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South Dakota doesn't have any doctors who do abortions; physicians fly in from surrounding states.With limited scheduling, the Sioux Falls Planned Parenthood is often booked weeks in advance.That means women who live in the state's western reaches must make four drives, totaling 24 hours, or be away from home for at least three days — weekends and holidays don't count toward the waiting period.Women pay for a hotel, miss school or work, find child care or bring kids.

"She didn't explain anything or say, 'We're going to stick this cone inside you,'" Nicole says, agitated.The next week, ultrasound results in hand, Nicole drove more than six hours, following a two-lane highway across Wyoming and staying overnight in a hotel, to reach an abortion provider in Denver.Stacey Wollman, CEO of the Care Net center in Rapid City, says all clients are informed that the center is a faith-based Christian ministry and can opt out of discussing faith, being prayed over, or receiving follow-up calls.As abortion regulations shutter medical clinics offering the full range of options, a woman facing an unplanned pregnancy finds herself in a very different landscape, one in which a pregnancy center is her most visible, most affordable — and sometimes the only — place to turn. Nationwide, anti-abortion centers now outnumber abortion clinics 3 to 1.

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