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Main Category: Abortion
Also Included In: Mental Health; Psychology / Psychiatry; Women's Health / Gynecology
Article Date: 11 Dec 2011 - 4:00 PDT
Current ratings for:Abortion Not Linked To Mental Health Risk
Having an induced abortion in itself does not raise a female's chances of developing mental health problems, says a report, claimed to be the largest and most comprehensive ever, published by the Academy of Medical Royal Colleges (AOMRC), UK. The authors added that whether the pregnant woman decides to have an abortion or proceed with her pregnancy has no impact on health subsequent mental health.
The review, carried out by the NCCMH (National Collaborating Centre for Mental Health, part of the Royal College of Psychiatrists), was commissioned by the Academy of Medical Royal Colleges.
The Steering Group sifted through 180 potential published studies from 1990 to 2011 and eventually included 44.
The Review concluded that: When a woman has an unwanted pregnancy, her chances of developing mental health problems are increased.Terminating an unwanted pregnancy with abortion does not result in a higher risk of mental health problems, compared to seeing that (unwanted) pregnancy to full term.What does have an impact on whether a woman who has an induced abortion subsequently might have mental health problems is her mental health history, i.e. a woman with a history of mental health problems has a greater risk of developing mental health problems after an abortion compared to a woman with no history of mental health problems who has an abortion.If a woman has a negative overall attitude to abortions, and then has one, there is a greater risk of her having mental health problems afterwards.Women who are under pressure from their partners to have an abortion are more likely to have mental health problems, compared to women who abort without such pressure.The review added that some other stressful life events may increase a woman's risk of having mental health problems after an abortion.The authors stressed that it is not the abortion itself that is the predictor of mental health problems, but rather, other factors.
The authors say future practice and research should concentrate on providing support for all females who have an unplanned or unwanted pregnancy.
Chair of the Steering Group, Dr Roch Cantwell, a consultant perinatal psychiatrist, said:
"Our review shows that abortion is not associated with an increase in mental health problems. Women who are carrying an unwanted pregnancy should be reassured that current evidence shows they are no more likely to experience mental health problems if they decide to have an abortion than if they decide to give birth."
NCCMH Director, Professor Tim Kendall, who is also a member of the Steering Group, said:
"This review has attempted to address the limitations of previous reviews of the relationship between abortion and mental health. We believe that we have used the best quality evidence available, and that this is the most comprehensive and detailed review of the mental health outcomes of induced abortion to date worldwide."
AOMRC Chairman, Professor Sir Neil Douglas, said:
"The Academy recognizes that this is a complex and controversial area, where there have been many conflicting research findings. We welcome this extremely high-quality review from the NCCMH, and endorse its findings."
The Family Planning Association (FPA) and Brook said they welcomed the review. They both stated that there is now compelling evidence that when a woman has had, or is wondering whether to have an abortion, that the procedure is safe and does not have a direct impact on her mental health.
They went on to say that forcing women who are having an abortion to have counseling is both "unnecessary" and "patronizing".
The FPA and Brook jointly wrote:
"Giving women accurate and honest information about abortion is essential and is something that FPA and Brook take extremely seriously. However, we know that misinformation about mental health can be used as a scare tactic by third parties, to try and deter women from considering abortion. "We hope this new report will prevent this type of scaremongering and ensure women receive the non-judgemental support and information they need."
Dr Kate Guthrie, a spokesperson from the Royal College of Obstetricians and Gynaecologists (RCOG) said that this latest Review is welcomed. They have revised their own guidelines regarding the care for females seeking induced abortion according to its findings, which include informing the women of what possible emotional responses are possible during and after an abortion.
Dr. Guthrie said:
"It is important that all women, and particularly those with a history of previous mental health problems, are offered appropriate support and if needed follow-up. It is essential that healthcare workers identify women that are vulnerable in any way and offer the appropriate aftercare.
Abortion including aftercare is an essential part of women's healthcare services, alongside access to contraception and family planning information."
In a published response placed on its website, SPUC mentioned the following points, which are from stories told by a large number of women. The charity adds that several studies with empirical findings demonstrate that there are psychological consequences from having an abortion: After an abortion, a woman experiences a wide range of negative emotions, such as shame, regret, doubt, grief, guilt, loneliness and sadness.Some women who experience relief after undergoing an abortion, subsequently experience negative emotions.Some females may experience PTSD (post-traumatic stress disorder), triggered by an abortion.Even though a history of mental health problems may impact on the risk of having mental health problems following an abortion - it in no way accounts for all of the effect.The following risk factors increase the chances of a woman suffering psychological harm after an abortion: no social and emotional support, uncertainty and ambivalence about whether to have an abortion, partner violence, and a history of mental health problems.Abortion raises the risk of developing bipolar disorder, depressive psychosis, schizophrenia, neurotic depression, anxiety, and depression.Abortion raises the risk of subsequent substance abuse and self harm, especially when a woman who had an abortion gets pregnant again.Women who have an abortion because of a fetal disability are especially susceptible to psychological damage.A list of studies supporting the negative consequences of abortion for the woman are listed on this page.
