Moments after the Supreme Court ruled Americans no longer have a constitutional right to abortion, staff at Hope Clinic For Women in southern Illinois called an emergency meeting.

“When I saw the decision, my heart dropped below my stomach,” said Hannah Dismer, education and research coordinator at the clinic in Granite City, Illinois, about 10 minutes from Missouri, where nearly all abortions are now illegal.

“I thought I was going to throw up. But I didn’t. I knew this was gonna happen,” Dismer told USA TODAY. “We have patients in front of us, and we have to continue working like this isn’t happening, even when it is.”

Elsewhere, anti-abortion rights activists celebrated the decision they eagerly anticipated. Kristan Hawkins, president of Students for Life, said, “Now we get back to building up a health society, affirming life for women and their children, born and preborn.”

The high court ruling Friday was a watershed decision that overturned Roe v. Wade and erased national reproductive rights that have been in place for nearly five decades. A majority of the justices held that the right to end a pregnancy was not found in the text of the Constitution nor the nation’s history.

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Early Friday, Americans were processing the decision, with some cheering the ruling and others condemning it. 

“Today is not just a historic day — it is a new day,” said Jor-El Godsey, president of Heartbeat International, which trains pregnancy organizations worldwide to counsel women in hopes they will not have abortions.