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In this definitive, eye-opening history, award-winning author Rebecca Grant charts the reproductive freedom movement from the days before Roe through the seismic impact of Dobbs. The stories in Access span four continents, tracing strategies across generations and borders. Grant centers those activists who have been engaged in direct action to help people get the abortions they need.

Journalist Rebecca Grant provides us with a never-before-seen look at the changing landscape of pregnancy and childbirth in America—and the rise of midwifery—told through the eyes of three women who all pass through the doors of the same birth center in Portland, Oregon. In remarkable detail and with great compassion, Grant recounts the ups downs, fears, joys, and everyday moments of each woman’s pregnancy and postpartum journey, offering a rare look into their inner lives, perspectives, and choices in real time.