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A crisis pregnancy center (CPC), sometimes called a pregnancy resource center (PRC) or a pro-life pregnancy center, is a type of
nonprofit organization A nonprofit organization (NPO), also known as a nonbusiness entity, nonprofit institution, not-for-profit organization, or simply a nonprofit, is a non-governmental (private) legal entity organized and operated for a collective, public, or so ...
established by
anti-abortion groups Anti-abortion movements, also self-styled as pro-life movements, are involved in the abortion debate advocating against the practice of abortion and its Abortion by country, legality. Many anti-abortion movements began as countermovements in r ...
primarily to persuade pregnant women not to have an
abortion Abortion is the early termination of a pregnancy by removal or expulsion of an embryo or fetus. Abortions that occur without intervention are known as miscarriages or "spontaneous abortions", and occur in roughly 30–40% of all pregnan ...
. In the
United States The United States of America (USA), also known as the United States (U.S.) or America, is a country primarily located in North America. It is a federal republic of 50 U.S. state, states and a federal capital district, Washington, D.C. The 48 ...
, there are an estimated 2,500 to 4,000 CPCs that qualify as medical clinics that may also provide pregnancy testing, sonograms, and other services; many others operate without medical licensing under varying degrees of regulation. For comparison, there were 807
abortion clinics An abortion clinic or abortion provider is a medical facility that provides abortions. Such clinics may be public medical centers, private medical practices or nonprofit organizations such as Planned Parenthood. Statistics Canada *There were ...
in the United States as of 2020. Hundreds more CPCs operate outside of the U.S., including in Canada, Latin America, Africa, and Europe. CPCs have frequently been found to disseminate false medical information about the supposed
physical Physical may refer to: *Physical examination In a physical examination, medical examination, clinical examination, or medical checkup, a medical practitioner examines a patient for any possible medical signs or symptoms of a Disease, medical co ...
and mental health risks of abortion; they sometimes promulgate misinformation about the effectiveness of
condom A condom is a sheath-shaped Barrier contraception, barrier device used during sexual intercourse to reduce the probability of pregnancy or a Sexually transmitted disease, sexually transmitted infection (STI). There are both external condo ...
s and prevention of
sexually transmitted infection A sexually transmitted infection (STI), also referred to as a sexually transmitted disease (STD) and the older term venereal disease (VD), is an infection that is Transmission (medicine), spread by Human sexual activity, sexual activity, e ...
s. CPCs are sometimes called fake abortion clinics by scholars, the media, and supporters of
abortion rights Abortion-rights movements, also self-styled as pro-choice movements, are movements that advocate for legal access to induced abortion services, including elective abortion. They seek to represent and support women who wish to terminate their p ...
, due to deceptive advertising that obscures the centers' anti-abortion agenda. Many CPCs are run by Christian groups that adhere to a
socially conservative Social conservatism is a political philosophy and a variety of conservatism which places emphasis on traditional social structures over social pluralism. Social conservatives organize in favor of duty, traditional values and social institu ...
and anti-abortion viewpoint, and they often operate in affiliation with one of three non-profit organizations:
Care Net Care Net is an evangelical Christian network of crisis pregnancy centers operating primarily in the United States. As an anti-abortion organization, its centers seek to persuade women not to have abortions. Headquartered in Northern Virginia, it i ...
,
Heartbeat International Heartbeat International is an international anti-abortion association that supports the largest network of crisis pregnancy centers (CPC) in the world, with over 2,000 affiliates in 50 countries. It does not offer, recommend, or refer for abortion ...
, and
Birthright International Birthright International is an international organization of crisis pregnancy centers. It offers a range of services, to an estimated 10 million women, designed to "help support a woman's desire not to have an abortion," including referrals to lega ...
. In 1993, the
National Institute of Family and Life Advocates The National Institute of Family and Life Advocates (NIFLA) is an American 501(c)(3) charitable organization that seeks to provide alternates to abortions for U.S. women. Founded in 1993, it is based in Fredericksburg, Virginia and has the aim of ...
(NIFLA) was formed to provide legal advice to CPCs in the U.S.NIFLA
During the
presidency of George W. Bush George W. Bush's tenure as the 43rd president of the United States began with his first inauguration on January 20, 2001, and ended on January 20, 2009. Bush, a Republican from Texas, took office following his narrow electoral college victo ...
(2001–2009), U.S. CPCs received tens of millions of dollars in federal grants. , more than half of U.S. state governments helped to fund CPCs directly or through the sale of
Choose Life license plates Choose Life license plates are specialty license plates available in 33Choose-Life.org
accessed S ...
. Legal and legislative action regarding CPCs has generally attempted to curb
deceptive advertising False advertising is the act of publishing, transmitting, distributing or otherwise publicly circulating an advertisement containing a false claim, or statement, made intentionally, or recklessly, to promote the sale of property, goods or servi ...
, targeting those that imply that they offer abortion services by requiring centers to disclose that they do not offer certain services or possess certain qualifications.


Origin

Catholic carpenter Robert Pearson started the first CPC in Honolulu in 1967 after abortion was legalized in Hawaii. Pearson said that "a woman who wanted to terminate her pregnancy 'has no right to information that will help her kill her baby.'" He formed the Pearson Foundation to help others start their own CPCs, offering detailed instructions for CPC management along with propaganda brochures and images to persuade pregnant women not to get an abortion. Originally written in late 1992 for Harvard Law School. In 1968, the first network of centers was established by Birthright, in Canada. Alternatives to Abortion, today known as
Heartbeat International Heartbeat International is an international anti-abortion association that supports the largest network of crisis pregnancy centers (CPC) in the world, with over 2,000 affiliates in 50 countries. It does not offer, recommend, or refer for abortion ...
, was founded in 1971. Christian Action Council founded its first center in Baltimore, Maryland, in 1980. Christian Action Council eventually would become Care Net. The CPC movement began as American Catholic activism, but after the 1973 passage of ''
Roe v. Wade ''Roe v. Wade'', 410 U.S. 113 (1973),. was a List of landmark court decisions in the United States, landmark decision of the U.S. Supreme Court in which the Court ruled that the Constitution of the United States protected the right to have an ...
'', interest in establishing CPCs widened to include American evangelical Christians.


