Post-Abortive Women Report
Continuing Distress Years Later
Part Two of Three
By Liz Townsend
A small but fascinating
study examines the feelings of menopausal women about their
long-ago abortions, which occurred an average of 24 years
earlier. British researchers extensively interviewed eight women
about their experiences and published the results in the October
20 Journal of Reproductive and Infant Psychology.
"The
work provides an insight into the very long-term consequences of
this procedure for these participants," wrote Kathryn Dykes of
Greater Manchester West Mental Health National Health Service (NHS)
Foundation Trust, Pauline Slade of the University of Sheffield,
and Annette Haywood of the NHS in Sheffield. "It is likely that
women may benefit from the availability of post-[abortion]
counselling services not necessarily just in the immediate
aftermath, but at different points after the procedure."
The researchers asked
women participating in a menopause clinic to volunteer for the
study. The eight women who agreed were interviewed for an
average of one hour and asked detailed questions about their
abortion experience and their feelings at the time and into the
present.
The interviews
demonstrated several common themes experienced by the
post-abortive women. These included a predominantly negative
long-term emotional impact, the fear of judgment, greater inner
strength and compassion for others, and the attempt to avoid
thoughts about the abortion but being unable to forget it.
The authors found that
some women suffered from "cognitive dissonance," a psychological
conflict that occurs when the person has two strong opposing
feelings. "Women reported knowing that the [abortion] was 'the
right thing to do,' but maintained a negative perspective of the
self as 'bad' or 'guilty,'" they wrote.
"This explains the
inconsistency in some women's self-perceptions, for example
split into 'good mother/person' and 'bad person who had [an
abortion]' and apparent inability to integrate these opposing
views. The justification and contradiction themes illustrate
that memories have been 'blocked out' to such a degree that
inconsistency remains unresolved."
The impact of
menopause--the ending of a woman's childbearing years--on
attitudes toward prior abortion experiences was also a focus of
the research. While most of the woman denied a direct
association between menopause and thoughts about the abortion,
the time of life did cause many to rethink the choices they made
when younger and characterized their abortion as a "loss" that
caused vulnerability and stress.
The authors included many
quotes from the women, identified only by their first names,
that illustrate the conflicting feelings that they are
experiencing as they grow older. "I wish I'd had the baby now,
but my life's a lot happier," said Jenny. "I felt guilty, I
thought some people could look at me and see that I were guilty,
that I'd done something wrong … sometimes I wish I could not
feel this, weight in my chest and this guilt that I feel,"
Elaine told the researchers.
Tina described her
attempts to forget the abortion and the negative feelings, but
admitted that it is impossible. "Blocking them out and trying to
get through things, doesn't work always and you don't realise
how deep they are until you realise … they have sort of like had
a knock-on effect in your life," she said.
Some of the women went on
to have more children, although others never did give birth.
They all reported a sense of wistfulness and regret as time went
on.
"I could have had a
daughter or a son, a little granddaughter, that's blood, you
know, that's my own," said Barbara. Jenny said, "I've always
thought of him … wondering how old he'd be, I do wonder about
that child."
Ann, who did not have more
children, said she feels that her childless state is a
consequence of her abortion. "I know it sounds a bit stupid but
I feel as if it's like, is this my judgement? It's like, it's as
if this is my punishment [no more children]," she said. Ann
added, "It's haunted me to be honest, I'm ashamed, I think it's
just something else I have to hate myself about."
The authors call for more
research into the long-term impact of abortion. Even decades
after an abortion women are suffering psychological harm, and
this fact needs to be supported by further study that takes into
account their individual experiences. "It is likely that
emotional response to [abortion] is complex and more in-depth
and detailed understandings may be gained through using
qualitative approaches which explore and reflect women's
experiences in their own words, rather than in response to
predetermined concepts and categories measured by
questionnaires," they wrote. "Sound qualitative studies, within
a UK setting, are required to fully understand any longer-term
impact of living with a history of [abortion]."
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Part Three
Part One |