Abortion: Physical and Psychological Repercussions for Women
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Abortion, the termination of a pregnancy, is a highly debated topic with significant medical and ethical implications. While it's a decision often made in complex circumstances, it's crucial to understand the potential physical and psychological effects it can have on women.
Physical Effects
- Hormonal Changes: Abortion can disrupt the body's hormonal balance, leading to temporary mood swings, fatigue, and changes in menstrual cycles.
- Uterine Complications: In rare cases, complications such as infection, excessive bleeding, or damage to the cervix can occur.
- Increased Risk of Future Complications: Some studies suggest a slightly increased risk of preterm birth and low birth weight in future pregnancies following an abortion.
Psychological Effects
- Emotional Distress: Feelings of guilt, sadness, grief, or regret can arise, particularly if the abortion was unplanned or unwanted.
- Anxiety and Depression: Some women may experience increased anxiety, depression, or difficulty coping with the emotional aftermath.
- Relationship Strain: The decision to have an abortion can strain relationships with partners, family, or friends.
- Long-Term Mental Health Issues: In some cases, abortion can contribute to long-term mental health issues like post-traumatic stress disorder (PTSD) or substance abuse.
Important Considerations
- Access to Support: It's crucial for women to have access to comprehensive counseling and support services before and after an abortion.
- Individual Experiences Vary: The physical and psychological effects of abortion can vary greatly from person to person.
- Decision-Making Process: The decision to have an abortion should be made with careful consideration and in consultation with a trusted healthcare provider.
Conclusion
Abortion is a complex medical procedure with potential physical and psychological consequences.
While it's a decision often made under challenging circumstances, it's essential to be aware of the potential risks and to seek appropriate support and care.
References
- ^ Kulczycki A. "Abortion". Oxford Bibliographies. Archived from the original on 13 April 2014. Retrieved 9 April 2014.
- ^ Rao R (2016). "Abortion". Oxford Constitutional Law. Oxford University Press. doi:10.1093/law:mpeccol/e67.013.67. Retrieved 27 September 2024.
- ^ The Johns Hopkins Manual of Gynecology and Obstetrics (4 ed.). Lippincott Williams & Wilkins. 2012. pp. 438–439. ISBN 978-1-4511-4801-5. Archived from the original on 10 September 2017.
- ^ "How many people are affected by or at risk for pregnancy loss or miscarriage?". NICHD. 15 July 2013. Archived from the original on 2 April 2015. Retrieved 14 March 2015.
- ^ "abortion". Oxford English Dictionary. Archived from the original on 19 August 2020. Retrieved 5 April 2019.
- ^ Jump up to:
- a b "Abortion (noun)". Oxford Living Dictionaries. Archived from the original on 28 May 2018. Retrieved 8 June 2018. [mass noun] The deliberate termination of a human pregnancy, most often performed during the first 28 weeks of pregnancy
- ^ Jump up to:
- a b c d e f g h Bankole A, Singh S, Haas T (September 1998). "Reasons Why Women Have Induced Abortions: Evidence from 27 Countries". International Family Planning Perspectives. 24 (3): 117–127, 152. doi:10.2307/3038208. JSTOR 3038208. Archived from the original on 17 January 2006. Worldwide, the most commonly reported reason women cite for having an abortion is to postpone or stop childbearing. The second most common reason—socioeconomic concerns—includes disruption of education or employment; lack of support from the father; desire to provide schooling for existing children; and poverty, unemployment or inability to afford additional children. In addition, relationship problems with a husband or partner and a woman's perception that she is too young constitute other important categories of reasons. Women's characteristics are associated with their reasons for having an abortion: With few exceptions, older women and married women are the most likely to identify limiting childbearing as their main reason for abortion. - Conclusions - Reasons women give for why they seek abortion are often far more complex than simply not intending to become pregnant; the decision to have an abortion is usually motivated by more than one factor.
