The purpose of this study was to describe black adolescent women's moral concerns and emotional reactions to the voluntary termination of their pregnancies. Personal, semi-structured interviews were conducted with seven women (between the ages 16 and 19 years) who had legal, induced abortions, between one day and three months prior to the interview. A qualitative analysis of the results revealed that moral concerns were based on social, ecclesiastic and cultural values, as well as a sense of accountability towards the self. The women's emotional reactions predominantly involved the negative emotions of shame and embarrassment, as well as guilt and sadness linked to a sense of loss.