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Abortion and subsequent pregnancy.

C F Bradley

    Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
    |October 1, 1984
    PubMed
    Summary
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    Women with prior abortions showed higher autonomy and nurturance but also increased depressive affect during pregnancy and postpartum. No significant differences were found in demographics or attitudes towards childbirth.

    Area of Science:

    • Psychology
    • Obstetrics
    • Women's Health

    Background:

    • Previous therapeutic abortion is a significant life event for women.
    • Understanding the psychological impact of prior abortion on subsequent pregnancies is crucial for maternal well-being.

    Purpose of the Study:

    • To investigate the psychological and attitudinal differences between women with and without a history of therapeutic abortion during pregnancy and the postpartum period.
    • To examine the relationship between prior abortion, anxiety, and maternal functioning.

    Main Methods:

    • Longitudinal study following 254 women from the second trimester of pregnancy to 12 months postpartum.
    • Utilized psychological and attitudinal measures, including the Personality Research Form.
    • Compared two groups: women with (n=28) and without (n=216) a prior therapeutic abortion.
    Keywords:
    Abortion, InducedAbortion, TherapeuticAmericasBehavior--womenCanadaChild RearingCohort AnalysisComparative StudiesDemographic FactorsDepressionDeveloped CountriesDeveloping CountriesDiseasesFamily PlanningFertility Control, PostconceptionFollow-up StudiesHealthLongitudinal StudiesMental DisordersMental HealthNorth AmericaNorthern AmericaPopulationPopulation CharacteristicsPopulation DynamicsPostabortionPostpartum WomenPregnancyPregnancy OutcomesPregnancy, Third TrimesterPsychological FactorsPuerperiumReproductionResearch MethodologyResearch ReportStressStudiesTime FactorsUrban Population

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    Main Results:

    • No significant differences in demographic status, obstetric experience, or attitudes towards labor and birth between groups.
    • The study did not find a relationship between anxiety during pregnancy and prior abortion, nor indications of inadequate maternal functioning.
    • Women with a prior abortion scored higher on autonomy and nurturance subscales and reported higher depressive affect in late pregnancy and postpartum.

    Conclusions:

    • A history of therapeutic abortion is associated with specific personality traits (autonomy, nurturance) and increased depressive affect during the perinatal period.
    • Despite these findings, prior abortion history did not correlate with increased anxiety or impaired maternal functioning in this cohort.
    • Further research is needed to explore the long-term psychological implications and support needs for women with a history of abortion undergoing subsequent pregnancies.