There are many dangers linked to abortion that might compromise the mental health of the person having one. First, an unplanned pregnancy may cause emotional and mental strain in the time leading up to the decision to have an abortion (Kotta et al., 2018). Further, the reasons for having an abortion can psychologically affect women’s health. After both therapeutically induced and elective abortions, the mother may feel shame or guilt or harbor beliefs that her neglect or actions are to blame for the decision to have an abortion. Besides, abortion operations are typically accompanied by feelings of loss, sorrow, and despair (Reardon, 2018). Some women also experience anxiety and depression following abortion procedures. Even if a woman approaches the issue from a pro-choice perspective, post-abortion counselors claim that she may still endure maladjustments (Reardon, 2018). Unsolved issues following an abortion can result in mental health crises. While all women may experience distress after abortion, some women have a higher risk of experiencing negative outcomes. Pregnancy losses, isolation, disagreements over choices, strong moral convictions, and insufficient counseling before the abortion are all variables that might increase the likelihood of undesirable results (Reardon, 2018). Therefore, the identification of risk factors related to negative outcomes is necessary to provide more counseling before and after abortion to at-risk women.
There are several factors influencing the abortion decision that also impact the outcome of the procedure on women’s well-being. In particular, elective abortion is associated with fewer adverse consequences on women’s psychological state than therapeutically induced abortions (Kotta et al., 2018). Further, the stage of pregnancy at which the latter is terminated also affects the outcomes of abortion. Late abortions relate to higher risks of psychological distress than early abortions (Kotta et al., 2018). Besides, social, institutional, and legal reactions to abortion contribute to the creation of an environment that stigmatizes abortions. An abortion stigma relates to the belief that abortion is socially unacceptable or morally wrong. Among women seeking an abortion, this stigma can manifest through shame, fear, negative attitudes toward abortion, and feelings of guilt (Keefe-Oates et al., 2019). It, in its turn, hinders women’s access to safe abortions, restricts conversations and access to information about abortion, and propagates confusion about the legal aspect of the procedure. At the same time, women who have access to counseling services may talk about their worries and overcome any abortion-related shame they may feel (Keefe-Oates et al., 2019). Contrary to a popular belief, women are regularly coerced by family members, partners, or employers into having abortions (Reardon, 2018). It is challenging to conduct randomized controlled studies on this problem due to the unethical nature of such investigation. Forcing women to get abortions would be necessary to obtain data for this kind of research. At the same time, voluntary participation in abortion studies solely relies on self-selection, which does not represent the entirety of the population of women undergoing abortions. Consequently, the results of studies investigating the effects of forced and voluntary abortions are subjective. Factors like the prior mental health problems of the women, limited access to social support, and internalized abortion stigma can increase women’s risk factors for experiencing adverse outcomes after abortion. Adequate counseling before and after abortion is necessary to address these issues and support access to safe abortion among women.
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