South Dakota

But not in many other states.

Here is probably why they indicated abortion was not available...at least in South Dakota:

"In 1981, Dr. Buck Williams started offering abortion services at his Sioux Falls clinic. At the time, he was the only abortion service provider in the state. In 1989, he approached Planned Parenthood about taking over his clinic. At the time, Planned Parenthood had no operations in South Dakota."

https://en.m.wikipedia.org/wiki/Abortion_in_South_Dakota#:~:text=The%20state%20was%20one%20of,abortion%2Dspecific%20informed%20consent%20requirement.

If she had not had that syndrome, maybe she could have made efforts to get an abortion out of state or with Dr. Williams. But it's wasn't as if Planned Parenthood even provided abortions back then.