Psychosocial adjustment after induced abortion and its explanatory factors among adolescent and adult women

Pereira, Joana; Pires, Raquel; Canavarro, Maria Cristina

doi:10.1080/02646838.2016.1276281

Cited by 15 publications

(10 citation statements)

References 42 publications

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“…Artificial abortion is common due to the no pregnancy intention, limited medical resources, and poor reproductive health education [1][2][3]. In recent years, artificial abortion still has a high prevalence and has become an important public health problem [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Assessment of early damage of endometrium after artificial abortion by shear wave elastography

et al. 2020

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Objectives: This study aimed to investigate the application of shear wave elastography (SWE) in the early damage detection through assessing the endometrial elasticity after artificial abortion. Methods: A total of nulliparous women (20-30 years) who received ultrasonography in our hospital were recruited between January 2017 and December 2017. These women were divided into normal control group (NC; n = 65), after once artificial abortion group (AOAA; n = 68), after twice artificial abortion group (ATAA; n = 61), and after three times or more (range, 3-6) artificial abortion group (ATTMAA; n = 60). SWE was performed to evaluate the endometrium; Young's modulus of the endometrium was determined and then the endometrial thickness was measured. Results: Young's modulus of the endometrium increased in the order of NC group, AOAA group, ATAA group, and ATTMAA group, and Young's modulus increased with the increase in the number of artificial abortions (p < 0.05). The endometrial thickness in the ATTMAA group was significantly lower than in the NC group, AOAA group, and ATAA group (p < 0.05), but there was no marked difference among the NC group, AOAA group, and ATAA group (p > 0.05). Conclusions: SWE increases with increasing number of abortions, which may indicate the damage that is done to the endometrium earlier than measurement of the endometrial thickness do.

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Section: Introductionmentioning

confidence: 99%

Assessment of early damage of endometrium after artificial abortion by shear wave elastography

et al. 2020

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“…In these respects, it differs from most previous studies, which were based on small, very specific samples with short observation periods, frequently lacked pre-event information, and mixed several indicators of mental health, often by taking a pathogenic perspective (e.g., Broen et al 2005;Bergant et al 1997;Biggs et al 2017). Nevertheless, a limitation of this study is that it focused on average changes in satisfaction following pregnancy termination, although research has shown that several factors such as social resources and the age of the women affected may moderate the adjustment to pregnancy termination and unintended pregnancies (e.g., Pereira et al 2017;Rocca et al 2013). In future research, it is crucial to identify which factors (e.g., personality, pre-event parenthood status, pregnancy intentions) and underlying mechanisms (e.g., support of family members or psychological services) affect how women respond to pregnancy termination.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“…Furthermore, as research has shown that partners, friends and relatives can provide a valuable source of support in difficult life situations, they could also be involved within a process of dyadic and communal coping (see, Bodenmann 1997;Berg and Upchurch 2007;Helgeson et al 2018). Since the psychosocial adjustment to pregnancy termination is a complex and multidimensional process that varies, for example, by age groups as well as social and familial resources (Pereira et al 2017;Renner et al 2014), preventive interventions should additionally be based on the individual situations of the affected women.…”

Section: Implications For Research Policy and Practicementioning

confidence: 99%

Well-Being Before and After Pregnancy Termination: The Consequences of Abortion and Miscarriage on Satisfaction With Various Domains of Life

Huß

2021

J Happiness Stud

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The consequences of pregnancy outcomes other than live birth on subjective well-being have rarely been analysed in research to date. This study examines pre-event determinants as well as the temporary and long-term effects of induced abortion and miscarriage (spontaneous abortion) on satisfaction with various domains of life. The data were derived from the German Panel Analysis of Intimate Relationships and Family Dynamics (pairfam). The longitudinal sample consists of 5331 women of reproductive age, of whom 214 women had an induced abortion, 331 women had a miscarriage, and 1156 women had a live birth during the observation period. First, pre-event measures of women who had an induced abortion and women who had a miscarriage were compared with the pre-event measures of those women who gave birth. Second, fixed effects models were used to examine whether overall or domain-specific life satisfaction changed following a pregnancy termination. The results show that pregnancies resulting in abortion or miscarriage were less frequently preceded by pregnancy intentions compared to those resulting in live birth, and that induced abortion—but not miscarriage—was furthermore accompanied by lower pre-event satisfaction than live birth. Following both miscarriage and induced abortion, women experienced temporary declines in overall life satisfaction and showed persistently lower satisfaction in several domains of life. With regard to induced abortion, pre-event measures were a better predictor of overall well-being than the consequences of the event itself. Low life satisfaction might therefore be a risk factor for having an abortion rather than a result.

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“…This coincides with western studies showing that during the preparation process, 10 to 18 % of abortion-seeking women experience ambivalence about the decision of whether to have an abortion [4][5][6][7] . Moreover, women who are ambivalent when making the decision have been shown to be at greater risk for developing mental health problems after the abortion [8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

Beyond autonomy and care: Experiences of ambivalent abortion seekers

et al. 2019

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Background: While being prepared for abortions, some women experience decisional ambivalence during their encounters with health personnel at the hospital. Women’s experiences with these encounters have rarely been examined. Objective: The objective of this study was to explore ambivalent abortion-seeking women’s experiences of their encounters with health personnel. Research design: The data were collected in individual interviews and analysed with dialogical narrative analyses. Participants and research context: A total of 13 women (aged 18–36 years), who were uncertain of whether to terminate their pregnancies during the first trimester, were interviewed before and after they made their decisions. The participants were recruited at six Norwegian outpatient clinics. Ethical considerations: Approval was granted by the Regional Committee for Medical and Health Research Ethics. Findings: The ambivalent pregnant women sought to make autonomous decisions while simultaneously involving their closest confidants and health personnel in the process. The following three types of narratives of women’s experiences with encounters with health personnel were identified: the respected women; the identified women; and the abandoned women. Discussion: The findings are discussed in terms of the ambivalent pregnant woman’s autonomous responsibility in considering an abortion and how her autonomy can be enabled or impaired during encounters with health personnel. Conclusion and implication: Although the women considered themselves autonomous and responsible for their final decisions, they wished health personnel were involved in their situations. The health personnel contributed by enabling or disabling the possibility of decision-making in accordance with the women’s values. The findings indicate that health personnel who care for women considering abortions must be trained in dialogical competence.

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Psychosocial adjustment after induced abortion and its explanatory factors among adolescent and adult women

Abstract: Our results suggest that adolescents are not at greater risk of psychosocial maladjustment than are adult women. Factors from different ecological contexts and specific factors depending on age group should be considered in preventive interventions for (mal)adjustment after abortion.

Cited by 15 publications

References 42 publications

Assessment of early damage of endometrium after artificial abortion by shear wave elastography

Assessment of early damage of endometrium after artificial abortion by shear wave elastography

Well-Being Before and After Pregnancy Termination: The Consequences of Abortion and Miscarriage on Satisfaction With Various Domains of Life

Beyond autonomy and care: Experiences of ambivalent abortion seekers

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