Tag Archives: obsetrics

Denied an Abortion – What Now? A Study on the Effects of Unwanted Motherhood

Screen Shot 2013-06-14 at 3.05.08 PMIt may have been one spontaneous night with an ex, never to be replicated; or perhaps a traumatic moment of violence and sexual abuse. She could be unemployed, ill, very young, or already a bit creaky in the joints. Maybe she has other kids at home and a partner in active duty, in prison, in the hospital, or deceased. And in the midst of working, paying bills, job hunting, taking care of children, doing homework, or whatever her daily responsibilities include, the tender belly and light periods get pushed to the back of her mind – until it’s too late.

Whatever their reasons, these are the women who discover their pregnancies late in the game, determine their best course of action is abortion, and upon medical inspection are turned away from the procedures they desperately want or need. How do these women, the ones forced into motherhood, fare and what are the effects of their denied abortions?

This question provides the foundation for an ongoing study, called “The Turnaway Study” run by Diana Greene Foster, an associate professor of obstetrics and gynecology at the University of California, San Francisco. Researching abortion clinics around the country, Foster’s study aims to determine the differing effects, if any, between women who seek late-term abortions and get them versus women who seek late-term abortions but are denied them, most often due to timing. (Individual states’ and clinic’s limits vary, but tend to fall sometime in the second trimester.) Such effects might range from the psychological and emotional, to socioeconomic factors, to long-term physical health. In essence, is there any statistical evidence to prove that women are any better or worse off for keeping a baby, even if they wholeheartedly wanted to terminate the pregnancy?

This study lands in public discourse at a time when pro-life advocates preach the many dangers to women’s mental and physical health resulting from abortion. It isn’t a hard line of reasoning to follow, especially given the hormones that are already being released in early pregnancy. But, as noted in a thorough article published in the New York Times, the psychological and health effects of carrying a pregnancy to term – and then, of course, raising a child – can be just as overwhelming, if not more so.

Based on Foster’s study, women in the turnaway group suffered greater health effects, including increased hypertension rates and chronic pelvic pain, as well as socioeconomic effects that left them below the poverty line three times more often than the women who received abortions. Both groups, however, Lang points out, began with similar life circumstances.

Only 6.6 percent of near-limit patients in the study and 5.6 percent of turnaways finished college (nearly 30 percent of adult American women have a bachelor’s degree). One in 10 were on welfare, and approximately 80 percent reported not having enough money to meet basic living needs. A majority, in both groups, already had at least one child.

These are interesting statistics on several counts. First of all, women seeking abortions later in their terms share a baseline social disadvantage that includes less education, lower income, and, now, pregnancy on top of their other responsibilities. In being forced into motherhood by denial of an abortion, these women experience all the physical strains of pregnancy and childbirth, as well as the often-overwhelming financial burden of another mouth to feed. No one sets out to someday get an abortion, but when it comes down to it, some women feel this is their best option – and the results of Foster’s study might give us cause to concur.

Both Foster and Lang are mindful of the politically-charged nature of this research, though. Foster does not consider herself a pro-choice pioneer, but rather a concerned ob-gyn, interested in determining what is best for women’s health.

The purpose of Foster’s study is not to set policy by suggesting new or uniform gestational limits. She notes, however, that there are ways to reduce the number of women seeking abortion at an advanced gestational age by improving access to reproductive health care. But Foster sees herself as a scientist, not an advocate. She did not set out, she says, to disprove that abortion is harmful. “If abortion hurts women,” she says, “I definitely want to know.”

Truth be told, there is no pro-abortion movement. Nobody “supports” abortion, of course, because ultimately we would hope to live in a world in which people who want to have children do, and those who don’t, don’t. The point is rather that women know what is best for them and their families, and childbearing may not factor into that at the moment.

It’s a delicate topic, though, and one that certainly warrants further discussion. Let me know your thoughts in the comments section below!

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