Drawing on ethnographic fieldwork in Argentina and Senegal, this paper explores how health workers have adapted the global postabortion care model in ways that simultaneously challenge and reinforce national prohibitions on abortion. Although the global postabortion care model aimed to depoliticize the problem of unsafe abortion, the authors argue that health workers’ clinical and record-keeping decisions are decidedly political as they contribute to an epidemiological record that often does more to obscure than elucidate the incidence of abortion