Enlarge / A woman holds a placard saying "No Forced Births" as abortion rights activists gather at the Monroe County Courthouse for a protest vigil a few hours before Indianas near total abortion ban goes into effect on September 15, 2022. (credit: Getty | Jeremy Hogan) The more abortion access is jeopardized, the more women turn to sterilization, according to a new report in JAMA that drew on health insurance claims of nearly 4.8 million women in the US. In states that enacted total or near-total abortion bans following the US Supreme Court's Dobbs decision in June 2022, the rate of sterilizations among reproductive-age women that July spiked 19 percent.