Clinics were shutting down abortion services in the nation’s second-largest state Saturday after the Texas Supreme Court blocked an order briefly allowing the procedure to resume in some cases, the latest in legal scrambles taking place across the U.S. following the reversal of Roe v. Wade.

The Friday night ruling stopped a three-day-old order by a Houston judge who said clinics could resume abortions up to six weeks into pregnancy. The following day, the American Civil Liberties Union said it doubted that any abortions were now being provided in a state of nearly 30 million people.

Amy Hagstrom Miller, president of Whole Woman’s Health, said the ruling forced an end to abortions in its four Texas clinics, and workers there were winding down abortion operations and having “heartbreaking conversations” with women whose appointments were canceled.

“I ache for us and for the people we have dedicated our lives to serve with the fabulous abortion care we provide, many who will be denied that right in the months and possibly years to come,” Hagstrom Miller said in a statement.

Planned Parenthood’s multiple affiliates in Texas had not resumed abortion services even after the restraining order was put in place Tuesday.