The number of abortions jumped in 2020, up 8 percent over a three-year period.

The survey, completed in May and released on Wednesday, is information from nearly 1,700 US medical facilities that had abortions in 2019 or 2020. , which typically provide fewer abortions, was estimated based on data from state and local health departments.

Researchers at the abortion rights think tank attribute the rise in the country to several factors, including the pandemic, changes to the Title X family planning program, and expanding medical coverage for the procedure.

Covid-19 has led to wide-ranging disruptions to Americans’ insurance status, economic stability, mental health and access to medical services, which public health experts say have contributed to an increase in unprotected sex and record rates of STDs.

At the same time, many low-income Americans lost access to family planning services in 2019 when the Trump administration imposed new restrictions on Title X recipients, causing hundreds of providers to drop out of the program.

In addition, some of the increase can be attributed to steps taken by several states over the past few years to expand access to abortion. Illinois and Maine, for example, have allowed Medicaid to pay for the procedure, while other states have passed laws requiring private insurance companies to cover abortions.

“Most people who have abortions are poor or have low incomes, and this coverage means that many of those who might not otherwise be able to afford an abortion could get help,” Guttmacher said in the report.

At the same time, more than two dozen states imposed abortion restrictions at the same time, including waiting periods and restrictions on the distribution of abortion pills, many of which were blocked by the courts. And since these states already had limited access to the procedure, the report’s authors argue that these new laws have had less impact than laws in states that have expanded access to abortion.

In fact, some states that have been most aggressive in restricting abortion have seen the biggest increases, including Mississippi and Oklahoma. The authors of the report suggest that as neighboring states impose more restrictions, more residents are turning to Mississippi’s only clinic rather than traveling to another state.

The report comes out shortly before the U.S. Supreme Court is expected to rule on overturning Rowe vs. Wade – a solution that would allow dozens of states to impose a near total ban on the procedure. Guttmacher says the new data shows the decision could have a greater impact than previously known, forcing hundreds of thousands of people who seek the procedure to either cross state lines, illegally terminate pregnancies or carry unwanted pregnancies to term each year.

Anti-abortion groups have seized on the new data to attack Democrats who advocate abortion rights as “extremists.”

“Leading Democrats have said that abortions should be ‘safe, legal and rare.’ Now the Biden administration and Democrats in Washington are pushing for on-demand prenatal abortions that taxpayers pay for, including dangerous mail-order abortion drugs, and governors in states like California and New York are seeking to turn their states into “safe havens” and ” refuge.” for the abortion industry,” SBA Pro-Life America President Marjorie Dannenfelser said in a statement to POLITICO. “The pro-life movement must continue to educate countrymen, and pro-life legislators, both state and federal, must be as ambitious as possible in building consensus. Millions of lives are at stake.”