Pandora's box has been opened: get ready. The Supreme Court has basically said states can do whatever they want regarding abortion, so there are going to be 50 different ways of dealing with female's genitals.
The question of enforcement? Abortion was criminalized in 1973, so I'm guessing the conservatives want increased taxpayer money for prosecutions, law enforcements, and juries. Whether prosecutors, law enforcement, or juries won't give a shit and focus on other things? There will probably be a lot of that. The Marion County Prosecutor came out and said he won't be prosecuting doctors or women regarding abortion in accordance with prior SCOTUS precedent.
Perhaps a Big Brother box/monitor for women's genitals will be the next step.