As if deep red areas of the country are unfamiliar with abortion? They are very familiar with keeping it under the radar, but fine upstanding evangelical Christians absolutely still have abortions.
Also, there are three Planned Parenthood clinics in Omaha, Nebraska, less than two hours from Madison County. This young woman was less than a year from being legally an adult. I'd give it good odds that my 11 year old daughter could figure out she should talk to a doctor in this situation, and I sure as hell hope that by 17 she's definitely figured that out.