E-ISSN: 2619-9467

Contents    Cover    Publication Date: 03 Nov 2021
Year 2021 - Volume 31 - Issue 3

Open Access

Peer Reviewed

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Long-term Mental Health & Financial Outcomes Associated with Abortion Access and Denial: A Systematic Review

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JCOG. 2021;31(3):97-9
DOI: 10.5336/jcog.2021-85039
Article Language: EN
Copyright Ⓒ 2020 by Türkiye Klinikleri. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
Abortion services access has been attacked nationally in the United States for decades, but more recently, attempts to ban abortion have dominated American politics at an exceedingly damaging rate. Coronavirus disease-2019 provided local and national politicians with the opportunity to implement limitations and temporary closures on abortion clinics throughout the country. Many of the policies put in place, both recently and historically, have been derived from faulty research with claims on mental health sequelae post-abortion being a frequently sighted point of reference. It is essential that the investigation of mental health prior to abortion, post-abortion, and of those who were denied abortion be considered to make just policies. This review finds that negative mental health outcomes are more severe in women who are denied an abortion compared to women who receive one. Additionally, denying women abortions is associated with significant financial difficulties and reduced quality of life. The purpose of this review is to identify current trends in scientific literature on abortion, the outcomes formulated based on these findings, the presence or lack thereof of mental health sequelae in experimental groups, and financial outcomes in these subjects. It is essential that policy surrounding abortion access reflects sound scientific literature and empowers women to make appropriate decisions about their reproductive health.
  1. GUTTMACHER [İnternet]. 2021 Is on Track to Become the Most DevastatingAntiabortion State Legislative Session in Decades. 2021. (Accessed 24 June, 2021). Available at: [Link] 
  2. Horvath S, Schreiber CA.Unintended pregnancy, induced abortion, and mental health. Curr Psychiatry Rep.2017;19(11):77. [Crossref]  [PubMed] 
  3. Charles VE, Polis CB, Sridhara SK,Blum RW. Abortion and long-term mental health outcomes: A systematic review of the evidence.Contraception. 2008;78(6):436-50. [Crossref]  [PubMed] 
  4. Major B, Appelbaum M, Beckman L,Dutton MA, Russo NF, West C. Report of the APA Task Force on Mental Health and Abortion.2008. [Crossref] 
  5. Foster DG, Biggs MA, Ralph L,Gerdts C, Roberts S, Glymour MM. Socioeconomic outcomes of women who receive and women whoare denied wanted abortions in the united states. Am J Public Health. 2018;108(3):407-13. [Crossref]  [PubMed]  [PMC] 
  6. Upadhyay UD, Weitz TA, Jones RK,Barar RE, Foster DG. Denial of abortion because of provider gestational age limits in theUnited States. Am J Public Health. 2014;104(9):1687-94. [Crossref]  [PubMed]  [PMC] 
  7. Rocca CH, Kimport K, Roberts SC,Gould H, Neuhaus J, Foster DG. Decision Rightness and Emotional Responses to Abortion in theUnited States: A Longitudinal Study. PLoS One. 2015;10(7):e0128832. [Crossref]  [PubMed]  [PMC] 
  8. Dagg PK. The psychologicalsequelae of therapeutic abortion--denied and completed. Am J Psychiatry. 1991;148(5):578-85. [Crossref]  [PubMed] 
  9. Gilchrist AC, Hannaford PC, FrankP, Kay CR. Termination of pregnancy and psychiatric morbidity. Br J Psychiatry.1995;167(2):243-8. [Crossref]  [PubMed] 
  10. Miller S, Wherry LR, Foster DG.What happens after an abortion denial? A review of results from the Turnaway Study. AEAPapers and Proceedings. 2020;110:226-30.[Crossref] 
  11. Miller S, Wherry LR, Foster DG.The economic consequences of being denied an abortion. Cambridge, MA: National Bur EconomicRes; 2020.[Crossref] 
  12. Foster DG, Biggs MA, Raifman S,Gipson J, Kimport K, Rocca CH. Comparison of health, development, maternal bonding, andpoverty among children born after denial of abortion vs after pregnancies subsequent to anabortion. JAMA Pediatr. 2018;172(11):1053-60. [Crossref]  [PubMed]  [PMC] 
  13. Biggs MA, Upadhyay UD, McCullochCE, Foster DG. Women's Mental health and well-being 5 years after receiving or being deniedan abortion: A prospective, longitudinal cohort study. JAMA Psychiatry. 2017;74(2):169-78.Erratum in: JAMA Psychiatry. 2017;74(3):303. [Crossref]  [PubMed]