The Long Term Effects of Abortion on Women
Contents
Introduction
By the age of forty-five, two out every five women has had an
abortion (Post Abortion Healing, 1). Perhaps it is the significance of
this number that makes the abortion debate so heated. In the United
States alone 1,300,000 abortions occur annually. The odds of having a
mother, sister or close friend who has had one is far more likely than
not. Almost everyone is directly or indirectly affected by abortions.
It is no wonder that both the pro-choice and pro-life movements are
so adamant in their positions. Both sides are fully convinced that they
are fighting for what is truly best for these women. Then why do they
reach such different conclusions? Abortion is an issue that goes much
deeper than mere politics. It is an emotionally and even religiously
charged topic. What is truly best for a woman who is experiencing an
unwanted pregnancy? The pro-choice would say that if the pregnancy is
unwanted then the woman should terminate it so that she can move on
with her life. The pro-life side says that an abortion kills a human
baby and can harm the woman. Therefore, she should not have an
abortion. Which side is right?
This research paper covers how abortions affect women, without
attempting to cover whether or not an abortion kills a human baby.
There are many studies written on that subject. For the purpose of this
paper, an abortion means induced abortion.
One of the biggest arguments for induced abortions is for the sake
of the mother. If this is a legitimate argument, then the quality of
life that the mother experiences after having an abortion should be
greater than if she had chosen not to terminate her pregnancy. It is not
argued that induced abortions have some negative effects on women;
however, the extent of those effects is debated.
Short-term side effects
Some of the facts about the most common abortion procedures and
their short term side effects are not well known. The most common
method of abortion is the surgical method vacuum aspiration (Bygdeman,
2465). For this abortion, the cervix is stretched with dilators. When
it is open enough the doctor inserts a tube by hand into the uterus. He
attaches a syringe to the tube and the fetus is pulled apart and
suctioned out into a collection container (Healthwise, 1). The
complications that can occur with this are excessive bleeding,
abdominal swelling, pelvic infection, uterine perforation, cervical
tears, incomplete abortion, and in extreme cases death (Corbett, 106).
Another common method of pregnancy termination is medical treatment
(Bygdeman, 2460). It consists of taking mifepristone, followed by
misoprostol. The risks for this are frequent uterine pain, excessive
uterine bleeding, pelvic infection, ruptured ectopic pregnancy,
incomplete abortion, vomiting, diarrhea, and in extreme cases death. The
risks for surgical versus medical procedures are difficult to weigh
because the articles available state that the risks are about equal.
There are other methods of abortion, especially for pregnancies that
are in the second and third term, it is always recommended that
abortions be done earlier in the pregnancy, because the later the
abortion is done the more risks and dangers involved. It is unnecessary
to go into detail risks. The purpose of this paper is not to be
frightening in detail, but rather point out that an abortion is a
high-risk procedure.
Women’s Health, a pro-choice website, stated that the short-term
severe complications occur in less than 1% of women who have abortions
(4). The site does not talk about the long-term effects of abortion
beyond 2 to 3 weeks (3). Suppose they are right that less than 1% of
women suffer physical complications from an abortion. This is still
thousands of women per year who have had their lives ruined.
Long-term side effects
Abortions have long-term side effects as well. If a woman does not
suffer from short term physical problems this does not mean she is not
affected by the abortion. In fact, the long-term effects may be more
devastating than the short term. Let us look at some specific side
effects.
Substances abuse
Women who have had an abortion are more likely to have substance
abuse problems then women who are not pregnant or who have given birth
to their child (Pedersen 1971). There was an exception made for women
who continue to live with the father of their aborted baby. They are
not at an increased risk. Doing a study like this has many variables;
however, even after a control range of these variables there remained
the link between abortion and substance abuse. Women are more than
twice as likely to abuse drugs if they have had an abortion (Pedersen
1974). This is not to say that everyone who has had an abortion has a
drug addiction. However, substance use enables women to forget, to feel
better, or even just to function. Many who have had an abortion have
an emptiness in their lives that they are trying to fill. This puts
them at an increased risk for substance abuse. A woman inclined toward
substance abuse might consider alternatives closely before making her
decision.
Cancer
Another fact about the risks of abortions is a woman’s increased
risks of getting breast cancer. Pregnancies carried through completion
lower the risk of a woman getting breast cancer more than if she had
never gotten pregnant. Pregnancies terminated by an abortion not only
lose that benefit, the physiological change in their body due to the
termination can be devastating. The termination of a pregnancy causes a
significant drop in the level of estrogen secreted in a woman’s body.
