Catalina Leano, a licensed vocational nurse at Houston Women's Reproductive Services, performs an ultrasound with the clinic doctor present, to determine whether the woman is less than six weeks pregnant and eligible to have an abortion in Texas. The patient moved from Virginia a week ago and took a pregnancy test early in the morning and made an appointment at the clinic the same day due to Texas recently enacting the strictest anti-abortion law in the United States, in Houston, Texas, U.S. October 1, 2021. REUTERS/Evelyn Hockstein