Publishing June 2025. Pre-order here: https://www.simonandschuster.com/books/Access/Rebecca-Grant/9781668053249.

About The Book

From the award-winning author of Birth, a journey into the underground activist networks that have been working to protect women’s autonomy over their bodies amidst legal, political, religious, and cultural oppression over the past sixty years.

In this definitive, eye-opening history, award-winning author Rebecca Grant charts the reproductive freedom movement from the days before Roe through the seismic impact of Dobbs. The stories in Access span four continents, tracing strategies across generations and borders. Grant centers those activists who have been engaged in direct action to help people get the abortions they need. Their efforts involve no small measure of daring-do, spy craft, sea adventures, close calls, undercover operations, smuggling, sequins, legal dramas, victories, defeats, and above all, a deeply held conviction that all the risks are worth it for the cause.

In Access, we meet a cast of brave, bold, and unforgettable women: the founders of the Jane Collective, a group of anonymous providers working clandestinely between Chicago apartments to perform abortions in the pre-Roe years; the originators and leaders of the abortion fund movement; Verónica Cruz Sánchez, a Mexican activist who works to support self-managed abortion with pills and fights to free women targeted by the criminalization of abortion; and Rebecca Gomperts, a Dutch doctor who realizes that there is one place abortion bans cannot reach: international waters.

Post-Dobbs, activist groups have once again stepped up and put themselves on the line to resist. Building on the work of their feminist forebearers and international allies, they are charting new pathways for access in the face of unprecedented acts to subjugate and control half of America’s population. Working above ground, underground, and in legal gray areas, they’ve helped people travel across state lines for care, established telehealth practices, and formed community networks to distribute pills for free to people who needed them.

Drawing on expert research and investigative reporting, told with deep compassion and humanity by a journalist who has spent her career on the frontlines of the fight, Access celebrates the bravery, ingenuity, and determination of women across decades who have fought for a fundamental human right—and serves as an inspiring rallying cry for the work that lies ahead.

About the book

In the tradition of Random Family and Evicted, a gripping blend of rigorous, intimate on-the-ground reporting and deep social history that follows three first-time mothers as they experience pregnancy and childbirth in today’s America.

In Birth, journalist Rebecca Grant provides us with a never-before-seen look at the changing landscape of pregnancy and childbirth in America—and the rise of midwifery—told through the eyes of three women who all pass through the doors of the same birth center in Portland, Oregon.

There’s Alison, a teacher whose long path to a healthy pregnancy has led her to question a traditional hospital birth; T’Nika, herself born with the help of a midwife and now a nurse hoping to work in Labor & Delivery and improve equality in healthcare; and Jillian, an office manager and aspiring midwife who works at Andaluz Birth Center, excited for a new beginning, but anxious about how bringing a new life into the world might mean the deferral of her own dreams.

In remarkable detail and with great compassion, Grant recounts the ups downs, fears, joys, and everyday moments of each woman’s pregnancy and postpartum journey, offering a rare look into their inner lives, perspectives, and choices in real time—and addresses larger issues facing the entire nation, from discrimination in medicine and treatment (both gender and race-based) to fertility, family planning, complicated feelings about motherhood and career, and the stigmas of miscarriage and postpartum blues. The result is an inspiring and illuminating look one of life’s most profound rites of passage.

Published April 25, 2023 from Avid Reader Press

Available for purchase here: https://www.simonandschuster.com/books/Birth/Rebecca-Grant/9781982170424

Reviews and Media Coverage

Starred Review from Publisher’s Weekly: “An auspicious debut…It’s an enlightening and accessible portrait of maternal healthcare in America.”

Kirkus Reviews calls it “A significant and compelling sociological investigation.”