Seems the real question the Court is deciding isn’t abortion per se, but the legality of federal restrictions on state laws concerning abortion. That is, it is not the specific questions about reproductive rights as it is the question of state versus federal authority (again). The reason state laws against abortion were struck down in Roe IIRC was because the Court viewed such laws as unconstitutional infringements on Constitutional liberties. If the Court today takes a different view, that such laws do not impinge on Constitutional guarantees, they aren’t saying they are in favor of abortion laws any more than they were saying in Roe that they were for abortion. I mean, in practice, I’m not sure how much it matters, but the headlines about the Court banning abortion or whatever are a bit hyperbolic.
Now, the fact that the court doesn’t see abortion as a right worth guaranteeing, and may well feel states can restrict what women can do with their bodies, that is definitely worrying.