Activities

To fulfill their mission of persuading pregnant women to forgo abortions, CPCs advertise and offer pregnancy support services. Among the more common ones are free
pregnancy tests A pregnancy test is used to determine whether a person is pregnant or not. The two primary methods are testing for the pregnancy hormone (human chorionic gonadotropin (hCG)) in blood or urine using a pregnancy test kit, and scanning with ultras ...
,
prenatal care Prenatal care, also known as antenatal care, is a type of preventive healthcare for pregnant individuals. It is provided in the form of medical checkups and healthy lifestyle recommendations for the pregnant person. Antenatal care also consists of ...
, screening for sexually transmitted infections, and adoption referrals. Some offer counseling, including religious counseling and post-abortion counseling. Some supply material support: clothing, maternity housing, food, financial support, and other supplies. Some offer training in such topics as budgeting, resume-building, and child-rearing. An increasing number of CPCs obtain some form of medical certification to be able to expand their abilities and marketing; for example, permission to perform sonograms in an attempt to convince women to carry their pregnancies to term. In some jurisdictions, such the State of Louisiana, CPCs are considered safe-haven zones where parents may surrender custody of newborn infants. In 2020, one Texas chain of CPCs began providing contraceptives to unmarried women, stating that they wanted to help reduce unplanned pregnancies. CPCs have been widely criticized by supporters of abortion rights for providing misleading and/or graphic information or content to patients to dissuade them from obtaining abortions. Their advertising campaigns have been criticized as being carefully designed to reach groups they perceive as being more inclined towards seeking abortion, such as young women, women of color, and those from lower socioeconomic backgrounds. Often, they place billboards near educational institutions and utilize public transportation and bus shelters for promotion.American College of Obstetrics and Gynecology. n.d. “Issue Brief: Crisis Pregnancy Centers.” Accessed April 10, 2024. https://www.acog.org/advocacy/abortion-is-essential/trending-issues/issue-brief-crisis-pregnancy-centers. For example, Care Net's "Urban Initiative" specifically aims to attract Black and Latina women by advertising on platforms like the Black Entertainment Network (BET) and drawing parallels between abortion and historical instances of oppression, such as
slavery Slavery is the ownership of a person as property, especially in regards to their labour. Slavery typically involves compulsory work, with the slave's location of work and residence dictated by the party that holds them in bondage. Enslavemen ...
. The
British Pregnancy Advisory Service The British Pregnancy Advisory Service (BPAS) is a British charity whose stated purpose is to avoid unwanted pregnancy by advocating and providing high quality, affordable services to prevent or end unwanted pregnancies with contraception or by a ...
, an independent abortion-providing agency, warned about the lack of regulation on CPCs by the
National Health Service The National Health Service (NHS) is the term for the publicly funded health care, publicly funded healthcare systems of the United Kingdom: the National Health Service (England), NHS Scotland, NHS Wales, and Health and Social Care (Northern ...
in that young women were dissuaded from abortion without full knowledge of their legal options or the consultation of their family GP. CPCs have focused on what they call "underserved" communities in an attempt to lower the high rates of abortion in communities of color.


Use of sonograms

Some CPCs conduct free sonograms as a way to dissuade women from abortion.The Columbus Dispatch
January 20, 2008, "Pregnancy centers stir debate"
Proponents say that women who visit CPCs and see their embryos or fetuses through the use of ultrasound technology tend to decide against abortion, although scientific research suggests mandatory pre-abortion ultrasound has no effect on women's decisions to continue their pregnancy. Organizations such as Colorado-based
Focus on the Family Focus on the Family (FOTF or FotF) is an American Christian fundamentalism, Evangelical Protestant organization founded in 1977 in Southern California by James Dobson, based in Colorado Springs, Colorado. The group is one of a number of Evangel ...
and the
Southern Baptist Convention The Southern Baptist Convention (SBC), alternatively the Great Commission Baptists (GCB), is a Christian denomination based in the United States. It is the world's largest Baptist organization, the largest Protestant, and the second-largest Chr ...
, the largest
Protestant Protestantism is a branch of Christianity that emphasizes Justification (theology), justification of sinners Sola fide, through faith alone, the teaching that Salvation in Christianity, salvation comes by unmerited Grace in Christianity, divin ...
denomination in the United States, have worked to equip more CPCs with ultrasound machines.


