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In 2025, Option Line, Heartbeat International’s 24/7 helpline, surpassed 2 million connections—more than five times last year’s total. This milestone belongs to you. Because of your partnership, individuals in desperate need of help are connected from Option Line to local pregnancy help like yours for compassionate, life-affirming care and support. Thank you for being the trusted destination when someone reaches out for help.

Rescuing Lives from Abortion

Option Line® is a pregnancy help contact center, available 24/7 for anyone reaching out for help. Conveniently accessible via phone, chat, email, or text, Option Line offers compassionate, personalized guidance for all who reach out. Our empathetic confidants provide guidance on their true options, as well as hope for a new shared future for woman and baby. With Option Line, help is within reach.

Established in 2003, Option Line is the only fully staffed, bilingual pro-life contact center in the U.S. Since we first answered the call, we’ve reached millions of women and men, many who are desperate for answers in an unexpected pregnancy. 

More than 5,000 people reach out to Option Line daily for help. The number of women and men Option Line reaches continues to grow. As a result, more lives image.gifare rescued from abortion. 

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OL Stats 2026

Option Line At-A-Glance

  • Over 9 Million people reached
  • Answers in English and Spanish
  • Established in 2003
  • 24/7-365 contact center and website
  • Only fully staffed, bilingual pro-life contact center in the U.S.
  • Above industry standard answered call rate
  • Connects women with their local pregnancy help organization
  • Provides consultation on abortion, adoption, and parenting
  • Schedules appointments in real-time through a state-of-the-art system
  • Answers after-hours calls for pregnancy help organizations and partnering organizations/hotlines

OL Brochure 2024 quotesReal Lives, Real Help

Each day, our professionally trained consultants answer over 2,000 desperate cries for help. Below are real women who called Option Line in search of help. Each woman was connected to her pregnancy help center for ongoing care.

Can you imagine what their lives would be like if Option Line had not answered their calls?

Reach Rescue Renew

Heartbeat International's mission is to Reach and Rescue as many lives as possible, around the world, through an effective network of life-affirming pregnancy help, to Renew communities for LIFE. All Heartbeat international policies and materials are consistent with Biblical principles and with orthodox Christian (Catholic, Protestant, and Orthodox) ethical principles and teaching on the dignity of the human person and the sanctity of human life. Click here for more information.

We REACH those who are abortion-vulnerable through Option Line's 24-hour contact center and cutting-edge website, www.OptionLine.org.

"Reach down your hand from on high; deliver me..." - Psalm 144:7

We RESCUE those who are reached through our life-support network of pregnancy centers providing true reproductive health care, ministry, education, and social services where lives are saved and changed.

"Rescue me, O Lord, from evil men; protect me from men of violence. " - Psalm 140:1

We RENEW broken cities around the world, by developing pregnancy centers where abortion clinics are the only alternative for abortion-vulnerable women. 

"He sent me to bind up the brokenhearted...to proclaim the year of the Lord's favor... They will renew the ruined cities that have been devastated for generations." - Isaiah 61:1-4

 

 

Friday, 03 January 2014 00:00 Written by

Defending the Work of Pregnancy Help Centers

Every day, life-affirming pregnancy help organizations face relentless attacks from pro-abortion activists, biased mainstream media, censorship from big tech, and hostile legislation at both the state and federal levels. These attacks aim to silence the life-saving work of pregnancy centers and maternity homes that provide compassionate, free support to women facing unexpected pregnancies.

Our pro-life network of pregnancy help is engaged in a David vs. Goliath battle (1 Samuel 17) against the well-funded abortion industry and its allies. Despite these challenges, we stand firm in protecting the right of pregnancy centers to serve women and save lives.

Legal Battles for Pregnancy Centers

Right now, Heartbeat International is involved in two critical legal battles defending Abortion Pill Reversal (APR)—a protocol that has helped countless women continue their pregnancies after starting a chemical abortion. Learn more about these cases:

Click a button below to learn more about these lawsuits.

california v hb     new york v hb

What's at stake? Innocent lives.

