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In 2001 in Texas, Abby Johnson sees a Planned Parenthood booth at a college career fair and agrees to volunteer after being told their ultimate goal was to reduce the number of abortions. As a clinic escort, she meets director Cheryl and witnesses anti-abortion protesters being verbally confrontational towards the women going in. One protester, Marilisa, agrees with Abby about this approach being uncharitable; her group instead prays and calmly talks with the women, directing them to resources to help them raise their child. Abby reveals to her that she has had an abortion; she reflects that it was as a college student with deadbeat boyfriend, Mark, who encouraged her to obtain one when she became pregnant.
Abby marries Mark, but divorces him a year later after he cheats on her. Two weeks later, she discovers that she is pregnant again and chooses to have a medical abortion at the clinic where she now volunteers. Abby is told it will "gently empty out her uterus", but the experience is painful, resulting to bleeding and eight weeks of cramping. In narration, Abby says that her anger turned from being directed at Planned Parenthood to being directed at herself. Abby continues to volunteer and becomes a public relations director and later counselor who answers questions from women about to have an abortion, and says she is very good at convincing them to go through with it. Abby marries Doug, who loves her, but does not approve of her career. They soon discover she is pregnant and Cheryl suggests she get an abortion, but Abby chooses to keep her child. Throughout these events, Abby continues to talk with Marilisa and her husband Shawn, despite their opposing views on abortion.
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