False medical information

CPCs have frequently been found to disseminate false medical information. In some cases such information may be based on decades-old studies that have been discredited by more recent research. In others, CPCs may falsely claim to be describing an existing scientific consensus. CPCs' false information is usually about the supposed health risks of abortion, saying, for example, that abortion is much less safe for pregnant women than childbirth when the opposite is true. In fact, researchers have found that "the complication rate (of abortions) is less than that associated with wisdom tooth extraction, 7 percent, and tonsillectomies, 9 percent." The Society for Adolescent Health and Medicine and the North American Society for Pediatric and Adolescent Gynecology characterize the care at these centers as lacking "adherence to medical and ethical practice standards". A joint statement from the Society for Adolescent Health and Medicine and the North American Society for Pediatric and Adolescent Gynecology said that CPCs "pose risk by failing to adhere to medical and ethical practice standards". For example, CPC staffers commonly assert that the chances of getting breast cancer increase dramatically after abortion, even though major medical bodies (including the
National Cancer Institute The National Cancer Institute (NCI) coordinates the United States National Cancer Program and is part of the National Institutes of Health (NIH), which is one of eleven agencies that are part of the U.S. Department of Health and Human Services. ...
) say that there is no link between abortion and breast cancer. Another common assertion is that abortion leads to mental health problems. CPC counselors have warned clients of severely negative psychological consequences, including high rates of depression, "
post-abortion syndrome Scientific and medical expert bodies have repeatedly concluded that abortion poses no greater mental health risks than carrying an unintended pregnancy to term. Nevertheless, the relationship between induced abortion and mental health is an area o ...
",
post-traumatic stress disorder Post-traumatic stress disorder (PTSD) is a mental disorder that develops from experiencing a Psychological trauma, traumatic event, such as sexual assault, domestic violence, child abuse, warfare and its associated traumas, natural disaster ...
,
suicide Suicide is the act of intentionally causing one's own death. Risk factors for suicide include mental disorders, physical disorders, and substance abuse. Some suicides are impulsive acts driven by stress (such as from financial or ac ...
,
substance abuse Substance misuse, also known as drug misuse or, in older vernacular, substance abuse, is the use of a drug in amounts or by methods that are harmful to the individual or others. It is a form of substance-related disorder, differing definition ...
, sexual and relationship dysfunction, propensity to
child abuse Child abuse (also called child endangerment or child maltreatment) is physical abuse, physical, child sexual abuse, sexual, emotional and/or psychological abuse, psychological maltreatment or Child neglect, neglect of a child, especially by a p ...
, and other emotional problems. These "counselors" are often priests or other religious members – not licensed counselors. "Post-abortion syndrome" has not been validated as a discrete psychiatric condition and is not recognized by the American Psychological Association, the American Psychiatric Association, the American Medical Association, the American College of Obstetricians and Gynecologists, nor the American Public Health Association. "Currently, there are active attempts to convince the public and women considering abortion that abortion frequently has negative psychiatric consequences. This assertion is not borne out by the literature: the vast majority of women tolerate abortion without psychiatric sequelae." The
Royal College of Obstetricians and Gynaecologists The Royal College of Obstetricians and Gynaecologists (RCOG) is a professional association based in London, United Kingdom. Its members, including people with and without medical degrees, work in the field of obstetrics and gynaecology, that is ...
finds no evidence to support an increased likelihood of abuse. In fact, CPCs are known to use disturbing visuals to emotionally manipulate pregnant women. CPCs may also claim that surgical abortion is a dangerous procedure, with a high risk of perforation or infection and death. In fact, the risk of complications requiring hospitalization after an abortion is about 2 in 1,000 in the US. These alleged risks are also part of the common assertion that abortion can make future childbearing more difficult or dangerous by increasing the risk of infertility,
miscarriage Miscarriage, also known in medical terms as a spontaneous abortion, is an end to pregnancy resulting in the loss and expulsion of an embryo or fetus from the womb before it can fetal viability, survive independently. Miscarriage before 6 weeks ...
s, complications,
ectopic pregnancy Ectopic pregnancy is a complication of pregnancy in which the embryo attaches outside the uterus. Signs and symptoms classically include abdominal pain and vaginal bleeding, but fewer than 50 percent of affected women have both of these sympto ...
, or fetal health problems. These claims are not supported by medical data. CPCs have also been found to disseminate misinformation about birth control methods, in particular the idea that contraception and condoms do not work or have harmful effects. False information about pregnancy and the female body or about fetal development may also be provided, as may misinformation about the availability of abortion in early pregnancy and the rate of postpartum depression among women who carry to term, CPCs may also misinform women about their stage of pregnancy in order to prevent them from seeking an abortion until it is no longer legally possible. The American College of Obstetricians and Gynecologists have found that CPCs are "often non medical facilities who have no legal obligation to provide pregnant women with accurate information and are not subject to HIPAA or required by law to maintain client confidentiality." A mixed methods analysis of patients seeking care from CPC's found that people seek out CPC's for pregnancy confirmation, lack of access to healthcare, and abortions. The patients reported a range of positive and negative experiences but mostly reported reduced options and some kind of deception.
Care Net Care Net is an evangelical Christian network of crisis pregnancy centers operating primarily in the United States. As an anti-abortion organization, its centers seek to persuade women not to have abortions. Headquartered in Northern Virginia, it i ...
denounces "any form of deception in its corporate advertising or individual conversations with its clients", though they also say of their promotion of an abortion–breast cancer link that their "role is clearly to include this possible risk when
hey Hey, HEY, or Hey! may refer to: Music * Hey (band), a Polish rock band Albums * ''Hey'' (Andreas Bourani album) or the title song (see below), 2014 * ''Hey!'' (Julio Iglesias album) or the title song, 1980 * ''Hey!'' (Jullie album) or the ...
educate clients about all the risks of abortions." A July 2006 report by Representative
Henry Waxman Henry Arnold Waxman (born September 12, 1939) is an American politician and lobbyist who was a U.S. representative from California from 1975 to 2015. He is a member of the Democratic Party. His district included much of the western part of the ...
( D- CA) and his minority members' staff in the House Committee on Government Reform noted that CPCs had received over $30million in federal funding since 2001, derived mostly from programs for
abstinence-only education Abstinence-only sex education (also known as sexual risk avoidance education) is a form of sex education that teaches Sexual abstinence, not having sex outside of marriage. It often excludes other types of sexual and reproductive health education, ...
. For this report, female investigators telephoned CPCs that had received federal funding, and posed as pregnant teenagers deciding whether to get an abortion. They found that 20 of the 23 centers reached, (87%) provided false or misleading information about the health effects of abortion, particularly about a supposed link between abortion and breast cancer, supposed risks to subsequent fertility, and supposed negative mental health repercussions.


