The Supreme Court decision on Dobbs v. Jackson Women’s Health Organization raises important questions regarding policy in the context of abortion restrictions. Interviewing hundreds of Americans about abortion, we heard many allude to adoption as an alternative — lauding adoption success stories, personal connections, and need, while also leveling critiques at the high cost of adoption and perceived shortcomings of foster care. This report explores Americans’ overall adoption perceptions as well as narrowing in on ways that women facing unplanned pregnancies narrate their pregnancy decisions. Thanks to the Opt Institute for supporting this secondary analysis of my team’s in-depth interview data.