Doulna Fregoso, a doula in the San Francisco Bay Area, has seen a shift in her role as counseling patients who are too scared to seek maternal health care due to U.S. Immigration and Customs Enforcement (ICE) detainment. Reproductive health care providers are seeing patients miss prenatal appointments and not pick up prescriptions when they need them due to fear of detention. Patients are choosing to travel to less-populated cities where ICE presence is smaller, or save up for travel to get care in another state. The Department of Homeland Security reported that 363 pregnant, postpartum or nursing women were deported between January 2025 and February 2026 between January 2021 and February 2022. Amber Pugh, a hotline case manager at the National Abortion Federation for 11 years, has worked with abortion-seekers to coordinate travel arrangements for abortions in states where it's still legal. Most of the callers are from the Southeast, traveling north for care. Physicians and health providers are now relying on their community networks to help those afraid to access reproductive health care.