Nearly two-thirds of states have abortion counseling laws requiring that women receive and acknowledge state-mandated information prior to giving their informed consent for abortion. The mandated information varies widely across states and may include scientifically inaccurate statements regarding the risks of abortion, illustrations of fetuses, or ultrasound requirements. Despite the ubiquity of these laws, little is known about the effect of counseling laws on women’s abortion decisions and birth rates. We compile a novel dataset of state-level abortion counseling laws and define a classification system for these laws, including fetal-focused counseling, risk-focused counseling, ultrasound requirements, and ultrasound display requirements. Using this novel dataset, we analyze the effect of abortion counseling laws on county-level birth rates. We find evidence that counseling laws affect birth rates, and show that effects are heterogeneous across type of counseling law as well as demographic groups.