NASHVILLE, Tenn. (AP) — Loretta Lynn, the Grammy-winning country music icon who died Tuesday at 90, lived through — and sang about — decades of advancements for women’s social movements, achievements now endangered.
A mother multiple times over by the end of her teens, she gave voice to those who historically had little control over childbirth and their own sexuality. Some of her songs reflected the lives of many rural women and mothers, lamenting their invisible labor and the repressive and gendered roles that kept them tied to a singular identity.
For some of those working in reproductive health care today in her home state of Kentucky, Lynn’s music proves all too relevant. Lynn, who sang about birth control after Roe v. Wade became a landmark legal decision protecting abortion rights, died only months after the U.S. Supreme Court overturned the 1973 case, creating a massive shift in reproductive rights across the country. In November, Kentucky voters will decide whether to eliminate the right to abortion in the state’s constitution.
Keep scrolling for a photo gallery from the life of Loretta Lynn
Kate Collins, 34, was not of the generation who heard “The Pill” or “One’s on the Way” when they first played on the radio, but Lynn’s voice provided a soundtrack to her childhood. In addition to growing up in a home where classic country music was part of the lexicon, Collins grew up in a family that talked about abortion and birth control, which led her to start volunteering as an escort at a clinic in Kentucky. But it wasn’t until high school that she began to put together the context of what Lynn was singing about.
“She talks about being able to wear the clothes she wants,” Collins, who now volunteers as a case manager on the Kentucky Health Justice Network’s abortion resources hotline, said of 1975’s “The Pill.” “Because of my access to birth control, I could go out to bars with my friends and wear miniskirts. And that was not something I ever had to think twice about until the lyric finally hit me.”
“The Pill,” written by Lorene Allen, Don McHan and T.D. Bayless, was recorded prior to the Roe v. Wade decision, but Lynn held onto the song for years before she felt fans were ready to listen.
“When we released it, the people loved it. I mean the women loved it,” she wrote in her 1976 autobiography, “A Coal Miner’s Daughter.” “But the men who run the radio stations were scared to death. It’s like a challenge to the men’s way of thinking.”
Men in country music were singing about abortion, premarital sex and divorce in the ’60s and ’70s with little or no blowback, but it was rare that a woman could sing about wanting to enjoy sex with her husband without the consequences of an unplanned pregnancy, as Lynn did.
“It is, in fact, not about anything other than control of women and their pleasure, or anyone who can get pregnant and their pleasure,” Collins said.
Lynn was frank about her experiences giving birth so young, being mentally unprepared and not physically ready. She wrote that she couldn’t afford to stay overnight after the birth of her second child, so she went back home to wash diapers and draw water from the well 24 hours after delivery. She experienced miscarriages, nearly dying because she had no money to go to the doctor. And still she kept on getting pregnant, giving birth to six children.

AP Photo/Antonio Carozza, File
FILE - Country music singer Loretta Lynn embraces her husband, Oliver "Mooney" Lynn, during rehearsal for her New York debut, on Oct. 21, 1982.
She wrote that she couldn’t even sign her own consent form to have a caesarean section because she was still a minor and her husband, Oliver Lynn — known as “Dolittle or “Mooney” — was out on a logging job and unreachable.
“I love my kids but I wish they had the pill when I first married,” she wrote. “I didn’t get to enjoy the first four kids; I had ’em so fast. I was too busy trying to feed ’em and put clothes on ’em.”
She said birth control was as a way for women to protect themselves: “The feelin’ good comes easy now/Since I’ve got the pill/It’s gettin’ dark it’s roostin’ time/Tonight’s too good to be real/Oh, but daddy don’t you worry none/’Cause mama’s got the pill,” she sang.
And she did not mince words about her feelings about abortion.
“That’s also why I won’t ever say anything against the abortion laws they made easier a few years ago,” she wrote in the 1976 memoir.
“Personally, I think you should prevent unwanted pregnancy rather than get an abortion. I don’t think I could have an abortion. It would be wrong for me,” she added. “But I’m thinking of all the poor girls who get pregnant when they don’t want to be, and how they should have a choice instead of leaving it up to some politician or doctor who don’t have to raise the baby. I believe they should be able to have an abortion.”
As Collins sees it, Lynn was explaining — in her own way — the idea of bodily autonomy. Collins also sees a connection between the rollback of abortion rights to the attacks on gender-affirming care for transgender people.
More than 45 years after Lynn sang about the pill, in Kentucky and in many other states, clinics are barred from providing abortions. While self-managed abortions using prescription medication are safe and very effective, Collins worries about desperation sinking in for those seeking help and the collateral damage of people with dangerous pregnancies or miscarriages.
