Psychological Problems Sequalae in Adolescents after Artificial Abortion

Zulčić-Nakić, Vesna; Pajević, Izet; Hasanović, Mevludin; Pavlovic, Slobodan; Ljuca, Dženita

doi:10.1016/j.jpag.2011.12.072

Cited by 9 publications

(7 citation statements)

References 18 publications

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“…96 Indeed, given the fact that a disproportionate number of deaths associated with prior pregnancy loss are due to suicide and accidents, it would appear that causal contribution would most likely be indirect and chiefly mediated by psychological effects which are known to occur among women who experience a pregnancy loss. [2][3][4][5][6][7][8][9][10][17][18][19] Moreover, the finding that there pregnancy loss has a dose effect on increased risk of death 90 (Figure 6) strongly parallels the finding of pregnancy loss having a dose effect on increased risk of mental illness. 2,5,13 But even if the elevated risks can be entirely explained by common risk factors, it is critically important to acknowledge that these findings are still clinically relevant and very useful.…”

Section: Incidental or Causal Relationships?mentioning

confidence: 88%

“…Pregnancy loss is at least a marker for adverse maternal outcomes, but is most likely a contributing risk factor driven by psychological stresses related to pregnancy loss. 2 – 22 …”

Section: Discussionmentioning

confidence: 99%

“…Compared to women who deliver, those who miscarry or have TOP face significantly elevated rates of psychiatric disorders, 2 – 10 substance use, 5 , 6 , 10 – 13 suicidal behaviors, 5 , 6 , 13 – 16 sleep disorders, 17 post-traumatic stress disorders, 7 , 18 , 19 a decline in general health, 20 and elevated rates of recourse to medical treatments in general, 21 , 22 most of which have been observed within the first through ten years following the pregnancy loss. Any and all of the aforementioned conditions may shorten longevity.…”

Section: Introductionmentioning

confidence: 99%

“…This methodology is especially important to understanding mortality rates associated with TOP and natural pregnancy losses precisely because such deaths are (a) much more common than deaths during pregnancy or after delivery, and (b) less likely to be identified on death certificates alone. 1 Compared to women who deliver, those who miscarry or have TOP face significantly elevated rates of psychiatric disorders, 2-10 substance use, 5,6,[10][11][12][13] suicidal behaviors, 5,6,[13][14][15][16] sleep disorders, 17 post-traumatic stress disorders, 7,18,19 a decline in general health, 20 and elevated rates of recourse to medical treatments in general, 21,22 most of which have been observed within the first through ten years following the pregnancy loss. Any and all of the aforementioned conditions may shorten longevity.…”

Section: Introductionmentioning

confidence: 99%

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Pregnancy associated death in record linkage studies relative to delivery, termination of pregnancy, and natural losses: A systematic review with a narrative synthesis and meta-analysis

Reardon¹,

Thorp

2017

SAGE Open Medicine

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Objectives:Measures of pregnancy associated deaths provide important guidance for public health initiatives. Record linkage studies have significantly improved identification of deaths associated with childbirth but relatively few have also examined deaths associated with pregnancy loss even though higher rates of maternal death have been associated with the latter. Following PRISMA guidelines we undertook a systematic review of record linkage studies examining the relative mortality risks associated with pregnancy loss to develop a narrative synthesis, a meta-analysis, and to identify research opportunities.Methods:MEDLINE and SCOPUS were searched in July 2015 using combinations of: mortality, maternal death, record linkage, linked records, pregnancy associated mortality, and pregnancy associated death to identify papers using linkage of death certificates to independent records identifying pregnancy outcomes. Additional studies were identified by examining all citations for relevant studies.Results:Of 989 studies, 11 studies from three countries reported mortality rates associated with termination of pregnancy, miscarriage or failed pregnancy. Within a year of their pregnancy outcomes, women experiencing a pregnancy loss are over twice as likely to die compared to women giving birth. The heightened risk is apparent within 180 days and remains elevated for many years. There is a dose effect, with exposure to each pregnancy loss associated with increasing risk of death. Higher rates of death from suicide, accidents, homicide and some natural causes, such as circulatory diseases, may be from elevated stress and risk taking behaviors.Conclusions:Both miscarriage and termination of pregnancy are markers for reduced life expectancy. This association should inform research and new public health initiatives including screening and interventions for patients exhibiting known risk factors.

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Section: Incidental or Causal Relationships?mentioning

confidence: 88%

“…Pregnancy loss is at least a marker for adverse maternal outcomes, but is most likely a contributing risk factor driven by psychological stresses related to pregnancy loss. 2 – 22 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Pregnancy associated death in record linkage studies relative to delivery, termination of pregnancy, and natural losses: A systematic review with a narrative synthesis and meta-analysis

Reardon¹,

Thorp

2017

SAGE Open Medicine

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show abstract

“…Such post-abortion psychological distress includes higher rates of depression [2]- [5], suicide [6] [7], anxiety [2] [8], sleep problems [9], and substance disorders [10] compared to other reproductive events. Of particular concern, is the increased evidence of women experiencing post-traumatic stress disorders after abortion [11]- [15], which appears independent of age, geographic location, or ethnicity.…”

Section: Introductionmentioning

confidence: 99%

An Explanatory Model to Guide Assessment, Risk and Diagnosis of Psychological Distress after Abortion

Curley¹

2014

OJOG

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Background: Emerging data report 30% of women worldwide who obtain elective abortion experience negative and persistent psychological distress afterward. Studies find higher rates of psychological stress, depressive, substance, and anxiety disorders as well as suicidal behaviors, among some populations after abortion as compared to other reproductive events. Of concern, is that current theory and practice which promote abortion to relieve the stress of an unwanted pregnancy do not reflect new evidence. Moreover, the controversy on abortion inhibits research and treatment on its impact on women's mental health. Thus, clinicians do not identify adverse psychological outcomes to abortion leaving many women untreated. Indeed, this knowledge-practice gap among healthcare providers may be the major reason that the incidence of adverse psychological outcomes after abortion continues to rise. Method: This paper proposes a theoretical understanding of psychological distress after abortion based on new data. A bio-psychosocial framework, including a psychological and biological theory, as well as a conceptual model is presented to explain the development of psychological distress after abortion. A comparison of risk factors between postpartum and post-abortion disorders is presented. Conclusion: A new theoretical model of psychological distress after abortion deepens understanding of the range of women's responses to abortion and promotes evidence based practice.A scientific framework provides a much needed understanding of abortion aftermath as opposed to a political one. By providing assistance to clinicians in the identification, screening, and treatment of psychological disorders after abortion, this thesis aims to close the practice gap, and increase services after abortion to women who need them.

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Trauma Informed Care in the Obstetric Setting and Role of the Perinatal Psychiatrist: A Comprehensive Review of the Literature

Sachdeva

Yang

Gopalan

et al. 2022

Journal of the Academy of Consultation-Liaison Psychiatry

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Psychological Problems Sequalae in Adolescents after Artificial Abortion

Cited by 9 publications

References 18 publications

Pregnancy associated death in record linkage studies relative to delivery, termination of pregnancy, and natural losses: A systematic review with a narrative synthesis and meta-analysis

Pregnancy associated death in record linkage studies relative to delivery, termination of pregnancy, and natural losses: A systematic review with a narrative synthesis and meta-analysis

An Explanatory Model to Guide Assessment, Risk and Diagnosis of Psychological Distress after Abortion

Trauma Informed Care in the Obstetric Setting and Role of the Perinatal Psychiatrist: A Comprehensive Review of the Literature

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