I worked on a piece about full-spectrum reproductive care for the New York Times Sunday Review with my frequent collaborator, writer Alissa Quart.
Buffalo Womenservices is unusual because it is a birth and abortion center in one. It is part of an effort to reframe reproductive care as a continuum — the phrase for it is “full-spectrum reproductive health” — that spans both birth and abortion. Facilities for each are typically distinct.
Combining the two in one place underlines how many women experience both birth and abortion. Three in 10 women will have an abortion in their lives; eight out of 10 will give birth. About 61 percent of women who have an abortion already have at least one child.
Kayla, the nurse pictured here, gave birth at Buffalo Womenservices before returning to work as a nurse who assists during the abortion procedures, taking breaks to pump breastmilk for her infant daughter. Like her co-workers, she believes that women’s choices around terminating pregnancy and around the way in which they give birth are related forms of essential reproductive choice. The facility’s doctor noted that all pregnancies are not the same, and women have a range of reasons for what they decide to do with them.
The women whose abortions I photographed were already mothers, and both of them took the interests of their children into account when making their decisions. The facility’s doctor expressed frustration at people’s tendency to project their own experiences onto other people’s complex lives.