Jemima Kirke, who plays Jessa on the HBO show GIRLS, recounts her experience with abortion in this powerful new video from the Center for Reproductive Rights. She opens up about not having enough money to pay for the procedure, asking her boyfriend for financial help, and ultimately deciding to forgo anesthesia because the procedure would be more affordable without it. She couldn’t tell her parents about the procedure, and the financial strain was just one of many hoops she had to jump through in order to get her abortion.

“We think we have free choice and we’re able to do whatever we want, but then there are these little hoops we have to jump through to get [an abortion].”

Of course, as we’ve said many times, women in the US and abroad face similar struggles when it comes to abortion, but women in the developing world are lagging even further behind. Sixty-six countries around the world either ban abortion altogether or only make exceptions to save the woman’s life; 28 of these 66 countries do not even allow exceptions to save the life of a woman. Let that sink in. Twenty eight countries do not allow exceptions to save a woman’s life.

Pregnancy should never be a death sentence. Research has shown the best way to reduce the number of abortions is to make sure women have access to a full range of contraceptive methods. At PAI, we believe in empowering women to make their own reproductive decisions.