Dr. Beverly Gray, an assistant professor of Obstetrics and Gynecology at Duke University, has previously told Refinery29 that the reasons women might seek abortion care at that stage of the pregnancy are complex and vary from case to case. "Many of these women are faced with pregnancies complicated by severe birth defects that can only be diagnosed at this stage of pregnancy. Other women are diagnosed with medical complications, such as cancer, where pregnancy can put their life at risk," she said. "Many teenagers don’t realize they are pregnant until the second trimester and often seek care later, especially if they are hesitant to disclose the news to their family. Because abortion after 20 weeks is more rare, there are fewer ob-gyn’s who provide this care, making it logistically difficult to find a doctor, which can also create delays."