It triggered a wave of change. Abortion bans were brought in, court cases mounted, clinics closed. Here is what has happened in the seven months since US abortion rights were overturned.
First off, what is Roe v Wade?
Roe v Wade refers to the 1973 Supreme Court case that said the government could not prohibit abortions because the constitutional right to liberty includes the right to decide whether to continue a pregnancy.
Roe refers to Texan woman Norma McCorvey – known by the pseudonym Jane Roe – who challenged the state’s abortion laws after she couldn’t get a termination in 1969 because her life was not in danger. Wade is district attorney Henry Wade, who defended the anti-abortion laws.
The court decision meant every woman in the US had the right to an abortion in the first 12 weeks of pregnancy. Another ruling – Planned Parenthood v Casey in 1982 – built on that by saying states could not have laws that create a “substantial obstacle” to a woman seeking an abortion up to 24 weeks.
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States ban abortion
In 12 states, there are now near-total bans on abortion. In five of these states, the ban is being challenged in court but remains in effect.
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The 12 states are: Alabama, Arkansas, Idaho, Kentucky, Louisiana, Mississippi, Missouri, Oklahoma, South Dakota, Tennessee, Texas and West Virginia.
Two further states – North Dakota and Wisconsin – do not have bans in place but abortions are unavailable because clinics have closed.
Georgia has banned abortions past six weeks of pregnancy, severely limiting access to terminations because so many women do not find out they are pregnant – and have time to organise the procedure – before the six-week mark.
According to the Guttmacher Institute, which specialises in reproductive health, these 15 states are home to almost 22 million women aged 15 to 49. That means almost a third of America’s women of reproductive age are living in states where abortion is either unavailable or severely restricted.
More states could follow
A further nine states have introduced restrictions to abortion that would have been unconstitutional under Roe v Wade, have bans currently blocked by the court or are likely to introduce bans in the near future.
Arizona and Florida do not allow abortions past 15 weeks, while Utah has an 18-week ban.
In three states – Indiana, Wyoming and Ohio – near-total or early-gestation bans have been blocked by state courts for now, but lawmakers have indicated they intend to fight them.
In Iowa, Montana and Nebraska, anti-abortion policymakers have indicated that they want to ban abortion soon, but abortion care remains available for now.
What’s happened to abortion clinics?
At least 66 abortion clinics have stopped offering abortion care in the 15 states where abortion is banned or severely restricted.
The loss of these clinics is felt nationwide, according to the Guttmacher Institute, as clinics in states where abortion remains legal are inundated with people travelling interstate.
As the institute explains: “These dramatic increases in caseloads mean clinic capacity and staff are stretched to their limits, resulting in longer wait times for appointments even for residents of states where abortion remains legal.”
Astudyfrom the Society of Family Planning estimated legal abortions nationwide fell by more than 10,000 in the two months following the overturning of Roe v Wade, although some women may have sought abortion pills privately.
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Abortion revolution in the US
Exacerbating inequality
Many of the states that have banned or restricted abortion have high proportions of black, Latina and indigenous women.
Research by the Kaiser Family Foundation revealed how overturning Roe v Wade disproportionately impacts women of colour, as they are more likely to get abortions, have more limited access to health care, and face barriers to travelling out of state for an abortion.
The Guttmacher Institute notes in addition that “people living with low incomes… transmen and nonbinary people, immigrants, adolescents and people living with disabilities are all particularly likely to encounter compounding obstacles to abortion care and be harmed as a result”.
Some states have introduced protections
While the US has seen significant rolling back of abortion rights, there are pockets of good news for pro-choice activists.
Voters in Kansas protected abortion rights in the state’s constitution by rejecting an amendment that would have allowed lawmakers to restrict access to abortions.
New York will provide free abortion pills at four public clinics, making its health department the first in the nation to offer free medication abortion.
In the midterms, voters in five states chose to protect reproductive rights. Vermont, Michigan and California added protections to their state constitutions while voters in Kentucky rejected an amendment that would have removed any protection for abortion rights from the constitution.
In Montana, a bill that could have criminalised doctors for providing abortions was defeated.
Image: Voters in Kansas react with joy after abortion rights vote
Medical abortions
Medical abortions account for the majority of abortions in the US – in 2020, the most recent year for which data is available, abortion pills were used in 53% of cases.
Early evidence suggests they have become even more popular since Roe v Wade was overturned – one studysuggested the number of people seeking medical abortions has increased threefold.
At the beginning of January, the Food and Drug Administration changed its rules to allow retail pharmacies in the US to dispense abortion pills for the first time.
However, abortion pills are now seen as the next frontier in the fight by anti-abortion activists and they are pushing hard to curtail access.
Jewish protesters have stormed Trump Tower in the city of New York, demanding the release of a pro-Palestinian activist arrested by immigration officials.
At least 150 people poured into the building’s lobby in midtown Manhattan to demonstrate against the detention of Mahmoud Khalil, who led Columbia University protests in 2024 against Israel’s war in Gaza.
The group from Jewish Voice for Peace carried banners, wore red shirts reading “Jews say stop arming Israel” and chanted “Bring Mahmoud home now!”
Local police said 98 were arrested on charges including trespassing, obstruction and resisting arrest.
Image: Charges included trespassing, obstruction and resisting arrest. Pic: AP
Image: Demonstrators from Jewish Voice for Peace protested inside Trump Tower. Pic: AP
Donald Trump previously described Mr Khalil, 30, who has lawful permanent resident status in the US, as “anti-American”. He is married to an American citizen.
The postgraduate student, from Columbia University’s school of international and public affairs, has been a prominent figure in the university’s pro-Palestinian student protest movement.