- ^ Jump up to:
- a b Chae S, Desai S, Crowell M, Sedgh G (1 October 2017). "Reasons why women have induced abortions: a synthesis of findings from 14 countries". Contraception. 96 (4): 233–241. doi:10.1016/j.contraception.2017.06.014. PMC 5957082. PMID 28694165. In most countries, the most frequently cited reasons for having an abortion were socioeconomic concerns or limiting childbearing. With some exceptions, little variation existed in the reasons given by women's sociodemographic characteristics. Data from three countries where multiple reasons could be reported in the survey showed that women often have more than one reason for having an abortion.
- ^ Jump up to:
- a b c d e f "The limitations of U.S. statistics on abortion". Issues in Brief. New York: The Guttmacher Institute. 1997. Archived from the original on 4 April 2012.
- ^ Jump up to:
- a b Stotland NL (July 2019). "Update on Reproductive Rights and Women's Mental Health". The Medical Clinics of North America. 103 (4): 751–766. doi:10.1016/j.mcna.2019.02.006. PMID 31078205. S2CID 153307516.
- ^ Jump up to:
- a b c d e f Grimes DA, Benson J, Singh S, Romero M, Ganatra B, Okonofua FE, Shah IH (25 November 2006). "Unsafe abortion: the preventable pandemic". Lancet. 368 (9550): 1908–1919. doi:10.1016/S0140-6736(06)69481-6. PMID 17126724. S2CID 6188636. Archived from the original on 3 April 2023. Retrieved 8 June 2023.
- ^ Jump up to:
- a b c Raymond EG, Grossman D, Weaver MA, Toti S, Winikoff B (November 2014). "Mortality of induced abortion, other outpatient surgical procedures and common activities in the United States". Contraception. 90 (5): 476–479. doi:10.1016/j.contraception.2014.07.012. PMID 25152259. Results: The abortion-related mortality rate in 2000–2009 in the United States was 0.7 per 100,000 abortions. Studies in approximately the same years found mortality rates of 0.8-1.7 deaths per 100,000 plastic surgery procedures, 0-1.7 deaths per 100,000 dental procedures, 0.6-1.2 deaths per 100,000 marathons run and at least 4 deaths among 100,000 cyclists in a large annual bicycling event. The traffic fatality rate per 758 vehicle miles traveled by passenger cars in the United States in 2007-2011 was about equal to the abortion-related mortality rate. Conclusions: The safety of induced abortion as practiced in the United States for the past decade met or exceeded expectations for outpatient surgical procedures and compared favorably to that of two common nonmedical voluntary activities.
- ^ "Preventing unsafe abortion". World Health Organization. Archived from the original on 23 August 2019. Retrieved 6 August 2019.
- ^ "Self-management Recommendation 50: Self-management of medical abortion in whole or in part at gestational ages < 12 weeks (3.6.2) - Abortion care guideline". WHO Department of Sexual and Reproductive Health and Research. 19 November 2021. Archived from the original on 29 June 2022. Retrieved 21 September 2023.
- ^ Moseson H, Jayaweera R, Raifman S, Keefe-Oates B, Filippa S, Motana R, et al. (October 2020). "Self-managed medication abortion outcomes: results from a prospective pilot study". Reproductive Health. 17 (1): 164. doi:10.1186/s12978-020-01016-4. ISSN 1742-4755. PMC 7588945. PMID 33109230.
- ^ Moseson H, Jayaweera R, Egwuatu I, Grosso B, Kristianingrum IA, Nmezi S, et al. (January 2022). "Effectiveness of self-managed medication abortion with accompaniment support in Argentina and Nigeria (SAFE): a prospective, observational cohort study and non-inferiority analysis with historical controls". The Lancet. Global Health. 10 (1): e105–e113. doi:10.1016/S2214-109X(21)00461-7. PMC 9359894. PMID 34801131.
- ^ Faúndes A, Shah IH (October 2015). "Evidence supporting broader access to safe legal abortion". International Journal of Gynaecology and Obstetrics. World Report on Women's Health 2015: The unfinished agenda of women's reproductive health. 131 (Suppl 1): S56–S59. doi:10.1016/j.ijgo.2015.03.018. PMID 26433508. A strong body of accumulated evidence shows that the simple means to drastically reduce unsafe abortion-related maternal deaths and morbidity is to make abortion legal and institutional termination of pregnancy broadly accessible. [...] [C]riminalization of abortion only increases mortality and morbidity without decreasing the incidence of induced abortion, and that decriminalization rapidly reduces abortion-related mortality and does not increase abortion rates.