Religious affiliation

The overwhelming majority of CPCs in the U.S. are run by Christians according to a conservative Christian philosophy. , two Christian charities, Care Net and Heartbeat International, accounted for three quarters of CPCs in the United States. Care Net, the largest CPC network in the United States, is explicitly
evangelistic Evangelism, or witnessing, is the act of sharing the Christian gospel, the message and teachings of Jesus Christ. It is typically done with the intention of converting others to Christianity. Evangelism can take several forms, such as persona ...
in nature, and says that its "ultimate aim ..is to share the love and truth of
Jesus Christ Jesus (AD 30 or 33), also referred to as Jesus Christ, Jesus of Nazareth, and many Names and titles of Jesus in the New Testament, other names and titles, was a 1st-century Jewish preacher and religious leader. He is the Jesus in Chris ...
in both word and deed" and that its "pregnancy centers are committed to sharing the love of Jesus Christ with every person who walks through their doors." Heartbeat International, one of the largest CPC networks in the United States and also the largest CPC network in the world, runs "Christian crisis-pregnancy centers" and describes itself as a "Christian association of faith-based pregnancy resource centers" whose materials are "consistent with Biblical principles". The National Institute of Family and Life Advocates (NIFLA), which works with CPCs on legal issues, "strongly believes that sharing the Gospel is an essential part of counseling women in pregnancy help medical clinics". Some CPCs are run by the Catholic Church or by other church groups. Unaffiliated CPCs, or CPCs affiliated with other organizations, may provide a religious perspective in their counseling. In contrast to the overt Christian perspective of most CPC networks,
Birthright International Birthright International is an international organization of crisis pregnancy centers. It offers a range of services, to an estimated 10 million women, designed to "help support a woman's desire not to have an abortion," including referrals to lega ...
has a stated philosophy of non-evangelism. A Jewish CPC organization, called In Shifra's Arms, also exists. Many CPCs require their staff to be Christian. For example, as a condition of affiliation, Care Net and the Canadian Association of Pregnancy Support Services, the two largest CPC organizations in the United States and Canada respectively, require each employee and volunteer of a prospective affiliate to comply with a statement of faith. CPCs unaffiliated with either of these may also require staff to be Christian.About Southside Pregnancy
Religious activity is sometimes part of a CPC customer's experience. Care Net, which "is committed to presenting the gospel of our Lord to women with crisis pregnancies", claims to have effected over 23,000 conversions or restatements of Christian faith. NIFLA "strongly believes that sharing the Gospel is an essential part of counseling women in pregnancy help medical clinics". Some visitors to CPCs report that employees subjected them to unwanted evangelizing. CPCs outside the United States are also frequently Christian. CareConfidential, the largest umbrella network for CPCs in the United Kingdom, runs "Christian-based pregnancy crisis centres" and is a division of the Christian charity CARE. The Canadian Association of Pregnancy Support Services, a similar network in Canada whose centers may also affiliate with Care Net or Heartbeat International, describes itself as a "Christian charity"; its affiliates "adhere firmly to Christianity". The United States-based
Human Life International Human Life International (HLI) is a Roman Catholic, U.S.-based anti-abortion organization. It is one of the largest anti-abortion organizations in the United States. It describes itself as "the largest international pro-life organization in the w ...
runs "Catholic pregnancy centers" in Mexico and also provides aid to the Centros de Ayuda para la Mujer, a network of CPCs in Latin America whose philosophy is "in conformity with the
Magisterium The magisterium of the Catholic Church is the church's authority or office to give authentic interpretation of the word of God, "whether in its written form or in the form of Tradition". According to the 1992 ''Catechism of the Catholic Church'' ...
of the Roman Catholic and Apostolic Church." As in the United States, unaffiliated CPCs may also be run by church groups or are otherwise Christian.


Affiliation with the anti-abortion movement

Most crisis pregnancy centers are affiliated with several major
anti-abortion organizations in the United States Anti-abortion movements, also self-styled as pro-life movements, are involved in the abortion debate advocating against the practice of abortion and its legality. Many anti-abortion movements began as countermovements in response to the legal ...
; these are
Care Net Care Net is an evangelical Christian network of crisis pregnancy centers operating primarily in the United States. As an anti-abortion organization, its centers seek to persuade women not to have abortions. Headquartered in Northern Virginia, it i ...
,
Heartbeat International Heartbeat International is an international anti-abortion association that supports the largest network of crisis pregnancy centers (CPC) in the world, with over 2,000 affiliates in 50 countries. It does not offer, recommend, or refer for abortion ...
,
Birthright International Birthright International is an international organization of crisis pregnancy centers. It offers a range of services, to an estimated 10 million women, designed to "help support a woman's desire not to have an abortion," including referrals to lega ...
, and
National Institute of Family and Life Advocates The National Institute of Family and Life Advocates (NIFLA) is an American 501(c)(3) charitable organization that seeks to provide alternates to abortions for U.S. women. Founded in 1993, it is based in Fredericksburg, Virginia and has the aim of ...
(NIFLA). A CPC may be affiliated with more than one network. US-based Care Net and Heartbeat International are the world's two largest CPC networks with about 3,000 associated centers between them in the United States and abroad. Italy, for example, has more than 400 CPCs associated with Heartbeat International, the largest number outside the U.S. The largest UK organisations are CareConfidential and LIFE, while the largest Canadian one is the Canadian Association of Pregnancy Support Services (CAPSS).
Human Life International Human Life International (HLI) is a Roman Catholic, U.S.-based anti-abortion organization. It is one of the largest anti-abortion organizations in the United States. It describes itself as "the largest international pro-life organization in the w ...
, a
Catholic The Catholic Church (), also known as the Roman Catholic Church, is the List of Christian denominations by number of members, largest Christian church, with 1.27 to 1.41 billion baptized Catholics Catholic Church by country, worldwid ...
group opposed to abortion, also runs CPCs outside the United States.


