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Current Psychiatry Reports

, 19:77 | Cite as

Unintended Pregnancy, Induced Abortion, and Mental Health

  • Sarah Horvath
  • Courtney A. Schreiber
Reproductive Psychiatry and Women’s Health (CN Epperson, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Reproductive Psychiatry and Women's Health

Abstract

Purpose of Review

The early medical literature on mental health outcomes following abortion is fraught with methodological flaws that can improperly influence clinical practice. Our goal is to review the current medical literature on depression and other mental health outcomes for women obtaining abortions.

Recent Findings

The Turnaway Study prospectively enrolled 956 women seeking abortion in the USA and followed their mental health outcomes for 5 years. The control group was comprised of women denied abortions based on gestational age limits, thereby circumventing the major methodological flaw that had plagued earlier studies on the topic.

Summary

Rates of depression are not significantly different between women obtaining abortion and those denied abortion. Rates of anxiety are initially higher in women denied abortion care. Counseling on decision-making for women with unintended pregnancies should reflect these findings.

Keywords

Abortion Depression Anxiety Substance abuse Postpartum depression Post-abortion syndrome 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major impotance

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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  1. 1.Family PlanningHospital of the University of PennsylvaniaPhiladelphiaUSA
  2. 2.Family PlanningPerelman School of Medicine at the University of PennsylvaniaPhiladelphiaUSA

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