“It is really easy to feel like you’re flipping the discography back and now we’re going to go from ‘The Pill’ to ‘One’s on the Way,'” she said.
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Loretta Lynn, coal miner’s daughter and country queen, dies at 90
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This 1975 file photo shows country music singers Loretta Lynn, left, and Conway Twitty with their trophy at the American Music Awards in Los Angeles. The duet won favorite duo group or chorus. (AP Photo/File)
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This 1975 file photo shows country music singers Loretta Lynn, left, and Conway Twitty with their trophy at the American Music Awards in Los Angeles. The duet won favorite duo group or chorus. (AP Photo/File)
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Loretta Lynn, coal miner’s daughter and country queen, dies at 90
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Loretta Lynn and Conway Twitty at the Gospel Music Association Awards in Nashville 1977.
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Loretta Lynn, coal miner’s daughter and country queen, dies at 90
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Entertainer Charo and country western singer Loretta Lynn at the American Music Awards in California January 1977.
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Entertainer Charo and country western singer Loretta Lynn at the American Music Awards in California January 1977.
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Loretta Lynn, coal miner’s daughter and country queen, dies at 90
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Country music singer Loretta Lynn points to her Hollywood Walk of Fame star during induction ceremonies in Hollywood, Ca., on Feb. 8, 1978.
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Country music singer Loretta Lynn points to her Hollywood Walk of Fame star during induction ceremonies in Hollywood, Ca., on Feb. 8, 1978.
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Loretta Lynn, coal miner’s daughter and country queen, dies at 90
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President Jimmy Carter kisses singer Loretta Lynn during an evening of country music at the White House in Washington on April 17, 1978. Members of the Country Music Association were guests. (AP Photo/Dennis Cook)
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President Jimmy Carter kisses singer Loretta Lynn during an evening of country music at the White House in Washington on April 17, 1978. Members of the Country Music Association were guests. (AP Photo/Dennis Cook)
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Loretta Lynn, coal miner’s daughter and country queen, dies at 90
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Country music singer Loretta Lynn arrives at the Los Angeles Music Center for the 53rd annual Academy Awards in Beverly Hills, Ca., April 1, 1981. The movie "Coal Miner's Daughter," based on Lynn's life, is nominated for best picture. (AP Photo)
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Country music singer Loretta Lynn arrives at the Los Angeles Music Center for the 53rd annual Academy Awards in Beverly Hills, Ca., April 1, 1981. The movie "Coal Miner's Daughter," based on Lynn's life, is nominated for best picture. (AP Photo)
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Loretta Lynn, coal miner’s daughter and country queen, dies at 90
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Country music singer Loretta Lynn 1985.
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Loretta Lynn, coal miner’s daughter and country queen, dies at 90
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Country music singer Loretta Lynn poses with her Award of Merit received at the 1984 12th American Music Awards in Los Angeles, Ca., on Jan. 28, 1985. (AP Photo/Nick Ut)
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Country music singer Loretta Lynn poses with her Award of Merit received at the 1984 12th American Music Awards in Los Angeles, Ca., on Jan. 28, 1985. (AP Photo/Nick Ut)
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Loretta Lynn, coal miner’s daughter and country queen, dies at 90
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Country music singer Loretta Lynn performs at Town Hall in New York City, Thursday, May 13, 1999. Lynn performed her classics "Coal Miner's Daughter" and "You Ain't Woman Enough to Take My Man" to an audience that crossed generational lines. (AP Photo/Robbie Pope)
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Country music singer Loretta Lynn performs at Town Hall in New York City, Thursday, May 13, 1999. Lynn performed her classics "Coal Miner's Daughter" and "You Ain't Woman Enough to Take My Man" to an audience that crossed generational lines. (AP Photo/Robbie Pope)
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Loretta Lynn, coal miner’s daughter and country queen, dies at 90
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Singer Loretta Lynn poses for photographs at the Kennedy Center in this Dec. 7, 2003 file photo in Washington. The country music queen, the coal miner's daughter, is getting an honorary doctorate from Boston's Berklee College of Music. (AP Photo/Evan Vucci, FILE)