Advertising methods

CPCs have been criticized for deceptive advertising. Some falsely advertise abortion services, attracting clients who wish to have an abortion. In the 1980s, investigative reporters from the ''
Arizona Republic ''The Arizona Republic'' is an American daily newspaper published in Phoenix. Circulated throughout Arizona, it is the state's largest newspaper. Since 2000, it has been owned by the Gannett newspaper chain. History Early years The newspap ...
'', the ''
San Francisco Chronicle The ''San Francisco Chronicle'' is a newspaper serving primarily the San Francisco Bay Area of Northern California. It was founded in 1865 as ''The Daily Dramatic Chronicle'' by teenage brothers Charles de Young and M. H. de Young, Michael H. ...
'' and CBS News, among others, filed stories about CPCs attracting women by offering free pregnancy tests but then presenting them with religious arguments and scare tactics against abortion. CPCs may intentionally locate near, and look like, abortion clinics; critics have also objected to CPCs' use of rhetoric and advertising language similar to those of abortion providers, such as "Plan Your Parenthood" or a directory listing under "abortion services" or "clinics". These, they say, may mislead pregnant women seeking abortion into contacting a CPC. In particular, the advertising approach of the Pearson Foundation, which assists local groups establishing CPCs, has been criticized by some other anti-abortion groups, including
Birthright International Birthright International is an international organization of crisis pregnancy centers. It offers a range of services, to an estimated 10 million women, designed to "help support a woman's desire not to have an abortion," including referrals to lega ...
, another CPC operator. The foundation recommends that a center seek out women who want abortions through "neutral" advertising, and refuse to answer questions that would reveal that they provide neither abortion services nor referrals to abortion services. Pearson, identified by some as the founder of the first CPC, said that a woman "has no right to information" that will allow her to have an abortion. In Ireland, when abortion was illegal except in circumstances where pregnancy endangered the mother's life and women often went to the United Kingdom to end their pregnancies, "rogue" CPCs, in contrast to government sponsored pregnancy centers, might falsely give the impression in their advertising that they referred women to Britain for abortions or otherwise provided information for women seeking to travel for abortion. CPCs also use the Internet as a means of advertising. Some use
search engine optimization Search engine optimization (SEO) is the process of improving the quality and quantity of Web traffic, website traffic to a website or a web page from web search engine, search engines. SEO targets unpaid search traffic (usually referred to as ...
to get their websites closer to the top of search results or bid against abortion providers to appear at the top of sponsored link sections on Google and Yahoo.
Heartbeat International Heartbeat International is an international anti-abortion association that supports the largest network of crisis pregnancy centers (CPC) in the world, with over 2,000 affiliates in 50 countries. It does not offer, recommend, or refer for abortion ...
, a Christian association that runs 1,800 crisis pregnancy centers, recommends that CPCs use two websites, one fundraising website that describes an anti-abortion mission to secure donors, and another website that purports to provide medical information to attract women seeking contraception, counseling, or abortion. In August 2022, after a group of 21 Democratic senators criticized
Google Google LLC (, ) is an American multinational corporation and technology company focusing on online advertising, search engine technology, cloud computing, computer software, quantum computing, e-commerce, consumer electronics, and artificial ...
for displaying CPCs alongside abortion clinics in search and map results when users searched for abortion services, Google stated that they will now clearly demarcate whether a clinic "Provides abortions" or, when Google is unable to verify that the clinic provides abortions: "Might not provide abortions".
Yelp Yelp Inc. is an American company that develops the Yelp.com website and the Yelp mobile app, which publishes crowd-sourced reviews about businesses. It also operates Yelp Guest Manager, a table reservation service. It is headquartered in S ...
stated that it will use new labels to differentiate CPCs into separate categories from clinics which provide abortions.


Legality of advertising methods

Much legal and legislative action around CPCs has attempted to rein in deceptive advertising by CPCs seeking to give the impression that they provide abortions or other women's health services. Lawsuits against a number of CPCs have determined that they engaged in false advertising and required them to change their methods, or led to settlements where they agreed to do so. CPCs that advertised that they provided abortion services were forbidden from doing so or obliged to affirmatively tell clients that they did not do so. In some instances, CPCs were prohibited from using names similar to nearby medical clinics that provided abortions, from providing pregnancy tests, or from advertising pregnancy tests as "free" if they were conditional upon hearing a presentation or counseling. In one of these cases, the CPC argued that they did not receive money from clients and were therefore not subject to regulations on commercial speech, but the court ruled that they were not exempt because they aimed to provide services rather than exchange ideas. Several ordinances requiring CPCs to post signs disclosing that they do not provide abortions, birth control, referrals for either, and sometimes other medical services have been enjoined, with courts finding that such "compelled speech" violates the centers' rights."Judge Blocks City's Crisis Pregnancy Center Law"
, D. Chen, ''The New York Times'', July 13, 2011
In December 2009, Baltimore, Maryland was the first local government to introduce and pass a CPC ordinance—Ordinance 09-252, "Limited Service Pregnancy Centers—Disclaimers".
Austin, Texas Austin ( ) is the List of capitals in the United States, capital city of the U.S. state of Texas. It is the county seat and most populous city of Travis County, Texas, Travis County, with portions extending into Hays County, Texas, Hays and W ...
, amended its law requiring centers to disclose that they do not offer abortion or birth control services to instead require them to disclose whether they do offer medical services under the direction of a licensed health care provider. A bill in Oregon would require its CPCs, currently unregulated, to disclose whether or not they provide these services, and bar them from releasing health information collected from clients without the clients' consent. In San Francisco, rather than compelling any speech, the city ordinance is framed as a false advertising law which allows courts to fine CPCs up to $500 every time they falsely imply in an advertisement that they offer abortion services. The law's constitutionality was upheld in federal court, with a judge dismissing a lawsuit from a CPC that had been identified by the city attorney as advertising deceptively. California's 2015 ''Reproductive FACT Act'' requires CPCs without medical licenses to post signs saying that they are not licensed medical facilities and have no medical professionals providing or supervising services; CPCs must also let clients know about the state's public programs for reproductive health care. The law was challenged in ''
National Institute of Family and Life Advocates v. Becerra ''National Institute of Family and Life Advocates v. Becerra'', 585 U.S. 755 (2018), was a case before the Supreme Court of the United States addressing the constitutionality of California's FACT Act, which mandated that crisis pregnancy centers ...
'', argued at the Supreme Court on March 20, 2018, with the Court required to decide whether or not the disclosures required by the California Reproductive FACT Act violated the free speech clause of the First Amendment. The Court ruled on June 26, 2018, in a 5–4 decision that the notices required by the FACT Act violate the First Amendment by targeting speakers rather than speech. On March 30, 2006, Rep.
Carolyn Maloney Carolyn Jane Maloney (née Bosher, February 19, 1946) is an American politician who served as the U.S. representative for from 2013 to 2023, and for from 1993 to 2013. The district includes most of Manhattan's East Side, Astoria and Long I ...
( D- NY) and eleven co-sponsors first introduced a bill called the "Stop Deceptive Advertising for Women's Services Act", which would have required the
Federal Trade Commission The Federal Trade Commission (FTC) is an independent agency of the United States government whose principal mission is the enforcement of civil (non-criminal) United States antitrust law, antitrust law and the promotion of consumer protection. It ...
to "promulgate rules prohibiting ..persons from advertising with the intent to deceptively create the impression that such persons provide abortion services" and "enforce violations of such rules as unfair methods of competition and unfair or deceptive acts or practices." Maloney and her colleagues have re-introduced the bill in several Congresses, most recently in May 2013, in the
113th Congress The 113th United States Congress was a meeting of the legislative branch of the United States federal government, from January 3, 2013, to January 3, 2015, during the fifth and sixth years of Barack Obama's presidency. It was composed of the ...
. In 2002, after an investigation and subpoenas of a number of New York State CPCs alleged to be engaged in deceptive business practices, then-
New York Attorney General The attorney general of New York is the chief legal officer of the U.S. state of New York and head of the Department of Law of the state government. The office has existed in various forms since 1626, originally established under the Dutch c ...
Eliot Spitzer Eliot Laurence Spitzer (born June 10, 1959) is an American politician and attorney who served as the 54th governor of New York from 2007 until his resignation in 2008 after a prostitution scandal. A member of the Democratic Party, he was also ...
's office worked out an agreement with one of the CPCs in question, intended to be used as a model, which sets out practices including informing clients that the center does not provide abortion or birth control, that it is not a licensed medical facility, and that the pregnancy tests it provides are over-the-counter. In the
United Kingdom The United Kingdom of Great Britain and Northern Ireland, commonly known as the United Kingdom (UK) or Britain, is a country in Northwestern Europe, off the coast of European mainland, the continental mainland. It comprises England, Scotlan ...
, the Advertising Standards Authority mandated in 2013 that the Central London Women's Centre must stop using "misleading" and "irresponsible" advertisements implying that it offered abortion services.


