There are many reasons why someone may require a third-trimester abortion, including both fetal implications and maternal implications (such as health diagnoses and difficult life circumstances). Dr. Shelley Sella, retired OB-GYN, first woman to openly provide third-trimester abortion care in the U.S., and author of Beyond Limits: Stories of Third-Trimester Abortion Care, sits down to share her expertise, discuss the multitude of reasons why someone seeks a third-trimester abortion, and touch on the personal stories shared in the book.

Dr. Sella became involved in the women’s health movement in college, which eventually sent her to medical school to begin her journey studying to be an OB-GYN. Dr. Sella was mentored by Dr. George Tiller, who provided late term abortions and who was assassinated in Kansas in 2009. Beyond Limits follows Dr. Sella during a week at the abortion clinic, sharing stories of patients requiring third-trimester abortions for a myriad of reasons. 

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Global reproductive rights and investment in the agencies and organizations that support reproductive rights have often been used as a political football. The bodies of women, girls, and LGBTQI+ persons have been used to push and pull power for decades—and this anti-rights, anti-choice framework has become increasingly exported around the world. Beth Schlachter, Senior Director for U.S. and External Engagement for MSI Reproductive Choices, talks to us about how attacks to human rights frameworks and funding will further endanger global reproductive health and rights.

Some apparatuses the U.S. have been using to redefine human rights, and therefore, redefine access to sexual and reproductive healthcare services, include the Commission on Unalienable Rights, the International Ministerial Conference on Freedom of Religion or Belief, and the Geneva Consensus Declaration. These frameworks and tools then get internationally exported. MSI has a host of programs around the world that will be impacted by these tools, frameworks, and funding attacks. MSI’s programs support maternal health and access to other reproductive health services. In addition, these attacks will likely and broadly impact child marriage programs, the PEPFAR program, the Sustainable Development Goals, and more.

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Title X, under the Public Health Services Act, allows for a family planning and reproductive health-based pool of funding that government agencies and nonprofits can apply for and use to support patients. Providers who receive Title X funding see all patients regardless of insurance status and income level. Clare Coleman, President and CEO of the National Family Planning and Reproductive Health Association (NFPRHA), sits down to talk with us about the recent and extremely harmful changes to Title X announced by the new administration.

At the beginning of April 2025, the government announced the withholding of 22 Title X awards. These awards, given consistently to projects who are years into their research, were rescinded with one day’s notice. On an annual basis, this impacts about $66 million in Title X funds-- about a quarter of all Title X grants. As of today, there are no Title X funded services in eight states, and 15 other states have lost either some or most of their Title X funding. About 842,000 people were served under these grants, and the number of health centers that are affected totals 865. These changes will impact access to care (particularly for young people and those with low incomes), affordability, and contraceptive choice.

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T/W: Discussions of suicide in the last 1/3 of this conversation

The health, rights, and wellbeing of the LGBTQI+ community are under increasingly distressing strain, with a collection of new court cases only cementing the burden. Preston Mitchum, writer, policy analyst, consultant, star of Summer House: Martha’s Vineyard, and Senior Fellow with rePROs Fight Back, sits down to talk with us about a host of Supreme Court cases that have broad and damaging implications for the health and rights of the LGBTQI+ community.  

Kennedy v. Braidwood Management, Inc. is a SCOTUS case surrounding the Affordable Care Act’s requirements for low-cost coverage of preventative services, including pre-exposure prophylaxis (PrEP), which is used by many different populations. This could threaten the affordability of an essential and effective medicinal treatment, pushing the price high enough that PrEP becomes inaccessible to many. Mahmoud v. Taylor revolves around school boards’ inclusion of books featuring LGBTQI+ storylines in the school curriculum, citing a violation of religious rights. 

In addition to the above Supreme Court cases, A leaked budget showed that there would be significant funding cuts and elimination of services for 988— a three-digit number to reach the national suicide and crisis hotline. Preston’s work was instrumental in the legislation that developed this number, which passed the House, passed the Senate, and was signed by President Trump in his first term. The line has counselors specifically for high-risk groups, including LGBTQI+ folks. 988 is still available if you need someone to talk to. 

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The majority of people in the U.S. support abortion, yet access has been decimated around the country. That kind of disparity deserves evidence-based, practiced commentary, and we can think of no better doctors to share their experiences than Dr. Beverly Gray and Dr. Jonas Swartz, OBGYNs and co-hosts of the podcast Outlawed. They sit down to talk with us about being on the frontlines of abortion care in the U.S. at the moment and how their experience contributed to the desire to pursue their podcast. 

