She and Mr. Queen had gone back and forth for days before deciding to terminate the pregnancy. She was dreading the abortion. She had cried in the car pulling up to the clinic. She had heard about the Supreme Court undoing Roe v. Wade but thought that since she had scheduled her abortion before the decision, and before any state ban took effect, the procedure would be allowed.

It was into this chaos that Ms. Underwood was sent home, still pregnant, and reeling. What would happen now? The doctor said she should go to Georgia, where abortions were still legal up to 22 weeks, though that state had a ban that would soon take effect.

How would her fiancé get the time off work to make the trip? How would they come up with hotel and gas money? How long did she have until she herself became ill? A new, more terrifying question hit her: What if she felt a kick?

‘I Want a Girl’

Mr. Queen said he realized his fiancée was pregnant before she did.

She had thrown up almost every morning for an entire week and had started asking for Chinese takeout, which she normally hated. One night in May, after his shift as manager at a Dollar General store, he brought home a pregnancy test for her. He hoped and prayed it would come back positive.