This drop causes a rapid growth in the number of cells in the breast
tissue. This cell multiplication greatly increases the risk of getting
breast cancer. According to the United State National Cancer Institute,
woman who have had an induced abortion have a 50% risk of getting
breast cancer by the age of 45 (AAPLOG, 192). The risk is higher for
women who have had an abortion before the age of 18 (ibid 192).
The gravity of this risk is huge. However, few women are informed of
this risk before having an abortion. The dilemma of an unplanned
pregnancy will be insignificant when compared to the emotional and
physical devastation of a mastectomy, chemotherapy and radiation
therapy. These women deserve an informed choice.
Infertility
For many women it is merely a matter of wrong timing that leads them
to choose an abortion. They want to have children but often they get
pregnant before they are ready. However, unbeknownst to them, they may
never have this opportunity. One of the risks of abortions is secondary
infertility. This means that a woman who has previously conceived a
child is no longer able to. Abortions can both directly and indirectly
affect fertility. Directly a surgical abortion can cause scaring of the
uterine. In addition, a small percent of pregnancies are ectopic. This
means that the fertilized egg plants itself somewhere outside of the
uterine cavity (Myers, 611). A pregnancy test will still come up
positive and a girl can go in to get an abortion. She will leave
thinking that she is no longer pregnant, not to mention all of the
damage that she undergoes having her uterine scraped out needlessly. If
she does not recognize that she is still pregnant in time, her
fallopian tube could rupture causing hemorrhage and making her
infertile, if she survives (Real choices, 5).
One way in which an abortion can indirectly affect fertility is
through the risk of an infection of the fallopian tubes. This is called
salpingitis (Myers, 1663). Salpingitis greatly increases the risk of
future pregnancies being tubal pregnancies (Murray, 627). Some women
never get another chance to have a baby.
Post-abortion syndrome
Post-abortion syndrome is a post-traumatic stress disorder. It
affects women differently. Symptoms vary greatly depending on the
individual. Common side effects are thoughts of self-harm and suicide,
increase in dangerous activities, depression, inability to perform
normal self-care activities, difficulty sleeping, panic disorders,
eating disorders, codependence, abusive parenting, or overly protective
parenting, compulsivity in work or sex, and the list goes on (Post
Abortion Healing, 4) (Coleman, 11).
Some women choose an abortion because it was bad timing to get
pregnant. One of the symptoms of postabortion syndrome is a woman’s
desire to immediately get pregnant and have another baby to replace the
one that she aborted. This happens even if the woman’s circumstances
that led her to an abortion have not changed (PASS, 1). When this
happens, a woman has undergone the physical and emotional pain of having
an abortion, pointlessly. Unfortunately, even the second child does
not alleviate the pain of her earlier loss. Some women have trouble
bonding with their other children because of fear and guilt.
It is interesting that many professionals in the medical field do
not recognize postabortion syndrome as a problem. This is because to
recognize postabortion syndrome as a legitimate issue that affects a
large number of women is to imply that abortion may not be the right
choice for some women. If they do this they are immediately labeled,
“judgmental”, “biased” and “imposing their personal beliefs on their
clients”. This has left a huge number of women who are suffering from
post-abortion syndrome with no one to reach out and help them. They are
judged by many pro-lifers and ignored by most pro-choicers. The woman
becomes but another pawn in the abortion war, left to cope as she best
can, while the two sides continue to fight. During this battle the
medical community, remaining politically correct, will not do anything
to acknowledge them.
Sexual dysfunction
Another side effect of abortions is sexual dysfunction. A recent
study shows that 24% of American women reported problems with sexual
dysfunction that they attributed to a past abortion (Coleman 3). A
Swiss study concluded that 31% of women who had an abortion in the past 6
months reported at least one sexual dysfunction (Coleman 3). Some of
the variables that were examined were sexual frequency, desire, orgasm
ability, and satisfaction. The studies that are available on this
subject indicate that women who have had an abortion are more likely to
suffer from sexual dysfunction than women who have not.