Government support

Nationally in the US, over $60million in federal funds were given to crisis pregnancy centers, much of it coming from funding for abstinence-only programs provided under the conservative
George W. Bush administration George W. Bush's tenure as the 43rd president of the United States began with his first inauguration on January 20, 2001, and ended on January 20, 2009. Bush, a Republican from Texas, took office following his narrow electoral college vict ...
. Since the fall of Roe v. Wade in 2022, Anti-abortion facilities brought in at least $1.4billion in revenue, with $344million of that coming from the government.Sherman, Carter. 2024. "Anti-Abortion Centers Raked in $1.4bn in Year Roe Fell, Including Federal Money." ''The Guardian'', February 14, 2024, https://www.theguardian.com/world/2024/feb/14/anti-abortion-centers-funding At least 16 states have agreed to send more than $250million towards "alternative to abortion" programs from 2023 through 2025. The number of centers receiving grants is on the rise as grant amounts increased from $97million in 2019 to 21 centers in 2022, receiving $344million in federal grants. These grants included the Fema-funded Emergency Food and Shelter Program and the Temporary Assistance for Needy Families (TANF). By using these grants to support CPCs, funds are diverted away from the intended beneficiaries of TANF, thereby reducing the financial and structural assistance available to low-income families. Almost immediately after the Supreme Court overturned ''Roe v Wade'', 38 Republican legislators in
Wisconsin Wisconsin ( ) is a U.S. state, state in the Great Lakes region, Great Lakes region of the Upper Midwest of the United States. It borders Minnesota to the west, Iowa to the southwest, Illinois to the south, Lake Michigan to the east, Michig ...
sent a letter to
Governor A governor is an politician, administrative leader and head of a polity or Region#Political regions, political region, in some cases, such as governor-general, governors-general, as the head of a state's official representative. Depending on the ...
Tony Evers Anthony Steven Evers ( ; born November 5, 1951) is an American politician and educator serving since 2019 as the 46th governor of Wisconsin. A member of the Democratic Party, he served from 2009 to 2019 as Wisconsin's 26th superintendent of p ...
, demanding that he provide $10million in Federal ARPA funding to crisis pregnancy centers. The proceeds from the sale of Choose Life
license plates A vehicle registration plate, also known as a number plate (British, Indian and Australian English), license plate (American English) or licence plate (Canadian English), is a metal or plastic plate attached to a motor vehicle or trailer for ...
are also used to support Crisis Pregnancy Centers (CPCs) or other organizations explicitly opposed to abortion in 34 states. Of those 34 states, 19 of the states donate a portion of the proceeds raised to specific antichoice organizations or CPCs, 18 donate a portion of the proceeds to agencies or organizations that provide adoption assistance, counseling, training or advertising, one uses the funds raised by the plates to pay for roads and road repairs and 10 states specifically prohibit the allocation of funds raised by the sale of "Choose Life" license plates to agencies or organizations that provide abortion services, counseling, referrals or advertising. Motorists in these states can request these plates and pay between $25 and $70 on top of standard fees for the plate. A portion of the fee is used by the state to fund adoption support organizations and crisis pregnancy centers. In July 2013, then governor of Rhode Island
Lincoln Chafee Lincoln Davenport Chafee ( ; born March 26, 1953) is an American politician. He was mayor of Warwick, Rhode Island, from 1993 to 1999, a United States Senator from 1999 to 2007, and the 74th Governor of Rhode Island from 2011 to 2015. He was a ...
vetoed a bill for the license plates saying that in his opinion it violated the separation of church and state. Since 2010, at least 13 U.S. states subsidized crisis pregnancy centers.Vollers, Anna Claire. 2023. "Abortion-Ban States Pour Millions into Pregnancy Centers with Little Medical Care." The 19th. August 29, 2023. https://19thnews.org/2023/08/abortion-ban-states-pregnancy-centers-medical-care/ Kruesi, Kimberlee. 2022. "Millions in Tax Dollars Flow to Anti-Abortion Centers in US , AP News." February 5, 2022. https://apnews.com/article/abortion-business-health-nashville-personal-taxes-fffa6f6f86e6eaa448b8ea89087a1c46 These included Florida, Louisiana, Minnesota, Missouri, North Dakota, Indiana, Ohio, North Carolina, Georgia, Oklahoma, Michigan, Pennsylvania, and Texas. They have funneled $495million to CPCs. Efforts are led by anti-abortion
Republicans Republican can refer to: Political ideology * An advocate of a republic, a type of government that is not a monarchy or dictatorship, and is usually associated with the rule of law. ** Republicanism, the ideology in support of republics or agains ...
. Some notable examples of the extent of these subsidies after the overturning of Roe v. Wade include Florida's increase from $4.5million to $25million and Tennessee's from $3million to $20million in state funding between 2022 and 2023. Under the Trump administration, CPCs were encouraged to apply for
Title X The Family Planning Services and Population Research Act of 1970 (enacted as 'Title X'' of Public Health Service Act) is the only federal grant program dedicated to providing individuals with comprehensive family planning and related preventive ...
funding, which is intended to go to organisations offering
family planning Family planning is the consideration of the number of children a person wishes to have, including the choice to have no children, and the age at which they wish to have them. Things that may play a role on family planning decisions include marit ...
services. Funding provided through Title X for family planning services has historically been off-limits for abortion services. Certain healthcare organizations, such as Planned Parenthood, receive Title X funding for services like contraception, breast cancer and cervical cancer screening, and testing for sexually transmitted infections, while separate, non-Title X funds are allocated for abortion services. Most CPCs struggled to qualify because offering
hormonal birth control Hormonal contraception refers to birth control methods that act on the endocrine system. Almost all methods are composed of steroid hormones, although in India one selective estrogen receptor modulator is marketed as a contraceptive. The origin ...
, which many CPCs oppose, is a requirement to receive the grants. One CPC organisation,
The Obria Group The Obria Group is a 501(c)(3) non-profit that runs crisis pregnancy centers in the United States. They have 20 clinics in 6 states. Their Web site states, "Obria Medical Clinics does not provide abortion services nor refer for them." In 2018, th ...
, was awarded millions in grants in 2019 after promising to provide those services in some clinics, despite not currently offering them. In 2019, alterations to Title X, commonly referred to as the "domestic gag rule," further tightened regulations, forbidding Title X providers from offering comprehensive pregnancy counseling or referring patients for abortion services. This prohibition meant that clients could not rely on their healthcare providers for accurate and thorough information regarding abortion. Although these changes were reversed as of November 2021, they prompted many grantees, including Planned Parenthood, which previously served about 40% of Title X-dependent patients for family planning services, to withdraw. Consequently, six states were temporarily left without Title X-funded services. This illustrates how political opposition to abortion can directly impede access to comprehensive reproductive healthcare services. Title X funding exists in all 50 states as of 2024, with varying budgets.