Written by Christian Nordqvist
Copyright: Medical News Today
Not to be reproduced without permission of Medical News Today
Visit our abortion section for the latest news on this subject. Induced Abortion and Mental Health
"A Systematic Review of the Mental Health Outcomes of Induced Abortion, Including Their Prevalence and Associated Factors. December 2011" (PDF, 252 pages)
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posted by mulberry dew on 30 Dec 2011 at 7:38 am If the JudeoChristian God is a myth, Gale, why are you using the Bible to support your opinions?
Beleive or don't believe as you choose, but do be consistent about it.
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posted by Albert Burton on 14 Dec 2011 at 7:57 pm Nibble, nibble, nibble... Bite!
When a troll posts a rant as you have done in your post, it is clear that you are looking for a reaction. Well here it is: reaction!
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posted by Anne Daly on 13 Dec 2011 at 2:54 pm The Coleman study is the stronger of the two, in my opinion.
Women do need to be informed of the possible outcomes after abortion and I am just not satisfied that this is happening in practice. I think, too often, the focus for the provider becomes getting the procedure done, quickly, without a lot of time for the woman to reflect or really be told about her options or the side-effects she is risking.
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posted by Jakki Jeffs on 13 Dec 2011 at 1:11 pm In a 2001 study on hospital outcomes,commissioned by the College of Physicians and Surgeons of Ontario it was discovered that in the first three months after abortion there was a five times higher rate of hospitalization for pyschiatric problems among women who had abortions compared to those who did not have abortions. When asked if the College would ensure that physicians informed women of this heightened risk, I was told that nothing unusual had been discovered.
I consulted with a colleague who is a physician and she told me that I needed to understand that you do not get admitted to hospital for a psychiatric problem if you are not a danger to your self or someone else.
As a woman myself, I believe that any medical professional is obliged to tell me every possible risk and that includes regarding abortion as well.
It seems to me that there is ample evidence to suggest that some women will undergo a variety of mental health problems after abortion and I believe they have a right to know.
The Coleman 2011 Metanalysis results were as follows. "Women who had undergone an abortion experienced an 81% increased risk of mental health problems and nearly 10% of the incidence of mental health problems was shown to be attributable to abortion. The strongest subgroup estimates of increased risk occurred when abortion was compared to term pregnancy and when outcomes pertained to substance abuse and suicidal behaviour."
The conclusion stated; "This review offers the largest quantitative estimate of mental health risks associated with abortion available in world literature. Calling into question the conclusions from traditional reviews, the results revealed moderate to highly increased risk of mental health problems after abortion. Consistent with the tenets of evidence based medicine, this information should inform the delivery of abortion services."
I do not really care what anyone's opinion is regarding abortion, I have mine and they can have theirs. However, when it comes to being honest and ethical with the women who may consider abortion as an option, the politics of abortion protection must not cost women either their physcal or mental health.
Women have the right to know all and any risks inherent in induced abortion. What we all think about abortion is one question, but when that bias effects the outcome of research or indeed just which studies are publically promoted by the media, and what information is given to women by physicians and the abortion industry, women are in deep trouble.
For those actually interested in protecting women's health and not just sounding off your own opinion. The Coleman, metanalysis (study of studies) brought together data on 877,181 participants with 163,831 having experienced an induced abortion. You can access the metanalysis at the address below.
The British Journal of Psychiatry: Abortion and mental health:quantative syntheseis and analysis of research pblished 1995-2009. Priscilla K. Coleman
BJP 2011, 199:180-186
Access most recent version atdoi: 10.1192/bjp.bp110.077230
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posted by Dr. Philip Ney on 12 Dec 2011 at 12:50 pm Any medical act is not justified on the basis of its few side effects. Every medical, surgical and psychiatric procedure must first be necessary and beneficial. Moreover those who perform or support the unproven act carry the burden of proof to show that it is justified. Without justification, thrusting a curette into a woman's body is tantamount to criminal assault. These authors have conveniently sidestepped the main issues for they know full well there is no medical justification for 99.5% of the abortions performed in most countries.
And who is mentall unwell following an abortion, those who feel no remorse, sorrow etc. for having terminated a life or those whose post abortion pain arises from a deeper sense they have done something very abnormal, to themselves and others.
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posted by DRF on 11 Dec 2011 at 3:17 pm I am very glad that the research community addressed the issue of whether or not abortion increases a woman's risk of breast cancer. There was some question as to whether hormonal changes could do that. However, dozens of studies in both the U.S. and U.K. have shown that it does NOT increase a woman's risk of cancer. (And the American studies were performed during the conservative Bush administration.)
It was a legitimate question but it's been answered.
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posted by DRF on 11 Dec 2011 at 3:14 pm I edit and proofread scientific studies for a living and let me tell you, it is 100% normal for a meta-analysis to include some studies and exclude others, such as 44/180. In the first round, the research team casts as wide a net as possible, then they choose only those studies that they can compare to each other accurately. What the study MUST do is provide the criteria that were used to include or exclude studies. They might use factors such as the size of the sample population, whether or not a control group was used, and whether or not the study covered the exact information they want in the way they want.