- ^ Latt SM, Milner A, Kavanagh A (January 2019). "Abortion laws reform may reduce maternal mortality: an ecological study in 162 countries". BMC Women's Health. 19 (1): 1. doi:10.1186/s12905-018-0705-y. PMC 6321671. PMID 30611257.
- ^ Jump up to:
- a b c d Zhang J, Zhou K, Shan D, Luo X (May 2022). "Medical methods for first trimester abortion". The Cochrane Database of Systematic Reviews. 2022 (5): CD002855. doi:10.1002/14651858.CD002855.pub5. PMC 9128719. PMID 35608608.
- ^ Jump up to:
- a b c Kapp N, Whyte P, Tang J, Jackson E, Brahmi D (September 2013). "A review of evidence for safe abortion care". Contraception. 88 (3): 350–363. doi:10.1016/j.contraception.2012.10.027. PMID 23261233.
- ^ "Abortion – Women's Health Issues". Merck Manuals Consumer Version. Archived from the original on 13 July 2018. Retrieved 12 July 2018.
- ^ Jump up to:
- a b c Lohr PA, Fjerstad M, Desilva U, Lyus R (2014). "Abortion". BMJ. 348: f7553. doi:10.1136/bmj.f7553. S2CID 220108457.
- ^ "Induced Abortion Worldwide | Guttmacher Institute". Guttmacher.org. 1 March 2018. Archived from the original on 1 March 2018. Retrieved 23 June 2023.
- ^ "Abortion". www.who.int. Archived from the original on 6 May 2021. Retrieved 14 April 2021.
- ^ Jump up to:
- a b c d e f g h i j k Paul M, Lichtenberg ES, Borgatta L, Grimes DA, Stubblefield PG, Creinin MD, Joffe C (2009). "1. Abortion and medicine: A sociopolitical history" (PDF). Management of Unintended and Abnormal Pregnancy (1st ed.). Oxford: John Wiley & Sons. ISBN 978-1-4443-1293-5. OL 15895486W. Archived (PDF) from the original on 19 January 2012.
- ^ "Abortion". www.who.int. Archived from the original on 21 September 2022. Retrieved 21 September 2022.
- ^ "Worldwide, an estimated 25 million unsafe abortions occur each year". World Health Organization. 28 September 2017. Archived from the original on 29 September 2017. Retrieved 29 September 2017.
- ^ Jump up to:
- a b c d e f g h Sedgh G, Singh S, Shah IH, Ahman E, Henshaw SK, Bankole A (February 2012). "Induced abortion: incidence and trends worldwide from 1995 to 2008" (PDF). Lancet. 379 (9816): 625–632. doi:10.1016/S0140-6736(11)61786-8. PMID 22264435. S2CID 27378192. Archived (PDF) from the original on 6 February 2012. Because few of the abortion estimates were based on studies of random samples of women, and because we did not use a model-based approach to estimate abortion incidence, it was not possible to compute confidence intervals based on standard errors around the estimates. Drawing on the information available on the accuracy and precision of abortion estimates that were used to develop the subregional, regional, and worldwide rates, we computed intervals of certainty around these rates (webappendix). We computed wider intervals for unsafe abortion rates than for safe abortion rates. The basis for these intervals included published and unpublished assessments of abortion reporting in countries with liberal laws, recently published studies of national unsafe abortion, and high and low estimates of the numbers of unsafe abortion developed by WHO.
- ^ Sedgh G, Henshaw SK, Singh S, Bankole A, Drescher J (September 2007). "Legal abortion worldwide: incidence and recent trends". International Family Planning Perspectives. 33 (3): 106–116. doi:10.1363/3310607. PMID 17938093. Archived from the original on 19 August 2009.
- ^ "Induced Abortion Worldwide". Guttmacher Institute. 1 March 2018. Archived from the original on 23 February 2020. Retrieved 21 February 2020. Of the world's 1.64 billion women of reproductive age, 6% live where abortion is banned outright, and 37% live where it is allowed without restriction as to reason. Most women live in countries with laws that fall between these two extremes.