Psychological After-Effects of Abortion

Over the last decade, a general consensus has been reached in the medical and scientific communities that most women who have abortions experience little or no psychological harm. However, women's ability to cope psychologically after an abortion continues to be the subject of heated debates. Vocal anti-choice advocates claim that most women who have abortions will suffer to some degree from a variant of post-traumatic stress disorder called "post-abortion syndrome," characterized by severe and long-lasting guilt, depression, rage, and social and sexual dysfunction. Why is there such a major discrepancy between the scientific consensus and anti-choice beliefs?




Books written by anti-choice advocates that deal with post-abortion effects are, by and large, heavily infected with bias. Not only is contrary evidence not refuted, it is rarely even mentioned. Incorrect and out-of-date "facts" abound. The authors' pop psychology often seems to be based on little more than their own wishful projections about the nature of women and how they should feel. Here are two typical examples from essays in the 1979 anti-choice book The Psychological Aspects of Abortion:

"It is interesting that women who need self-punishment do not abort themselves more often. . . . Abortion is done 'to' the woman, with her as only a passive participant. This is further indication of masochism." Howard W. Fisher, MD, Abortion: Pain or Pleasure? (pp. 49)


With the advent of safe, legal, routinely performed abortion, a wealth of good evidence has come to light that is quite contrary to common anti-choice assertions. The typical abortion patient is a normal, mentally stable woman who makes a strongly resolved decision for abortion within a few days after discovery of the pregnancy, and comes through the procedure virtually unscathed. Several scientific review articles support this conclusion (published from 1990 to 1992 in highly respected journals such as Science and American Journal of Psychiatry). The reviews evaluated hundreds of studies done over the last 30 years, noting the unusually high number of seriously flawed studies, and pointing out common methodological problems. Based on the more reliable studies, all the reviews concluded that although psychological disturbances do occur after abortion, they are uncommon and generally mild and short-lived. In many cases, these disturbances are simply a continuation of negative feelings caused by the unwanted pregnancy itself. Serious and/or persistent problems are rare and are frequently related to the circumstances surrounding the abortion rather than the abortion itself.

Further, many women who were denied abortion showed ongoing, long-term resentment, and their resulting unwanted children were more likely to have increased emotional, psychological, and social problems in comparison with control groups of wanted children. These differences continued to widen throughout adolescence and early adulthood. Finally, many good studies show that giving birth is much more likely than abortion to be associated with severe emotional after-effects, such as post-partum depression.

The review articles largely concluded that the most frequently reported emotions felt by women immediately following an abortion are relief and/or happiness, experienced by about 75% of women (one article evaluated only negative effects). Feelings of regret, anxiety, guilt, depression, and other negative emotions are reported by about 5 to 30% of women. These feelings are usually mild and fade rapidly, within a few weeks. Months or years after an abortion, the majority of women do not regret their decision. In fact, for many women, abortion appears to be a positive experience that improves their self-esteem, provides inner strength, and motivates them to refocus their lives in a meaningful way.

Studies on abortion are done primarily through self-report measures, however, and it is possible that some women may be reluctant to admit negative feelings after their abortion. To help quantify this, let's consider the figures: Every year, between 1.3 and 1.6 million abortions are performed in the United States (since 1977). About 21% of all American women between the ages of 15 and 44 have had an abortion. This is a very large number indeed. The American Psychological Association has pointed out that even if only 10% of the millions of women who have had abortions experienced problems, there would be a significant mental health epidemic, clearly evident by large numbers of dysfunctional women requesting help. There is no evidence whatsoever for any such epidemic, thereby supporting the general reliability of self-report measures.


* emotionally immature teenagers
* women with previous psychiatric problems
* women aborting a wanted pregnancy for medical or genetic reasons
* women who encounter opposition from their partner or parents for their abortion decision
* women who have strong philosophical or religious objections to abortion
* women who are highly ambivalent or confused about their abortion decision, and/or had great difficulty making the decision
* women who are coerced by others into having an abortion
* women undergoing late, second-trimester abortions

In spite of psychological problems suffered by a few women after abortion, the existence of "post-abortion syndrome" is doubted by most experts. Indeed, there is little need to posit a unique disorder in this case, since abortion is not significantly different from any other stressful life experience that might cause trauma in certain people. Former Surgeon General C. Everett Koop, himself anti-choice, pointed this out in 1988. Unfortunately, facts, evidence, and common sense rarely get in the way of anti-choice advocates who are determined to prove that women suffer terribly from "post-abortion syndrome." Certainly, if this were true, it would be a lethal weapon in the fight to reverse Roe vs. Wade. In fact, this was the motivation behind a 1989 Surgeon General's report on the health effects of abortion on women, called for by former President Ronald Reagan on behalf of anti-choice leaders. Although the report was duly prepared, the Surgeon General chose not to release it, apparently because it did not support the anti-choice position. Meanwhile, anti-choice literature continues to churn out the Machiavellian myth that women are severely harmed by abortion.