Image: Local police said they detained 98 people. Pic: Reuters
This week, his deportation was put on hold while his lawyers challenged his detention at an immigration detention centre in Louisiana. On Saturday, he was arrested outside his university residence in Upper Manhattan.
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He has not been charged with a crime.
US secretary of state Marco Rubio has claimed he has reasonable grounds to believe Mr Khalil’s activities or presence in the country could have “serious adverse foreign policy consequences”.
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Student activist Mahmoud Khalil arrested in Trump crackdown
On Thursday, Mr Khalil’s lawyers asked a federal judge to release him from immigration detention.
They argued that President Trump’s administration targeted him for deportation because of his activism, and his detention is a violation of the US Constitution’s First Amendment protections for freedom of speech.
Mahmoud Khalil: An American tolerance test
There’s more to this story than the story itself.
In Donald Trump’s USA, the proceedings against Mahmoud Khalil are an American tolerance test.
At the heart of it is the US Constitution itself and the First Amendment that enshrines the right to free speech.
Mahmoud Khalil is the measure of where it starts and where it ends – the fate of others will turn on his test case.
As President Trump put it, his arrest is the first of “many to come”, citing students who had “engaged in pro-terrorist, antisemitic, anti-American activity”.
Separately, his lawyers asked the court to block Columbia University from sharing student disciplinary records from campus protests with a Republican-led US House of Representatives committee.
Mr Khalil’s case has become a flashpoint for Mr Trump’s pledge to deport some activists who participated in the wave of protests on US college campuses against Israel’s military assault on Gaza following the October 2023 attack by the militant group Hamas.
Image: Mahmoud Khalil outside the Columbia University campus in April 2024. File pic: AP
Mr Trump’s administration has said pro-Palestinian protests on college campuses, including at Columbia, have included support for Hamas and antisemitic harassment of Jewish students.
Last week, the administration said it cancelled grants and contracts worth about $400m (£309m) to Columbia because of what it describes as antisemitic harassment on and near the school’s campus.
Student protest organisers have said criticism of Israel and its actions is being wrongly conflated with antisemitism.
Donald Trump has said he thinks the US will annex Greenland, days after the country’s incoming prime minister said: “We don’t want to be Americans.”
During an Oval Office meeting with NATO secretary general Mark Rutte, the US president was asked about his hopes to annex Greenland.
“I think that will happen,” he said. “I didn’t give it much thought before, but I’m sitting with a man who could be very instrumental.
“You know Mark, we need that for international security. We have a lot of our favourite players cruising around the coast and we have to be careful.”
Image: Mr Trump and NATO secretary general Mark Rutte. Pic: Reuters
Mr Trump questioned Denmark’s claim to the autonomous territory, saying Denmark was “very far away” from Greenland despite being part of the country’s kingdom.
“A boat landed there 200 years ago or something. They say they have rights to it,” Mr Trump said. “I don’t know if that’s true. I don’t think it is, actually.”
He said the US already has a military presence in Greenland and added: “Maybe you’ll see more and more soldiers going there.”
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Why Greenland’s election result is a blow to Trump
It comes after Greenland’s centre-right party won an election in a result seen as a rejection of Mr Trump’s interference in the island’s politics.
The Demokraatit party favours a slow move towards independence from Denmark – with its leader Jens-Frederik Nielsen telling Sky News on the eve of the election “we want to build our own country by ourselves”.
In his White House news briefing Mr Trump claimed the election result was very good for the US and said “the person who did the best is a very good person as far as we’re concerned.”
Mr Trump also reacted to Vladimir Putin’s remarks about Russia agreeing to an end in fighting in Ukraine, but adding “lots of questions” remain over proposals for a 30-day ceasefire.
The US president said his Russian counterpart’s statement was not complete and reiterated his willingness to talk to him, adding: “Hopefully Russia will do the right thing.”
Volodymyr Zelenskyy has called on Ukraine’s partners to make sure Russia doesn’t “deceive” them over a ceasefire.
After breakthrough talks between Ukrainian and US officials in Saudi Arabia, Kyiv said it was ready to accept a proposed 30-day ceasefire with Russia.
But his nightly address on Wednesday evening, a day after the Jeddah summit, President Zelenskyy said, “we must move toward peace” – but issued a warning to allies.
“The key factor is our partners’ ability to ensure Russia’s readiness not to deceive but to genuinely end the war,” the Ukrainian leader said. “Because right now, Russian strikes have not stopped.”
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The focus has now switched to Vladimir Putin’s response to the proposed ceasefire. President Trump said the US had received “some positive messages” adding: “We have people going to Russia right now”.
However, he warned Moscow: “In a financial sense, yeah we could do things very bad for Russia, would be devastating for Russia.”
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Will Russia go for ceasefire deal?
European defence ministers, meeting in Paris, said now was the time for Moscow to show it was serious about ending the war.
UK Defence Secretary John Healey was among those attending, and had a direct message for Russia’s president: “I say to president Putin, over to you, you want to talk, prove it.”
Mr Healey called on Russia to accept the ceasefire and end the war, adding, “the pressure is now on Putin”.
For his part, President Putin has been playing to his domestic audience with a visit to Kursk, where Russian troops finally seem to be gaining the upper hand against Ukrainian forces who seized territory in the Russian region last year.
Image: The Russian line is approaching Sumy from Kursk Oblast
Dressed in camouflage, the Russian president called for his forces to defeat the enemy and completely liberate Kursk, in remarks reported by the Interfax news agency.
He also said enemy troops captured in the region will be treated as terrorists, as Russia’s chief of the general staff told Mr Putin that Ukrainian forces in the region are surrounded.