In a statement praising the arrest of a 27-year-old suspect in the Ohio case, Ohio Right to Life expressed concern for the young girl and her family but called her abortion a “band-aid solution” that “only added to the pain and violence perpetuated against her. The victim deserved better.”

Kristan Hawkins, president of Students for Life of America, said, “The violence of rape will not be cured by the violence of abortion. The love and support that this child needs will be ongoing, not momentary.”

Yet abortion providers and doctors who care for the youngest patients say that approach fails to recognize the needs and desires of young victims and their families.

In Colorado, Kristina Tocce, medical director for Planned Parenthood of the Rocky Mountains, said she had provided an abortion to a 13-year-old incest victim and had recently treated her youngest patient ever: an 11-year-old Texan who flew to Denver for an abortion alongside a parent. Though that patient was treated before Roe was overturned, the child was forced to leave Texas because the state had found a legal workaround to ban abortions after six weeks of gestation, without exceptions for rape or incest.

It was the 11-year-old’s first time on an airplane, Dr. Tocce said.

In Texas, state records show over 200 children aged 15 and younger received abortions in 2021, before the ban was passed. One of those patients was 11 or younger, and 30 were 12 or 13 years old.

Dr. Tocce predicted an influx of patients in Colorado, where abortion remains legal without a gestational limit. Even in states that allow for the procedure in cases of rape or incest, the burden of proving that patients qualify for an exemption may intimidate providers, who will not want to risk prosecution, she noted.

“Those exceptions are in print, only they essentially mean nothing when everyone who practices there is too afraid,” she said.

In Madison, Wis., Jennifer Ginsburg, executive director of the Safe Harbor Child Advocacy Center, said she was saddened but unsurprised to hear the story of the Ohio victim.

Just a few months earlier, her center, which works with victims of child abuse, had referred a 10-year-old girl, impregnated by her stepfather, for an abortion at Planned Parenthood.

Ms. Ginsburg and her team provide counseling and support for young abuse victims and their family members, while also ensuring that any forensic evaluations conducted for police investigations do not compound a child’s trauma. If a victim wanted an abortion, the center would help connect them to nearby providers.

But shortly after the Supreme Court overturned Roe, doctors in Wisconsin halted abortion services. Gov. Tony Evers, a Democrat, is battling Wisconsin’s Republican-led Legislature over the validity of a century-old law that criminalizes nearly all abortions, including those that are the result of rape and incest. Mr. Evers and his attorney general have filed a lawsuit in an attempt to block the ban.

Ms. Ginsburg said Safe Harbor was not waiting for the results of the governor’s suit. She was planning with other local organizations to assist young victims in traveling out of state for an abortion — a plan that advocates are increasingly turning toward as more states outlaw the procedure.

“How are we going to help the pregnant kids?” she asked.

Margot Sanger-Katz contributed reporting.

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