DES MOINES, Iowa (AP) – Planned Parenthood of the Heartland is closing two small clinics in southwest Iowa. The Des Moines Register reports that the closures in Red Oak and Creston are among at least 11 satellite clinics the group has closed in recent years. The group uses a video-conferencing system to dispense abortion pills to women in outlying clinics.

Planned Parenthood says the Red Oak and Creston clinics were open only by appointment and are being closed because of “a shifting need for services.” Patients will be referred to remaining clinics, including seven that provide the telemedicine abortions and two that also provide surgical abortions.

Planned Parenthood spokeswoman Angie Remington says the closures were not sparked by abortion opponents’ objections to the clinics.