One of the biggest crimes of abortion providers (beyond the abortion itself) is their complicity in covering up rapes, particulary those involving children and domestic cases like this one. God knows how many rapists and enablers they have saved from prosecution by “destroying the evidence”.
I have no doubt these "complicated family dynamics" are common at Planned Parenthood. Maybe not so much with 10-year-olds but I'd bet it happens frequently with mama's boyfriend and her older teenage daughters.
Planned Parenthood has figured out how to game the system. "Go to the next state where we won't have to report it. I'll give you the number of a doctor who is really helpful with these kind of cases and she'll understand your situation."
I would guess the boyfriend living with mom is the most common scenario of the very young rape cases.