The stress an abortion places on women can have a dramatic impact on
their personal relationships. If the couple is unable to express their
feelings the trust in their relationship is undermined. This can
result in either the woman or the man feeling very much alone. This is
especially likely if either of them viewed the abortion as wrong, or
wanted to keep the baby. The insecurity as well as possible resentment
(if the abortion was not a mutual decision) strains the relationship,
often becoming enough to end the relationship. Even if the abortion was
a mutual decision, the pain of having an abortion and the broken
emotional attachment to the fetus is enough to cause relationship
problems that are often irresolvable.
Other Psychological disorders
One of the most prevalent outcomes of abortion is shame and guilt
that the mother suffers, sometimes for years. This is the most common
postabortion syndrome symptom. A study in 2004 showed that just over
50% of American women who have had an abortion felt it was wrong to do
so (Coleman, 4). This indicates that they probably did not want to have
an abortion in the first place. Because they believe they are doing
something wrong, they will have difficulty talking about it. Many women
hide this secret. This self-protective measure is self-defeating,
women need support and help if they are going to heal from the
devastating effects of an abortion, yet many of them are too ashamed to
talk about it.
This leads us to the fact that many women suffer psychological
disorders after having an abortion. One study of women who have
terminated their pregnancies shows that 42% have major depression, 39%
have anxiety disorder, and 27% have suicidal ideation due to post
abortion stress (Coleman, 10).
Adolescents are more vulnerable to emotional and psychological
issues after an abortion than older women are (Daly, 50). This study
said they need more extensive counseling in order to be able to move on
with their lives. Most women who have an abortion will never get
counseling for it. Adolescents are least likely to get help, because
they are usually the ones who want to hide it the most.
One study followed sixteen woman fifteen years after their abortion.
All of them felt their past abortion played a big part of their
present life (686). While some of them said they regretted their
decisions, others did not. However, they all had thoughts and strong
emotions about it. Most of them had thoughts and flashbacks that were
triggered by everyday things, such as hearing news about abortions,
friends who have children, seeing children play, etc. (689). Some of
the women thought they would get an abortion and then forget about it,
but they never did. The abortions continue to play a significant part
in these women’s minds. The inconvenience on a woman of having an
unwanted child or adopting it out may be small in comparison to being
haunted by her conscience for possibly the rest of her life.
Informed consent
Abortions do harm women. Now what? Some believe that this is
completely irrelevant to the argument. A woman should still have the
power to make the choice that she thinks is best, shouldn’t she? In the
medical profession we are taught that the patient has complete
autonomy. According the medical dictionary autonomy is described as,
“the quality of having the ability or tendency to function
independently.” (Myers, 173). This means that we are to give them
complete liberty to choose what they want pertaining to their own care.
According to the American Nurses Association, “Patients have the moral
and legal right to determine what will be done with their own person;
to be given accurate, complete and understandable information in a
manner that facilitates an informed judgment...” (8) This means that
before a surgery or other treatment or prevention is given,
the patient must be informed of the risks involved.
They must be given all of the facts that are relevant to their
situation in order that they might make an informed decision. Informing
the patient of the risks involved in procedures is done before every
operation. That is, every operation except one. Abortion is the only
operation where the client is not given complete information. The only
other exception is where the patient is unconscious and is in a life
threatening situation. The physician can then make a decision based on
what he believes the client would choose. Not informing the client
about the risks of an abortion is wrong. If the medical professional
were really trying to do what was best for the woman they would equip
her to make an educated decision. In fact, by withholding the
information about the risks and procedures they are not treating the
women as autonomous, and are acting in opposition to the code ethics
that nursing professionals must follow. Before an abortion is performed
there should be an optional, or even mandatory, two hour seminar
explaining the procedures, answering questions, and stating the risks
involved in abortions. If nothing else, this will answer some of these
women’s questions putting their minds more at ease.
Physicians also have an obligation to act in the best interest of
their clients (Adams, 29). They cannot breach their clients autonomy,
by going against their wishes, however they are responsible to do
everything in their power to maintain the best interests of their
client while following their clients wishes. Informing the client of the
possible risks of procedures and of all their options falls under
this. Physicians do this for the most part. Again, however, abortions
are the exception.
Free choice
Since abortions have serious, sometimes permanent negative effects
on a women, should it still be her choice? Why are other
self-destructive behaviors illegal in this country? Prostitution is
illegal, not because the government is trying to destroy jobs, but
because prostitution’s harmful side effects can be demonstrated.
Methamphetamine is illegal, not because the government wants to stop
people from enjoying themselves, but because it ruins the lives of the
people using it. Other self-destructive behaviors such as cutting
oneself or attempting suicide have people put into mental hospitals.
