The No side initially led in the Election Day vote on Tuesday evening in the early stages of vote-counting, but that advantage steadily eroded.
No was ahead in Dayton and appears to have picked up Toledo, which voted with abortion rights supporters in August.
Ohio is the latest state to put the question of abortion rights directly to voters.
In 2022, voters in California, Michigan and Vermont approved state constitutional amendments enshrining abortion rights, while voters in Kansas and Kentucky rejected measures to amend their state constitutions to restrict the procedure.
Montana voters also rejected a proposal that year backed by opponents of abortion rights.
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