“It is an awful precedent for the coming years for the region and the world,” said Colombian Catalina Martínez Coral, Latin America and Caribbean director for the New York-based Center for Reproductive Rights, which was among the groups that litigated the abortion case in Colombia’s high court.

As women in the United States find themselves on the verge of possibly losing the constitutional right to abortion, courts in many other parts of the world have been moving in the opposite direction, AP reports.

That includes in a number of traditionally conservative societies — such as recently in Colombia, where the Constitutional Court in February legalized the procedure until the 24th week of pregnancy, part of a broader trend seen in parts of heavily Catholic Latin America.

It’s not yet clear what impact there will be outside the United States from the leaked draft opinion suggesting the U.S. Supreme Court could overturn the landmark 1973 Roe v. Wade decision.

But for women’s activists who for years have led grinding campaigns demanding open access to abortion, often looking to the United States as a model, it’s a discouraging sign and a reminder that hard-won gains can be impermanent.

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