The geographic distribution of abortion providers is influenced by a complex set of factors. These factors include community-level fertility preferences and attitudes about abortion, state-level restrictions, unintended pregnancy rates, population density, and the availability of trained abortion providers. Abortion care facilities are concentrated in urban areas, where populations are higher and thus a greater number of women seek abortion. Abortion providers may also concentrate in urban areas due to higher abortion stigma in more rural settings. A national study that found that obstetrician–gynecologists with rural mailing addresses were significantly less likely to perform abortions (6.5%) than their urban counterparts (17.0%) . Maintaining an abortion practice can be difficult and even dangerous in a hostile and isolating environment [15, 38, 39].