Mandatory use of CPCs

South Dakota enacted a law in 2011 which would have required consultation at a crisis pregnancy center as a precondition to obtaining an abortion. The law, which was to take effect in July 2011, also would have established a three-day waiting period, the longest in the country. In June 2011, Judge
Karen Schreier Karen Elizabeth Schreier (born 1956) is a senior United States district judge of the United States District Court for the District of South Dakota and was the 36th United States Attorney for the District of South Dakota. Early life and educatio ...
issued a preliminary injunction blocking the law from going into effect, writing that the provisions "constitute a substantial obstacle to a woman's decision to obtain an abortion because they force a woman against her will to disclose her decision to undergo an abortion to a pregnancy help center employee before she can undergo an abortion." Although the law remains enjoined, the state later enacted another law which excluded weekends and holidays from the 72-hour waiting period mandated for a person seeking an abortion, potentially extending the wait for the procedure to six days, so that only days when CPCs were already open would count as part of the period. In some cases, judges responsible for granting judicial bypasses to minors have required them to go to a CPC for counseling before having an abortion.


Confusion with government-supported centers in Ireland

In
Ireland Ireland (, ; ; Ulster Scots dialect, Ulster-Scots: ) is an island in the North Atlantic Ocean, in Northwestern Europe. Geopolitically, the island is divided between the Republic of Ireland (officially Names of the Irish state, named Irelan ...
, centres not affiliated with the government exist that attempt to persuade women not to have an abortion. These have been reported to "use manipulation and alarmist information", including false medical information, and have been called "rogue agencies".The term ''crisis pregnancy'' is used by abortion-rights agencies like the
Irish Family Planning Association The Irish Family Planning Association (IFPA) is an Irish charity working to enable people to make informed choices about sexuality and reproduction. The organisation promotes the right of all people to sexual and reproductive health information as ...
. In September 2018, the eighth amendment, stating that the law recognizes the rights of the unborn, was removed from the constitution. Five years after the repeal of Ireland's extreme abortion ban, the rule remains only up to twelve weeks for termination, anytime after must be accompanied by extreme circumstances. The government's Crisis Pregnancy Programme (formerly Crisis Pregnancy Agency) funds crisis pregnancy initiatives and is in turn reimbursed by the
Health Service Executive The Health Service Executive (HSE) () is the publicly funded healthcare system in Ireland, responsible for the provision of health and personal social services. It came into operation on 1 January 2005. The current director-general is Berna ...
; however, crisis pregnancy counseling grants, provided through a campaign called "Positive Options", are only awarded to centres that offer non-directive and medically accurate counselling that discusses all possible options, including travelling abroad for abortion. Government sponsored centres' efforts to reduce the number of women who opt for abortion consist primarily of the provision of "services and supports which make other options more attractive." A survey by the CPP found that 4 in 46 women surveyed encountered a "rogue agency" when seeking counseling. The
Department of Health A health department or health ministry is a part of government which focuses on issues related to the general health of the citizenry. Subnational entities, such as states, counties and cities, often also operate a health department of their o ...
does not regulate the anti-abortion agencies, since the 1995 Abortion Information Act, which establishes that Irish women have a right to know about abortion services abroad and which regulates providers of information, does not apply to centres that do not provide information on abortion.


