Kelly Baden, Candace Gibson, Amy Friedrich-Karnik, Guttmacher Institute
November 2025
As the United States contends with the consequences of the Dobbs decision and an emboldened opposition seeking to further dismantle sexual and reproductive rights and access, both providers and people seeking care face unprecedented threats. A growing, global anti-rights and anti-science climate buttressed by the spread of mis- and disinformation, is driving continued attempts to eliminate abortion access. Communities already harmed by unjust systems and policies are experiencing disproportionate impacts.
Rooted in the belief that sound policy starts with high-quality evidence, Guttmacher’s flagship research on abortion and contraception underscores the growing barriers to reproductive health care while pointing to policy solutions that can move us closer to reproductive health care access for all. This analysis draws on findings from leading Guttmacher research projects to identify recent trends in abortion and contraceptive access and offers policy recommendations informed by that evidence.