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Abortion does not harm mental health, says study
Reported 18 August, 2008
Women do not put their mental health at risk by having an
abortion, according to an authoritative study that will undermine the
campaign to tighten the UK's abortion laws.
A comprehensive review of research by the American Psychological Association
(APA), one of the world's most influential mental health bodies, found no
evidence that the majority of abortions cause psychiatric problems.
By challenging a key scientific argument for reform, the findings will
hinder the latest effort to make it harder for British women to obtain
terminations, which is to be debated by the House of Commons in October.
Anti-abortion MPs have tabled an amendment to the Human Fertilisation and
Embryology Bill that would require all women to be counselled about
psychiatric risks before they can be cleared to have a termination. They
cite research suggesting that mental health issues such as depression and
anxiety are more common among women who have had abortions.
The APA report said that the findings of such studies were unreliable
because they either failed to distinguish between abortions of wanted and
unwanted pregnancies, or they did not consider factors such as poverty and
drug use that raise the likelihood both of having an abortion and suffering
mental illness.
The APA found “no credible evidence” that single abortions could directly
cause mental health problems among adults with unwanted pregnancies. It
called for more well-designed studies to investigate the issue.
Even the evidence for adverse psychiatric effects of multiple abortions was
equivocal, it found. Higher rates of mental illness among such women could
be explained by social factors, such as poverty or drug use that also put
them at higher risk of unplanned and unwanted pregnancy.
Brenda Major, who chaired the task force, said: “The best scientific
evidence published indicates that among adult women who have an unplanned
pregnancy the relative risk of mental health problems is no greater if they
have a single elective first-trimester abortion or deliver that pregnancy.
“The evidence regarding the relative mental health risks associated with
multiple abortions is more uncertain.”
The report, which was published last week at the APA's annual conference in
Boston, found evidence that women who had late abortions because of foetal
abnormalities often suffered adverse psychological reactions, similar to
those experienced by women who had miscarried or had a stillbirth. These
effects, however, were seen among women who had lost a wanted pregnancy, and
should not be extrapolated to those who chose to terminate for other
reasons. They were also less serious than those seen in women who gave birth
to infants with life-threatening defects.
The majority of UK abortions meet the criteria for which the APA said there
are no attested psychiatric risks. About 90 per cent are conducted in the
first trimester to end unwanted pregnancies, and two thirds of the abortions
carried out in England and Wales last year were for women who had not had
one before.
The results are significant, because after the defeat in May of attempts to
reduce the 24-week time limit for terminations anti-abortion campaigners are
now demanding mandatory psychiatric counselling and a “cooling-off period”.
Supporters pointed to research such as a New Zealand study led by David
Ferguson, of Christchurch School of Medicine, which found in 2006 that women
who had had abortions had an elevated risk of mental health problems. The
study prompted a group of doctors led by Patricia Casey, of University
College, Dublin, to write to The Times: “Since women having abortions can no
longer be said to have a low risk of suffering from psychiatric conditions
such as depression, doctors have a duty to advise about long-term adverse
psychological consequences of abortion.”
In March, Nadine Dorries, the Conservative MP who led attempts to reduce the
time limit to 20 weeks, said: “We now know that abortion leads to depression
and mental health problems in later life, along with other complications in
future pregnancies.”
The Ferguson study was among those whose design was criticised by the APA
review, in this case because it did not distinguish between abortions of
wanted and unwanted pregnancies.
The APA's conclusions matched those of the Commons Science and Technology
Select Committee, which last year found no evidence for psychiatric damage
caused by abortion. The Royal College of Psychiatrists also considered
research inconclusive.
Ann Furedi, chief executive of the British Pregnancy Advisory Service, which
provided 55,000 abortions in 2007, said: “Abortion research is highly
politicised, but large, high-quality studies consistently show that having
an abortion does not result in psychological damage.”
Mrs Dorries said: “If this rehashed, inconclusive and dated research is
being used to deny women in the UK who seek an abortion the right to
counselling, then it's a fairly desperate act on behalf of the abortion
industry and those who wish to deny women the right to make a fully informed
decision.”
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