A federal appeals court has ruled to uphold the new abortion restrictions passed last summer.

The ruling does not come as a surprise, following the court’s decision in October to overturn a temporary injunction put in place by a lower federal court.

Opponents of the law argued earlier this year that it places an undue burden on women. In its ruling, the 5th Circuit Court of Appeals said the law does not meet that standard.

The new law requires abortion doctors to have admitting privileges at nearby hospitals and places strict limits on how abortion inducing drugs are administered. A third provision, which would go into effect in September, would require clinics to meet the same standards as ambulatory surgical centers. Only six abortion providers in the state currently meet those standards.