Bell discovered she was pregnant in 1988. She went to a
Planned Parenthood clinic in Indiana seeking an abortion. There she was told that state law required consent from her parents for the procedure and that most minors in her area traveled to
Louisville, approximately 100 miles away, to avoid parental disclosure. She also had the option of going before a judge to argue for a waiver of parental consent, but reportedly feared that her parents would find out. Bell reportedly considered having an
abortion in Kentucky, carrying to term and placing the baby for adoption, or running away to California. On a Saturday night in September 1988, Bell left her house, telling her parents that she was going to a party. Her illness worsened over the next few days but she would not seek medical attention. Her parents ultimately forced her to see their family physician, who diagnosed severe
pneumonia and had her hospitalized. She died on September 16, 1988, at 17 years old. Bell's
autopsy revealed fetal matter and evidence of infection in her
genital tract, but no evidence of internal injury or marks on the
cervix. The official cause of death was attributed to
septic abortion complicated by pneumonia.{{cite news|title=Foes of Notification Enlist Grim, Dirty Images == Parental consent laws ==