The good news: As long as pro-life pregnancy centers are under attack, Heartbeat International will stand in their defense. Since 1971, we have empowered the pregnancy help movement with legal resources, expert training, and a strong network of support.

These battles will shape the future of the pro-life movement for generations to come. With your help, we can ensure that pregnancy resource centers, maternity homes, and adoption agencies continue to provide hope and life-affirming choices for women.

How can you help? Be prepared to speak up for the work of Pregnancy Help!

  • Stay Informed. Subscribe to Pregnancy Help News  and the Pregnancy Help Podcast for updates on pro-life victories, legislation affecting pregnancy centers, and expert commentary on the fight for life.
  • Equip Yourself with the Truth. Visit Pregnancy Center Truth for fact-based answers to the false claims made by abortion activists against pregnancy help centers.
  • Know Your State. Since the overturning of Roe v. Wade, abortion laws now vary widely by state. It's more important than ever to understand how pro-life pregnancy centers in your community are impacted and how you can support them.

what is a pregnancy help organization?

What is Pregnancy Help?

Pregnancy Help Organizations provide life-affirming care to women at every stage of their pregnancy and beyond. These organizations include:

Pregnancy Resource Centers and Pregnancy Help Medical Clinics
Mobile Ultrasound Units offering free pregnancy tests and ultrasounds
Maternity Homes providing safe housing and support
Nonprofit Adoption Agencies promoting life-affirming options
Abortion Recovery Programs for post-abortive healing
Pregnancy Support Services offering material assistance and parenting education

There are thousands of pro-life pregnancy centers across the United States serving women and families in need. 

Each state has unique needs as well as challenges, and now that Roe v. Wade has been overturned, local and state laws have become the focus for activists on each side. It is now more important than ever that we are involved with our local centers and aware of how the changing laws are impacting them! While our affiliates open their doors to meet the needs of the women and families in their town, Heartbeat works to both inform and prepare our network of pregnancy help with the tools and education they need in order to run an effective organization. 

Click the map below to see how many pregnancy help organizations are near you and learn more!

 

View Pregnancy Help Stories by State 

 

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    Note From Capitol Hill:

    “I applaud all of the men and women serving at Pregnancy Resource Centers across America. These individuals work daily to provide hope, practical resources, and personal mentoring to individuals facing uncertain times and difficult decisions. Through the compassion and caring of volunteers, countless women are empowered to choose life for themselves and their babies. Pregnancy Resource Centers are the most powerful force in our society for life and I commend them for all they do."

    -Rep. Vicky Hartzler (MO-R)

Leadership Development

 

Imagine this: You have a passion for saving lives from abortion. You notice that in your community women have no place to go when faced with an unexpected pregnancy. You want to use your gifts to serve through pregnancy help. Where do you begin? 

Every day people just like you face this dilemma. They have the passion, they have the drive, but where do they begin? That's where Heartbeat comes in!

   

 

Developing Frontline Lifesavers

Because of your continued support, Heartbeat International is the "go-to" resource hub for pregnancy help organizations.

Working with our pregnancy help network, we provide:

We offer frontline training                  We offer tailored resources

 

Education icon new                  We offer care and compassion

 

Heartbeat provides the most comprehensive learning program for the pregnancy help network. Everyday...

11,000 staff and volunteers serve
45,000+
volunteers open their pregnancy help organizations to meet the needs of those in their communities
+ Over 2 million people receive care from a pregnancy help organization
2 million+
women and men enter these organizations to receive the compassionate care and support needed in a delicate time in their lives
= More than 3,000 babies saved from abortion every week3,000+
babies are saved from abortion each week!

 

Heartbeat provides vital training, resources, services, and solutions to these frontline lifesavers.

They need us, and we need YOU!

Whether they are just starting out or are a seasoned leader, you can equip them with the tools they need to succeed by supporting Heartbeat today.