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Singer Loretta Lynn poses for photographs at the Kennedy Center in this Dec. 7, 2003 file photo in Washington. The country music queen, the coal miner's daughter, is getting an honorary doctorate from Boston's Berklee College of Music. (AP Photo/Evan Vucci, FILE)
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Loretta Lynn, coal miner’s daughter and country queen, dies at 90
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Loretta Lynn sings during a solo concert at the Washington County Fair in West Bend, Wis., Thursday July 22, 2004. (AP Photo/Mary Jo Walicki)
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Loretta Lynn sings during a solo concert at the Washington County Fair in West Bend, Wis., Thursday July 22, 2004. (AP Photo/Mary Jo Walicki)
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Loretta Lynn, coal miner’s daughter and country queen, dies at 90
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Loretta Lynn accepts the award for best country album for "Van Lear Rose" from Jack White, of the band White Stripes, at the 47th Annual Grammy Awards Sunday, Feb. 13, 2005, at the Staples Center in Los Angeles. (AP Photo/Kevork Djansezian)
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Loretta Lynn accepts the award for best country album for "Van Lear Rose" from Jack White, of the band White Stripes, at the 47th Annual Grammy Awards Sunday, Feb. 13, 2005, at the Staples Center in Los Angeles. (AP Photo/Kevork Djansezian)
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Loretta Lynn, coal miner’s daughter and country queen, dies at 90
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Garth Brooks, right, joins Loretta Lynn in a song as the Grammy Salute To Country Music honors Loretta Lynn on Tuesday, Oct. 12, 2010, in Nashville, Tenn. Lynn was presented the President's Merit Award during the tribute. (AP Photo/Mark Humphrey)
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Garth Brooks, right, joins Loretta Lynn in a song as the Grammy Salute To Country Music honors Loretta Lynn on Tuesday, Oct. 12, 2010, in Nashville, Tenn. Lynn was presented the President's Merit Award during the tribute. (AP Photo/Mark Humphrey)
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Loretta Lynn, coal miner’s daughter and country queen, dies at 90
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Sheryl Crow, left, Loretta Lynn, center, and Miranda Lambert perform at the 44th Annual Country Music Awards in Nashville, Tenn. Wednesday, Nov. 10, 2010. (AP Photo/Mark Humphrey)
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Sheryl Crow, left, Loretta Lynn, center, and Miranda Lambert perform at the 44th Annual Country Music Awards in Nashville, Tenn. Wednesday, Nov. 10, 2010. (AP Photo/Mark Humphrey)
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Loretta Lynn, coal miner’s daughter and country queen, dies at 90
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In this Nov. 10, 2010 file photo, singer Loretta Lynn poses in the press room during the 44th Annual Country Music Awards in Nashville, Tenn. (AP Photo/Evan Agostini, File)
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In this Nov. 10, 2010 file photo, singer Loretta Lynn poses in the press room during the 44th Annual Country Music Awards in Nashville, Tenn. (AP Photo/Evan Agostini, File)
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Loretta Lynn, coal miner’s daughter and country queen, dies at 90
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Loretta Lynn performs at HullabaLOU Music Festival on July 25, 2010, in Louisville, Kentucky. (Photo by Amy Harris/Invision/AP)
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Loretta Lynn performs at HullabaLOU Music Festival on July 25, 2010, in Louisville, Kentucky. (Photo by Amy Harris/Invision/AP)
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Loretta Lynn, coal miner’s daughter and country queen, dies at 90
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Country music star Loretta Lynn, right, and actress Zooey Deschanel sing Lynn's hit "Coal Miner's Daughter" during a performance of the Grand Ole Opry on Thursday, May 10, 2012, in Nashville, Tenn. During her appearance on the show, Lynn announced that a musical of "Coal Miner's Daughter" is in development and Deschanel will play her. (AP Photo/Mark Humphrey)
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Country music star Loretta Lynn, right, and actress Zooey Deschanel sing Lynn's hit "Coal Miner's Daughter" during a performance of the Grand Ole Opry on Thursday, May 10, 2012, in Nashville, Tenn. During her appearance on the show, Lynn announced that a musical of "Coal Miner's Daughter" is in development and Deschanel will play her. (AP Photo/Mark Humphrey)
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Loretta Lynn, coal miner’s daughter and country queen, dies at 90
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President Barack Obama awards country music legend Loretta Lynn with the Presidential Medal of Freedom, Wednesday, Nov. 20, 2013, during a ceremony in the East Room of the White House in Washington. (AP Photo/Jacquelyn Martin)
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President Barack Obama awards country music legend Loretta Lynn with the Presidential Medal of Freedom, Wednesday, Nov. 20, 2013, during a ceremony in the East Room of the White House in Washington. (AP Photo/Jacquelyn Martin)
