Staff at Louisiana’s abortion clinics spent Monday calling patients to cancel procedures and direct them to resources in other states as Louisiana’s near total abortion ban is once-again in effect.

For weeks, access to abortion in Louisiana has been flickering — with the state’s three clinics relying on rulings and temporary restraining orders, that allowed them to continue operations. But procedures came to a screeching halt Friday afternoon after an appeals court ruled that Louisiana Attorney General Jeff Landry can enforce the ban while ongoing legal challenges play out in court.