little Rock, Ark., began the task of telling patients — some of whom had travelled hundreds of kilometres — that their scheduled appointments were cancelled.

"It was heartbreaking," said clinic director Lori Williams, her voice full of emotion. "I've done this work for 22 years, and  none of us have really ever thought that it would come to this point."

Arkansas is one of 13 U.S. states with trigger laws — bans on abortion that would come into effect if Roe v. Wade was ever overturned. For some of those states, Friday's U.S. Supreme Court decision to set aside the landmark ruling from 1973 had the immediate effect of ceasing all abortion services — leaving many patients scheduled for procedures in a state of shock and forced to scramble for alternatives.

Abortions were immediately halted in nine states, according to The Associated Press. Providers in two other states, Oklahoma and South Dakota, had already stopped performing the procedure in the past month. About 73 million people live in the 11 states where the procedure is no longer available — more than a fifth of the U.S. population.

On the morning of the Supreme Court ruling, there were six patients in the waiting area, 17 procedures scheduled and more than 30 people scheduled for their first visit at Little Rock Family Planning Services, one of two clinics that provide abortion services in the state, Williams said.

She said when the decision came down, staff met with each patient individually in a private area "to give them the courtesy of their emotional reaction being private."

Williams said staff then explained "with tears in our eyes that the law simply changed with this ruling and that there was no longer a federal protection, which means Arkansas would immediately make abortion illegal and we weren't able to care for them."

Some of the patients were "extraordinarily shocked" and didn't really understand why or how this could happen, she said.

"Most were just extremely upset and emotional and just didn't know what to do next," Williams said. "These patients are already in a vulnerable state of mind, trying to deal with everything that goes along with making a decision regarding their pregnancy."

Because Arkansas has a waiting period, all of the patients who were expecting to have a procedure that day had been at the clinic once before at least three days prior, had already had an ultrasound and had received the state-mandated information, she said.

"Some were on their second visit as far away as Texas and Oklahoma. And we still had to tell them that they couldn't be seen — that now Illinois was probably their next closest option."

Williams said that since abortion is the primary service the clinic offers, it will likely have to shut its doors.

"We've had conversations with the staff. But it's still very heartbreaking for most of them who are losing their job and income," she said.

A similar scene was taking place a little under 1,000 kilometres away at the Alamo Women's Reproductive Services clinic in San Antonio, Texas, where a distraught Dr. Alan Braid walked into the waiting area to tell the nine patients that were scheduled with appointments that they had to go home.