Attacks and vandalism against CPCs

Some CPCs have been damaged or destroyed in several types of incidents, with some directly attributed to criminal action and others spurring further investigation. A suspected
arson Arson is the act of willfully and deliberately setting fire to or charring property. Although the act of arson typically involves buildings, the term can also refer to the intentional burning of other things, such as motor vehicles, watercr ...
attack in 2016 against a CPC in
Albuquerque, New Mexico Albuquerque ( ; ), also known as ABQ, Burque, the Duke City, and in the past 'the Q', is the List of municipalities in New Mexico, most populous city in the U.S. state of New Mexico, and the county seat of Bernalillo County, New Mexico, Bernal ...
, led to an
FBI The Federal Bureau of Investigation (FBI) is the domestic Intelligence agency, intelligence and Security agency, security service of the United States and Federal law enforcement in the United States, its principal federal law enforcement ag ...
investigation; among the possibilities the FBI was investigating that the fire was a
hate crime Hate crime (also known as bias crime) in criminal law involves a standard offence (such as an assault, murder) with an added element of bias against a victim (individual or group of individuals) because of their physical appearance or perceived ...
. On 1 February 2019, a CPC in
Culpeper, Virginia Culpeper (formerly Culpeper Courthouse, earlier Fairfax) is an incorporated town in Culpeper County, Virginia, United States. It is the county seat and part of the Washington–Baltimore–Arlington, DC–MD–VA–WV–PA Combined Statistical ...
, was vandalized with
spray paint Spray paint (formally aerosol paint) is paint that comes in a sealed, pressurized can and is released in an aerosol spray when a valve button is depressed. The propellant is what the container of pressurized gas is called. When the pressure hol ...
ed phrases that included "'fake,' 'you hate women,' and other vulgarities", spurring a police investigation. An arson attack against a
Peoria, Illinois Peoria ( ) is a city in Peoria County, Illinois, United States, and its county seat. Located on the Illinois River, the city had a population of 113,150 as of the 2020 United States census, 2020 census, making it the List of municipalities in Ill ...
, CPC on 3 May 2021 caused $250,000 in damages. This attack came shortly after the declassification of a
Department of Homeland Security The United States Department of Homeland Security (DHS) is the U.S. federal executive department responsible for public security, roughly comparable to the interior, home, or public security ministries in other countries. Its missions invol ...
document that categorized both anti-abortion and pro-abortion rights "extremists" as "domestic violent extremist groups".


''Dobbs''-related incidents

In the month following the May 2022 publication of a leaked draft opinion in the ''
Dobbs v. Jackson Women's Health Organization ''Dobbs v. Jackson Women's Health Organization'', 597 U.S. 215 (2022), is a List of landmark court decisions in the United States, landmark decision of the Supreme Court of the United States, United States Supreme Court in which the court held ...
'' U.S. Supreme Court case, several instances of violence against crisis pregnancy centers were reported by the Department of Homeland Security. The DHS issued a memo following the ruling's official release in June that cited these incidents as the basis for warning of potential violence extending "for weeks" following the overturn of ''Roe v. Wade'' while simultaneously affirming that "freedom of speech and right to peacefully protest are fundamental Constitutional rights." On 25 June, several days following the ruling's release, a fire at a
Longmont, Colorado Longmont is a home rule municipality located in Boulder and Weld counties, Colorado, United States. Its population was 98,885 . Longmont is located northeast of the county seat of Boulder. It is named after Longs Peak, a prominent mountain th ...
, Christian pregnancy center caused "fire and heavy smoke damage" with no injuries. Graffiti at the scene read "If abortions aren't safe, neither are you." The fire has been investigated with FBI assistance as an arson attack. Employees of the center accused " pro-abortion" militant organization Jane's Revenge of starting the fire. Additional suspected incidents of arson against crisis pregnancy centers and anti-abortion groups had been reported before the ruling was announced. In May, Jane's Revenge had claimed responsibility for an arson attack against a
Madison, Wisconsin Madison is the List of capitals in the United States, capital city of the U.S. state of Wisconsin. It is the List of municipalities in Wisconsin by population, second-most populous city in the state, with a population of 269,840 at the 2020 Uni ...
, "Judeo-Christian" anti-abortion office. Following the Madison attack, two firefighters were injured responding to a suspected arson attack at a
Buffalo, New York Buffalo is a Administrative divisions of New York (state), city in the U.S. state of New York (state), New York and county seat of Erie County, New York, Erie County. It lies in Western New York at the eastern end of Lake Erie, at the head of ...
-area Christian pregnancy center in early June. A few days later, the
ATF The Bureau of Alcohol, Tobacco, Firearms and Explosives (BATFE), commonly referred to as ATF, is a domestic law enforcement agency within the United States Department of Justice. Its responsibilities include the investigation and prevention ...
and
Oregon Oregon ( , ) is a U.S. state, state in the Pacific Northwest region of the United States. It is a part of the Western U.S., with the Columbia River delineating much of Oregon's northern boundary with Washington (state), Washington, while t ...
authorities investigated a fire "suspicious in nature" that damaged a Christian pregnancy center in Gresham on 10 June. "'Thousands' of dollars" of damage to a
Southfield, Michigan Southfield is a city in Oakland County, Michigan, Oakland County in the U.S. state of Michigan. An inner-ring suburb of Detroit, Southfield borders Detroit to the north, roughly northwest of downtown Downtown Detroit, Detroit. As of the 2020 Uni ...
, CPC on 16 September was attributed to Jane's Revenge. ''
Catholic News Agency The Catholic News Agency (CNA) is a news service owned by Eternal Word Television Network (EWTN) that provides news related to the Catholic Church to a global Anglophone audience. It was founded in 2004 in Denver, Colorado, United States as the ...
'' reported that there were 82 total instances of abortion-rights-related vandalism, theft, and arson between early May and 22 July 2022. Of these, 50 were against pregnancy centers. In January 2023, the FBI announced they were offering a $25,000 reward for providing "information leading to the identification, arrest, and conviction of the suspect(s)" in the attacks, while a CPC operator announced it would hire
private investigator A private investigator (often abbreviated to PI; also known as a private detective, an inquiry agent or informally a wikt:private eye, private eye) is a person who can be hired by individuals or groups to undertake investigatory law services. ...
s.


See also

*
Misinformation related to abortion Misinformation related to abortion pertains to incorrect or misleading information related to abortion and its implications, including its medical, legal and societal effects. Misinformation and disinformation related to abortion often stems from ...
*''
National Institute of Family and Life Advocates v. Becerra ''National Institute of Family and Life Advocates v. Becerra'', 585 U.S. 755 (2018), was a case before the Supreme Court of the United States addressing the constitutionality of California's FACT Act, which mandated that crisis pregnancy centers ...
'' *
Pregnancy options counseling Pregnancy options counseling is a form of counseling that provides information and support regarding pregnancy. Women seeking pregnancy options counseling are typically doing so in the case of an unplanned or unintended pregnancy. Limited access to ...


References

{{DEFAULTSORT:Crisis Pregnancy Center Types of Christian organization Anti-abortion organizations