Both Dr. Gray and Dr. Swartz dispel myths on mic and in person, including that childbirth is safer than abortion (abortion is less risky than carrying a pregnancy to term), that fertility is impacted by abortion (it isn’t), that abortions can be reversed (they can’t), or that abortion can occur after birth (they can’t). These myths can influence policy. In addition, Drs. Gray and Swartz interview incredible patients, providers, and advocates about their journeys in sexual and reproductive health. If you are interested in hearing information and stories from OBGYNs themselves, find Outlawed here.

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After personal experience with severe pregnancy complications and requiring a later abortion among a labyrinth of state abortion bans, Erika Christensen and Garin Marschall co-founded Patient Forward, a national strategy and advocacy organization. Erika and Garin sit down with us to talk about why people need abortions later in pregnancy, what barriers exist to accessing that care, and why government interference in pregnancy outcomes is overwhelmingly unpopular.  

Further into pregnancy, the cost of care goes up, the number of providers goes down, and more and more restrictions go into effect. People require abortions later in pregnancy for a host of reasons, but often they are needed after 1) they learn that they are pregnant later in gestation or learn new information about the pregnancy, or; 2) they know care is needed earlier in pregnancy but are delayed by TRAP laws, abortion bans, economic reasons, and more. Many experience a combination of these factors which impact their access. 

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There’s a grab bag of sexual and reproductive health news from around the U.S. From the wins to celebrate to the updates to keep an eye on, Garnet Henderson, investigative reporter specializing in sexual and reproductive health and disinformation, sits down to talk with us about a host of SRHR issues that are moving through the political and judicial landscape.  

Issues discussed include: Nevada’s parental notification law, blocked since 1985 and made permanent in 1991, was overturned recently by a judge and will go into effect on April 30th; the Trump administration has been citing “DEI” as a reason Planned Parenthood and other affiliate’s Title X funding is being “reviewed” and threatened; the Supreme Court recently heard the arguments for Medina v. Planned Parenthood South Atlantic at the beginning of the month; and Wisconsin voters elected a Democratically-backed candidate to serve on the state’s Supreme Court, despite Elon Musk’s fundraising and $100 million dollars invested in the opposing candidate.

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Within hours of the new administration’s return-to-office, disorder took over. A foreign aid freeze, a stop-work order, and the dismantling of key foreign aid institutions commenced almost immediately. Gayatri Patel, Senior Fellow with rePROs Fight Back, sits down to talk with us about glimmers of hope for protecting this foreign assistance funding and relevant agencies, as well as how we can prepare for the realistic, long-term impacts of these attacks.  

The assault on foreign assistance funding by the new administration—which includes the blocking of U.S. foreign assistance funding, including for development programs, humanitarian programs, and multilateral assistance—has led to the loss of food services, antiviral medications, and vaccines, among other things. This has resulted in severe harm and death. In addition, the dismantling of institutions, including the U.S. Agency for International Development (USAID), and the loss of funding and support for multiple UN agencies, including the United Nations High Commissioner for Refugees (UNHCR) and the United Nations Population Fund (UNFPA), will result in continued, long-term impacts on both U.S. and international programming. 

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April 11th- 17th officially marks Black Maternal Health Week—a week-long campaign centered on activism, awareness, and community-building for Black mamas and Black birthing people. Elizabeth Dawes, Director of Maternal and Reproductive Health and Senior Fellow at the Century Foundation and Co-Founder of the Black Mamas Matter Alliance, sits down to talk with us about the status of the Black maternal health crisis in the U.S. and the myriad, ongoing attacks to the Black community’s health, rights, and wellbeing from the new administration. 

The U.S. maternal mortality crisis has seen an overall reduction in maternal death rates in every racial group except for Black birthing people-- due to racism and inequity at institutional, systemic, and interpersonal levels. This is despite continuous, targeted, and hard-fought advocacy since 2014. Solidifying key actors, distributing resources and funding, and amplifying direct, local care and Black-led initiatives can make a sizeable change and help tackle the persistent, systemic oppressions and health injustices disproportionately felt by Black individuals. 

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A new case with tremendous possible consequences for U.S. sexual and reproductive health and rights has made its way onto the Supreme Court docket. Medina v. Planned Parenthood of South Atlantic is a culmination of decades of anti-choice activist’s attacks to Planned Parenthood and other reproductive health care providers, specifically targeting efforts to kick these providers out of Medicaid. Jessica Mason Pieklo, Senior Vice President and Executive Editor of Rewire News Group and co-host of Boom! Lawyered, sits down to talk with us about the implications of this case for the country’s most vulnerable. 

The question in front of the Supreme Court is whether the Medicaid statute confers a right to its recipients to go to providers of their choosing. Not only does this open doors to re-defining “qualified” and “unqualified” reproductive health care providers, it allows an opportunity for legal conservatives on the court to meander around Congressional conferring of rights via statute. Oftentimes, Planned Parenthood affiliates are the only option for low-income, Medicaid patients. 

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