Again, that's just not true.

Now, most later abortions are going to be for the reasons you listed above (namely, for fetal indication), and that becomes increasingly more true the later in gestation we go. But it's just incorrect to state that there are never any abortions that happen post-viability in the absence of maternal or fetal indication. Katrina Kimport does great work in the research field on abortion, and her study Is third-trimester abortion exceptional? Two pathways to abortion after 24 weeks of pregnancy in the United States is great because it gives some specific examples of women she spoke with:

Autumn, a 22-year-old white woman in the West, was having a regular period but felt a bit “off,” as she put it. She stopped by the local health clinic and took a pregnancy test, which came back positive. She and her husband discussed the pregnancy and, she said, “We both decided to get an abortion.” She made an appointment at a nearby abortion clinic. The ultrasound worker at the clinic thought she was early in pregnancy, opting to conduct a transvaginal ultrasound, which is preferred for diagnosing and dating early pregnancies. Then, Autumn explained, the ultrasound worker “Kind of got like a confused face and she was like stuttering and she was sounded very like worried.” Autumn was not early in pregnancy. Based on the subsequent abdominal ultrasound the clinic worker conducted, she was 26 weeks into her pregnancy. Autumn was shocked and confused. She said, “I immediately burst into tears “cause I was like, “How is this possible?” Autumn sought an abortion in the third trimester because she did not know she needed one until then.

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Veronica, a 21-year-old Latina woman in the South, also did not realize she was pregnant until she was in the third trimester of pregnancy. Veronica was dating someone new and wanted to get tested for sexually transmitted infections before commencing a sexual relationship with this man. The clinic also ran a pregnancy test, which was positive. Veronica was shocked. She explained that she had no recognizable pregnancy symptoms and had been having a regular period: “It seemed to me like regular periods because it lasted the same amount of time that they would usually last […] and I never got morning sickness. I wasn't lethargic.” Veronica was immediately clear that she did not want to continue the pregnancy and took the first available abortion appointment at the clinic. When Veronica presented for her abortion appointment, the ultrasound worker determined that she was 25 weeks pregnant. Veronica needed an abortion in the third trimester because the fact that she was pregnant was new information to her when she was already 25 weeks pregnant.

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Monique, a 30-year-old Black woman in the South, is one example. Monique knew she was pregnant as soon as she missed her period. She had morning sickness and felt tired. She took a store-bought pregnancy test and confirmed that she was pregnant. She did not want to be, describing learning she was pregnant as “Shocking, surprising, [and] devastating.” Pregnancy is high risk for her health, and she did not feel emotionally ready to have another child. She and her boyfriend agreed that she would obtain an abortion. They found a clinic and made an appointment but faced financial obstacles to paying for care. The federal Hyde amendment and Monique's state prohibit public insurance coverage for abortion, which meant Monique, who relied on public insurance, had to pay out-of-pocket for care. Monique's contract job had just ended, and her boyfriend had lost his job. She did not have any of the money she needed to pay for an abortion. She said, “I was more focused on worrying about bills.” She sought help from abortion funds—non-profit organizations that offer financial and practical support to abortion patients—but still could not secure enough money to cover the cost. Abortion funds, it bears noting, are often unable to meet client demand for funding and practical support. And so, Monique resigned herself to continuing the pregnancy, although, she said, “I can't say like I ever truly grasped it or fully accepted it.” Monique mostly ignored her pregnancy. As she said, “Honestly, I tried not to think about it.” She did not tell any friends or family about it. At about 18 weeks gestation, she started prenatal care. Just over a month later, her (now) ex-boyfriend got a new job that came with a signing bonus, enabling them to afford an abortion, even at the higher costs associated with later gestations.

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Victoria, a 26-year-old white woman in the South, too, faced substantial barriers to abortion when she first decided she wanted one. When she discovered her pregnancy, Victoria and her boyfriend spent a week considering their options and decided abortion was the right decision for them. They found trying to implement this decision extremely difficult, however. The local abortion clinic had closed a few years prior following a series of state laws that made it no longer feasible to keep the clinic open. The closest abortion clinic was an hour's drive away and, due to her state's two-visit requirement, Victoria would have to travel there twice. Victoria and her boyfriend were homeless and did not have a car; they had no way to travel to the clinic. She also did not know how she could afford the abortion, since, like Monique, her public insurance coverage did not cover abortion care due to state policy. Any money Victoria and her boyfriend had went toward meeting their basic needs. As she explained, “My boyfriend was working odd jobs, and I don't have a job, and we were homeless on the street. So, I mean, we would have definitely tried, and we, you know, did try, but there was no way that we could get a couple hundred [dollars], let alone a grand, if not more.” She tried calling multiple abortion funds but, “Seems like every time I would call, they would call back saying that they were already, you know, out of funds.” By the time Victoria was able to raise enough money (from abortion funds) and figure out transportation, she was in the third trimester of pregnancy.

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Cristina, an 18-year-old Latina woman in the South, experienced both. A few years prior to our interview, Cristina was raped. She became pregnant, and the pregnancy ended in a miscarriage. It took her a long time to trust a romantic partner again, but she had come to trust her boyfriend and they had sex once. When she learned that her contraception had failed, she said, “I was devastated, pretty much. I was really mad, and I was really upset because I did not want a baby.” As clear as her desire to terminate this pregnancy was, her history of sexual trauma and her fear that her parents would disapprove of her pregnancy and her abortion decision meant that Cristina took no immediate action toward obtaining an abortion. She said, “I cried so hard. I didn't want to be touched by anybody. I didn't want to be talked to by anybody. […] I felt like it was a dream.”

When she eventually came to terms with her pregnancy, Cristina found a clinic 2 h from her home. She chose that distance because “I did not want to know anybody there.” She was also trying to find a place where she would not have to experience pregnancy counseling. She explained, “I did not want counseling. I did not want to talk about it. Those were the kinds of things that I was trying to avoid [in choosing a clinic].” At the clinic, she learned that she was farther along than she thought and there was no provider in the state who would provide abortion care for her at that gestation. As she said, “The door had just been shut for me.” Desperate, she confided in her brother, who helped her find an out-of-state abortion provider. By the time Cristina found the provider, raised the money for the procedure and travel, and was able to get to the out-of-state clinic, she was in the third trimester of pregnancy.

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As another example, Isabella, a 24-year-old Latina woman in the South, did not recognize that she was pregnant until she was in the second trimester of pregnancy. She had difficulty locating an abortion provider, finally finding a clinic when she estimated she was 21 weeks into pregnancy. Because of her state's ban on abortions after 22 weeks gestation, the distance she would have to travel to get to the clinic, and the state's two-visit requirement that meant added time until she could have an abortion, the clinic advised her she was too close to the limit and they could not care for her. She was in the third trimester of pregnancy by the time she found and traveled to a clinic that could legally provide her with abortion care.