Telehealth abortion providers have reported a surge in inquiries following the US Supreme Court’s ruling overturning Roe vs Wade, as the rapidly proliferating number of states banning terminations forces more women to turn to mail-order pills to end their pregnancies.

Hey Jane, a telehealth provider which operates in six states, said patient demand more than doubled following Friday’s judgment, compared to last month’s daily average. Just The Pill, a non-profit operator offering medication abortion by mail since October 2020, said it received almost 100 appointment requests, about four times the usual number.

Aid Access, a provider founded by Dutch campaigner Rebecca Gomperts, said email inquiries from the US have risen following the landmark ruling, resulting in an immediate ban or strict restrictions on abortion in more than a dozen states. The group said it has received about 4,000 requests a day since Roe was overturned, compared with 600 to 700 a day before that.