They are placed in these facilities so that they can no longer harm
themselves even if they want to. This demonstrates that people do make
choices that are bad for themselves and our society believes that it is
legitimate to take those liberties away.
Rape victims
What about rape victims? An argument that the pro-choice use is that
a woman who is pregnant from rape should have the right to an
abortion. After all, it would be cruel to force her to carry the baby
of some depraved stranger to term, wouldn’t it? Before answering this
question, it should be pointed out that only a very small percentage of
abortions are the result of rape. However, this argument is an
effective emotional ploy used to make the pro-life advocates seem
heartless. Perhaps it is most useful to answer this question with
another. Is it truly going to help to add the physical and emotional
trauma that an abortion will bring to an already hurting woman? If a
woman has been raped she is already hurt enough, and adding more guilt
and pain to her distressed state will not quicken the healing process.
Suppose we did make abortions legal only for those few women who have
become pregnant through rape, there would be no way to enforce it. It is
impossible to determine if a baby was conceived from rape two months
after the fact because unfortunately the majority of rapes are not
reported.
Family pressure
Because abortion is legal there is terrible pressure put on girls.
Before abortions were legal, when a girl was pregnant her parents or
boyfriend may have been upset and angry with her. Then, eventually life
would go on. Perhaps she would adopt the baby out, perhaps not.
However, now that abortion is an option, parents and boyfriends often
pressure girls into an abortion against their wills. No one has to live
with the consequences of an abortion like the woman who has had one.
Often women think and are told that an abortion is the only realistic
option. Under pressure, they are never given an opportunity to weigh
out all of their options.
Boyfriends often force their girlfriends to terminate the pregnancy.
The fear of having to pay child support for the next 18 years is a big
motivator. It is common for a boyfriend to tell the girl that he loves
her and will stay with her if she will abort the baby. Placing a girl
in the position of having to choose between her boyfriend and her baby
is a cruel. The woman will pay the consequences of her actions possibly
for the rest of her life. If the boyfriend truly cared about the girl,
he would not pressure her to do anything against her conscience.
Because the boyfriend who pressures a girl into having an abortion does
not truly care about her, their relationship seldom lasts, even after
the woman does abort her baby for him.
By making abortion legal, women are pressured into making a decision
that strongly goes against their maternal instincts. At the time when
she is first processing the thought that she is pregnant, she is
probably confused, angry or hurting. She is very vulnerable to people
around her and she is more likely to make rash decisions than she would
at other times in her life. This is why so many women have abortions
that they later regret.
Roe v Wade
Roe v Wade was the Supreme Court trial that legalized
abortion in all fifty states. They used a woman named Norma McCorvey who
wanted to have an abortion (and never got it). She could not afford to
have a baby, so for financial help, she agreed to allow herself to be
used in the case. Yet, years later, she finally expressed the pain that
working in an abortion clinic caused her. In fact, she became in her
own words, “one hundred percent pro-life.” (11). McCorvey talks about
how she was used by the industry to make abortion legal. Sarah
Weddington, the lawyer, needed someone to sign the affidavit and fade
away to remain silent forever (5). The case was never about helping
Norma McCorvey.
It is also interesting that during
Roe vs. Wade it was a
group of men that decided what was best for women (Jokinen, 2).
Anything wrong with this picture? Men are logical and intelligent, but
they are not women and do not think or feel the same as women do. Women
are better equipped to determine what is truly best for themselves.
Abortion alternatives
Abortions are not the right answer for women who find themselves with
an unwanted pregnancy. On the contrary, the legalization of abortion
has hurt many. There is no way to determine if a woman will suffer from
an abortion or not. However, the odds are not in her favor. Despite
this, abortions are legal and probably will remain so. Because of this,
it is vitally important that women receive counseling before needing an
abortion. They need to be educated about the risks and long-term
effects that abortions can have. They need to be given resources for
post-abortion syndrome. They need to be given a safe environment away
from their family and friends where they can decide what is truly best
for them.
Pro-choice activists are quick to scream that telling a woman that
an abortion may not be in her best interest is imposing on her rights
as a woman. While fighting for her right to chose, they ignore her when
she is hurting and really needs help.
Pro-life activists are quick to cry in outrage that babies are
being killed. However, they need to realize that the baby is not the
only victim in an abortion, the mother is as well. The difference is
that the baby does not live to regret it.