 

 

Additional Info

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Thank you for helping us bridge the gap!

 
 
 
   

Dear Friend,

Thank you! Thank you! Thank you!

Because of your generous support and continued partnership we were able to end our fiscal year strong! Your gifts helped us bridge our financial gap!

In addition to your generosity, every gift that was given to bridge the gap has been doubled! We could not be more grateful.

We look forward to all of the exciting things happening in this new fiscal year. More lives will be reached and rescued through our Option Line contact center. More leaders will be trained through our dynamic conferences, resources, and online academy. More countries transformed with the gospel of life.

We will continue to boldly advance the pregnancy help movement around the world...in large part because of YOU!

So again thank you for all you do to partner with us in this great work!

In Christ,

Margaret Hartshorn, Ph.D., President

 

News from around the world...

jovanaanddavid

Jovana and her son, David

Launching Sarah House For Women

by Vesna Radeka, Executive Director, Choose Life Center

In our pregnancy help ministry, we have experienced the joy of assisting clients who chose to go against the Culture of Death surrounding us, deciding to keep their babies even in the midst of a crisis pregnancy.

While these women would listen to our advice and receive encouragement by our words and whatever help we could provide—including baby clothes, diapers, and money—we would still see them struggle from day to day.

These women are usually young, and do not have the support of either their baby’s father, their families, or both. When we come into contact with them, they are either far along into their pregnancy, or now have a baby up to about three months old.

These women need to be able to work in order to pay their rent, but there are precious few opportunities for a pregnant girl or a new mom to find a job. If they are able to find a job, who will take care of the baby?

Daring to dream up a solution

I am so sad when I think how the first year of motherhood looks for some of these women. But beyond feeling sad about the situation for so many of these, I dare to dream of a better situation for these precious mothers and children.

What if we were able to offer accommodation and care to women in this fragile state, to give them the chance to enjoy being moms? What if this could become a place where moms are coached how to make better life choices, to follow Christ, to change their mind about relationships, to choose to wait, and to learn how to be good moms?

The challenges of realizing our dream

I know this dream could become reality if Christian families were willing to accept pregnant women into their homes. But in Serbia, we face two challenges: First, we have a very small number of vibrant, practicing Christians; and second, our culture largely lives within multigenerational homes—married couples with children, living with in-laws, and usually in small flats.

Social help in Serbia for single moms is around 12.000 dinars, which is around $140 per month. With that income, a single mom can only rent a room, to say nothing of paying bills or putting food on the table.

houseforwomenkarlovaccroatia

A house for women in Karlovac, Croatia
Clarifying and crafting our approach

In the last two to three years, we at Choose Life Center have had to go beyond our month-to-month budget limits to help women as needs have arisen. Whenever we could, we have helped pay rent, bills, or grocery costs, but this type of care was not planned into our budget, so we had to stretch—and sometimes overextend—for the sake of these moms.

As we’ve gone through these seasons, we have thought and prayed about the direction in which Choose Life Center should develop. Is it to become a medical clinic, offering free ultrasound? Is it preventative services? Developing school programs? A housing ministry?

Slowly, God’s leading became clear to us, and Sarah House For Women began to take shape as a maternity housing ministry, adding to the everyday work we remain committed to doing at Choose Life Center.

Our hope for future impact

In addition to reaching and assisting women in the midst of all the difficulties surrounding a crisis pregnancy, we pray Sarah House For Women will also have a huge impact on how the city officials see us as a Christian organization.

Rather than perceiving our work as threatening or as a nuisance, we pray—and expect—city officials to see that what we are doing really does benefit and bless the whole city.

Who knows? Maybe this new work will allow us to apply for and secure future grants and funds from the government, allowing us to continue reaching and rescuing women in Novi Sad, while renewing communities all over Serbia for life in the years to come.

 

Friday, 20 September 2013 10:56

Welcome to Heartbeat International, Legates!

