An estimated 121 million pregnancies per year take place in the bodies of women who did not choose pregnancy or motherhood, who were not planning to have a child at that time, with that partner, in those circumstances. This is an unseen crisis, invisible in part because it is so common – nearly everyone knows someone who has experienced an unintended pregnancy – and in part because it is widely stigmatized. Yet it exacts an unbearable toll on the lives of individuals, societies and the world.