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Loretta Lynn, coal miner’s daughter and country queen, dies at 90
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Loretta Lynn waves to the crowd after performing during the Americana Music Honors and Awards show Wednesday, Sept. 17, 2014, in Nashville, Tenn. (AP Photo/Mark Zaleski)
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Loretta Lynn waves to the crowd after performing during the Americana Music Honors and Awards show Wednesday, Sept. 17, 2014, in Nashville, Tenn. (AP Photo/Mark Zaleski)
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Loretta Lynn, coal miner’s daughter and country queen, dies at 90
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Loretta Lynn, left, accepts her award from Miranda Lambert at the 9th Annual ACM Honors at The Ryman Auditorium on Tuesday, Sept. 1, 2015 in Nashville, Tenn. (Photo by Wade Payne/Invision/AP)
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Loretta Lynn, left, accepts her award from Miranda Lambert at the 9th Annual ACM Honors at The Ryman Auditorium on Tuesday, Sept. 1, 2015 in Nashville, Tenn. (Photo by Wade Payne/Invision/AP)
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Loretta Lynn, coal miner’s daughter and country queen, dies at 90
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In this Feb. 10, 2016 photo, Loretta Lynn poses for a photo at the Municipal Auditorium in Nashville, Tenn. The country icon’s Appalachian musical roots are explored on a new “American Masters” documentary on PBS as well as her first new studio album in a more than a decade, “Full Circle,” both debuting on March 4. (Photo by Donn Jones/Invision/AP)
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In this Feb. 10, 2016 photo, Loretta Lynn poses for a photo at the Municipal Auditorium in Nashville, Tenn. The country icon’s Appalachian musical roots are explored on a new “American Masters” documentary on PBS as well as her first new studio album in a more than a decade, “Full Circle,” both debuting on March 4. (Photo by Donn Jones/Invision/AP)
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Loretta Lynn, coal miner’s daughter and country queen, dies at 90
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Loretta Lynn performs at the BBC Music Showcase at Stubb's during South By Southwest on Thursday, March 17, 2016, in Austin, Texas. (Photo by Rich Fury/Invision/AP)
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Loretta Lynn performs at the BBC Music Showcase at Stubb's during South By Southwest on Thursday, March 17, 2016, in Austin, Texas. (Photo by Rich Fury/Invision/AP)
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Loretta Lynn, coal miner’s daughter and country queen, dies at 90
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Country music legend Loretta Lynn and country star Garth Brooks leave the stage of the Grand Ole Opry House, Monday, Jan. 14, 2019, in Nashville, Tenn., after Lynn announced she will celebrate her 87th birthday with an all-star tribute concert featuring Brooks, Jack White, George Strait and others on April 1. (AP Photo/Mark Humphrey)
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Country music legend Loretta Lynn and country star Garth Brooks leave the stage of the Grand Ole Opry House, Monday, Jan. 14, 2019, in Nashville, Tenn., after Lynn announced she will celebrate her 87th birthday with an all-star tribute concert featuring Brooks, Jack White, George Strait and others on April 1. (AP Photo/Mark Humphrey)
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Loretta Lynn, coal miner’s daughter and country queen, dies at 90
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Country music legend Loretta Lynn appears on stage at the Grand Ole Opry House, Monday, Jan. 14, 2019, in Nashville, Tenn., where she announced she will celebrate her 87th birthday with an all-star tribute concert featuring Garth Brooks, Jack White, George Strait and others on April 1. (AP Photo/Mark Humphrey)
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Country music legend Loretta Lynn appears on stage at the Grand Ole Opry House, Monday, Jan. 14, 2019, in Nashville, Tenn., where she announced she will celebrate her 87th birthday with an all-star tribute concert featuring Garth Brooks, Jack White, George Strait and others on April 1. (AP Photo/Mark Humphrey)
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Loretta Lynn, coal miner’s daughter and country queen, dies at 90
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Loretta Lynn, center, Tanya Tucker, left, and Crystal Gayle perform at Loretta Lynn's 87th Birthday Tribute at Bridgestone Arena on Monday, April 1, 2019, in Nashville, Tenn. (Photo by Al Wagner/Invision/AP)
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Loretta Lynn, center, Tanya Tucker, left, and Crystal Gayle perform at Loretta Lynn's 87th Birthday Tribute at Bridgestone Arena on Monday, April 1, 2019, in Nashville, Tenn. (Photo by Al Wagner/Invision/AP)
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Loretta Lynn’s songs resonate anew amid abortion debate
Photo by Rich Fury/Invision/AP, File
FILE - Loretta Lynn performs at the BBC Music Showcase during South By Southwest on March 17, 2016, in Austin, Texas.
Photo by Rich Fury/Invision/AP, File
FILE - Loretta Lynn performs at the BBC Music Showcase during South By Southwest on March 17, 2016, in Austin, Texas.