If you think abortion is bad, you should discourage it by telling the truth about it. Does it kill an embryo or fetus? Yes, by definition. That really ought to be enough. There is no reason to lie and say that it gives women mental problems or cancer. We should all be 100% birth control and sex ed so that fewer people have these unplanned pregnancies in the first place.
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posted by Nathan on 11 Dec 2011 at 8:35 am If you fully read the conclusions, there are a number of exceptions that make the headline far more believable. I especially noted that women who oppose abortions, or who are pressured to abort against their own judgement, are more likely to suffer mental health problems, which is really what you would expect. What this study really seems to suggest is that women seeking abortion should receive (neutral!) counsel to learn everything about abortion, and they should be encouraged to make up their own mind about it (rather than having, say, a church or an activist group making it for them).
The fact that it is a review of many studies in no way invalidates its findings. In fact, that makes its findings stronger, since it is combining data from many sources to come to a conclusion. Higher sample size increases accuracy.
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posted by gale routh on 11 Dec 2011 at 7:57 am i do believe, if we taught the science behind pregnancy, the people who are more pro-life that get an abortion--won't be so upset about it.
fetus (NOT A BABY, THEY ARE BORN…GOOGLE THE HUMAN DEVELOPMENT CHART) is a parasite because the classification of the biological relationship that is based on the behavior of one organism (the fetus) and how it relates to the woman's body:
as a zygote, it invaded the woman's uterus using its Trophoblast cells and hijacked her immune system by using Neurokinin B—-so her body won't KILL it, and stole her nutrients to survive and causes her harm or potential DEATH!
wikipedia org/wiki/Trophoblast
http://en.wikipedia.org/wiki/Immune_tolerance_in_pregnancy
"it is also possible for a symbiotic relationship to exist between two organisms of the same species."
answers com/topic/symbiosis —–Gale's Science of Everyday Things:
Symbiosis
"an animal or plant that lives in or on another (the host) from which it obtains nourishment. The host does not benefit from the association and is often harmed by it"
thefreedictionary com/parasite
if a man can kill his tapeworm at anytime, so should a woman abort her unwanted human parasitic fetus at anytime, too.
the bible supported abortion:
the 1984 niv footnote of numbers 5:11-31 explained what "to thy thigh to rot, thy belly to swell" meant:
Numbers 5:21 Or causes you to have a miscarrying womb and barrenness” to CAUSE a miscarrying womb IS an abortion.
the judeo-christian god is a myth and historical evidence proves it.
3.3.3 Atheism: A History of God (Part 1)
Evid3nc3
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posted by One Opinion on 11 Dec 2011 at 7:31 am The review (as I understand it) looked at many of the studies you refer to (but do not cite) and concluded that either the study was flawed or the results did not follow from the data.
In any case the one thing I think we can all agree on is that fewer unwanted pregnancies would be a good thing.
One Opionion
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posted by Ranger on 11 Dec 2011 at 6:11 am I know two women personally that have suffered depression and years long guilt as a result of abortion. Perhaps some do not. But I am witness to the problems it can cause.
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posted by Dave on 11 Dec 2011 at 6:11 am That's a great and hopefully healthy attitude / belief for you. However, not everyone believes as you do and as I'm sure you wouldn't want other people or cultures or religions expecting you to adopt their personal beliefs I hope ask that you don't push your personal or religious beliefs on others.
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posted by kww on 11 Dec 2011 at 6:03 am Their are studies that show a link between women that have had abortions and higher rates of certain cancers like breast.
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posted by Father of Two on 11 Dec 2011 at 5:56 am Based on what I read here, this was less a "study" than a selective survey of other studies. While the article calls this a "review," other commenters and the media are undoubtedly giving this headline more due than it's worth.
And it seems difficult to imagine that deciding to terminate a pregnancy does not carry with it significant prospects for future emotional turmoil. The pro-abortion groups' use of such "data" to promote these procedures soft-pedals what is and should be an extremely grave moral decision to terminate another life.
This fundamental, ethical decision should be the focus of concern. If people can be desensitized to its magnitude, as this review suggests, it says something quite tragic about our world and its throwaway and convenience-based priorities.
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posted by John Ambery on 11 Dec 2011 at 5:32 am In the eyes of God, abortion is a sin. The focus should not be on the mother, she is the vehicle for new life. The new life needs a chance, everything else is irrelevant.
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posted by Amanda Gonzalez on 11 Dec 2011 at 5:31 am I am American and have lived in the UK. I am grateful for this study. In my country, the land of polarized views, knee-jerk sound-bites, extreme atheists and bible-bashers, and niche politics, such a study would never be done. If if it were, I would doubt its impartiality.
Thank you.
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posted by Dr. Spock on 11 Dec 2011 at 5:09 am This is about the dumbest study out there. Honestly, you people should be shot!
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