Written by

 

 

"We need to be more courageous, assertive, and speak out more in a loving way. I have a lot of admiration for what Heartbeat is doing."
-Tom Monaghan

2013 Heartbeat International Conference

 

 

Join us to Reach and Rescue lives from abortion

Millions of women need your help to choose life – otherwise, they and their babies become abortion statistics. Your passion is to be involved in saving lives in a life-changing way, you can make an impact by joining with Heartbeat and becoming one of our valued partners.

Donate now

What is Heartbeat International?

Heartbeat International is the first network of pro-life pregnancy resource centers founded in the U.S. (1971),  and it is now the most expansive network in the world. Heartbeat has nearly 1,400 affiliated pregnancy help ministries including pregnancy help medical clinics (with ultrasound), resource centers, maternity homes, and adoption agencies in almost 50 countries around the world to provide alternatives to abortion.

Heartbeat's Life-Saving Vision...

...is to make abortion unwanted today and unthinkable for future generations.

Heartbeat's Life-Saving Mission...

...is to Reach and Rescue as many lives as possible, around the world, through an effective network of pregnancy help ministries that Renew their communities for LIFE.

To achieve our mission, we do the following:

We REACH those who are abortion-vulnerable through Option Line®, our 24/7 contact center

We RESCUE those who are reached through our life-support network of pregnancy organizations providing true reproductive health care, ministry, education, and social services where lives are saved and changed.

We RENEW broken cities around the world, by developing pregnancy organizations where abortion clinics are the only alternative for abortion-vulnerable women.

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    Option Line

    Heartbeat's Option Line is a 24/7, live, contact center for women considering abortion. Through Option Line women are counseled about alternatives to abortion and connected to their local pregnancy help center immediately. YOU can rescue lives through Option Line. Find out how today!

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    Find a PHC

    Every day our pregnancy help organizations serve thousands of women and save thousands of lives from abortion. They are in need of people like you to help them continue this work. Find out how you can get involved in your local center by finding the location closest to you today!

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    10 Things brochure

    Talking about abortion is never easy, but we want to help. Download this simple guide to learn 10 Things you can say and do to make abortion unwanted now and unthinkable for future generations!

Help Heartbeat Bridge the Gap

Every gift will be doubled!

I have exciting news to share with you!

Our pro-life ministry saving over 3,000 babies each week has reached a critical point. We have fallen behind our fiscal year-end budget projections. We must bridge the gap by September 30, 2013.

Our goal is to raise $36,722.34 online by September 30, 2013.

Here is the exciting news...

Every dollar you give to help bridge the gap will be doubled by a matching gift!

Your doubled donation will enable us to Reach and Rescue more lives from abortion as we advance the pregnancy help movement around the world!

Every dollar is extremely important right now because of the current revenue shortfall we are experiencing.

So, again, I urge you: Please be as generous as you possibly can and help us bridge the gap by September 30th.

Thank you so much for joining us in this great work!

In Christ,

Margaret Hartshorn, Ph.D., President

 

 

The Dream Deferred

Fifty years after delivering his iconic, "I Have a Dream" speech, our nation rightly pauses to reflect upon the legacy of Civil Rights pioneer, the Reverend Doctor Martin Luther King, Jr.

Dr. King's dream was an America where every person was treated with equal dignity, respect, and honor. Fifty years later, Dr. King's dream is still very much a work in process, particularly for our most vulnerable citizens--women facing unexpected pregnancies and their precious, unborn children.

Fifty years after the March on Washington, and 40 years after Roe v. Wade, Heartbeat International and our worldwide network of 1,800 life-affirming pregnancy help locations work hand-in-hand to keep Dr. King's dream alive. Until we see the day where abortion is unwanted and unthinkable for generations to come, Dr. King’s avowal, “Injustice anywhere is a threat to justice everywhere” is still a dream deferred.

Click here to follow Heartbeat International on Facebook.

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