Around 39,000 women die every year from complications of unsafe abortion. These are major contributors to maternal mortality and put women at risk of extreme morbidity, stigmatization, and criminalization. According to the World Health Organization, abortion is the loss of the fetus before it is viable, and unsafe abortion is “a procedure for termination of a pregnancy done by an individual who does not have the necessary training or in an environment not conforming to minimal medical standards” (Ganatra B, Tunçalp Ö, Johnston HB, Johnson BR, Gülmezoglu A, Temmerman M. Bull World Health Organ 92:155, 2014). Pregnancy and postpartum have been recognized as periods when the well-being of the woman is challenged by several physical, social, and psychological demands. Even as maternity and motherhood have been romanticized in most cultures, it is currently understood that pregnancy does not protect against mental illnesses and that special attention must be paid to the woman’s health, both physical and mental, during the perinatal period to ensure favorable outcomes for mother and child. There has been progress in the past 60 years, and nowadays, we may state that the majority of women live in places where abortion is available. Only four countries have gone backward in the liberalization of abortion. The events in the United States are worrisome and their impact on mental health is already evident. The consequences of access to abortion have also been clarified, thanks to high-quality research that shows that abortion is not hazardous for the mental well-being of women.

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Abortion and Mental Health

  • Marta B. Rondón

摘要

Around 39,000 women die every year from complications of unsafe abortion. These are major contributors to maternal mortality and put women at risk of extreme morbidity, stigmatization, and criminalization. According to the World Health Organization, abortion is the loss of the fetus before it is viable, and unsafe abortion is “a procedure for termination of a pregnancy done by an individual who does not have the necessary training or in an environment not conforming to minimal medical standards” (Ganatra B, Tunçalp Ö, Johnston HB, Johnson BR, Gülmezoglu A, Temmerman M. Bull World Health Organ 92:155, 2014). Pregnancy and postpartum have been recognized as periods when the well-being of the woman is challenged by several physical, social, and psychological demands. Even as maternity and motherhood have been romanticized in most cultures, it is currently understood that pregnancy does not protect against mental illnesses and that special attention must be paid to the woman’s health, both physical and mental, during the perinatal period to ensure favorable outcomes for mother and child. There has been progress in the past 60 years, and nowadays, we may state that the majority of women live in places where abortion is available. Only four countries have gone backward in the liberalization of abortion. The events in the United States are worrisome and their impact on mental health is already evident. The consequences of access to abortion have also been clarified, thanks to high-quality research that shows that abortion is not hazardous for the mental well-being of women.