Table of Contents for Detrimental Effects of Abortion

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Table of Contents for Detrimental Effects of Abortion: An Annotated Bibliography With Commentary

Copyright 2001 Thomas W. Strahan

Introductory Material

Note On Corrections and Recommendations

Supplements and Updates x

Editors Introduction xi

Editors Discussion of Key Research Findings and Conclusions xii

Standard of Care for Abortion

Abortion Procedures – Standards and Guidelines 1

Informed Consent 4

Abortion Decision-Making

General Background Studies 8

Crisis Theory 11

Pregnancy as a Crisis ` 12

Pregnancy Reactions/Unwanted Pregnancy 15

Characteristics of Women Having Induced Abortion 18

Abortion Decision Making – Role of Males 20

Adoption as An Option 23

Psychological Effects of Abortion

Validity of Studies 24

Risk Factors for Adverse Emotional Consequences of Abortion 26

Post-Abortion Stress/Trauma/Post-Abortion Syndrome 26

Grief and Loss 30

General Background Studies 30

Grief and Loss Following Abortion 34

Guilt 36

General Background Studies 36

Abortion-Related Guilt/Regret/Violation of

Conscience or Belief 38

Ambivalence or Inner Conflict 40

Anxiety 41

Intrusion/Avoidance/Dreams/Nightmares 42

Denial 44

Dissociation 49

Narcissism 50

Self-Image 51

Self-Punishment (Masochism) or Punishment of Others (Sadism) 52

Depression 53

General Background Studies 53

Abortion-Related Depression 56

Depression Shortly Prior to Abortion 57

Depression During Subsequent Pregnancies 58

Anniversary Depressive Reactions 59

Depressive Reactions from Genetic Abortion 60

Short Term Depressive Reactions 61

Long Term Depressive Reactions 63

Psychiatric or Psychological Hospitalization or Consultation 65

Self-Destructive Behavior 66

Suicide 66

Accidents 69

Repeat Abortions 70

Eating Disorders 78

Substance Abuse 80

General Background Studies (Substance Abuse) 80

Substance Abuse and Induced Abortion 83

Smoking 88

Long-Terms Effects of Abortion 94

Replacement Pregnancies/Rapid Repeat Pregnancies After Abortion 98

Sterilization 99

Impact of Abortion On Others 100

Men And Abortion 100

Abortions Impact on Siblings 107

Impact of Abortion on Marriage and Family 110

Violence 121

Wantedness as a Factor in Child Abuse 121

Child Abuse and Its Relationship to Abortion 122

Child Neglect or Failure to Bond 124

Family Violence and Abortion 126

Abortion as a Risk Factor for Violence During Pregnancy 127

Homicide of Women During and Following Pregnancy 129

Sexual Assault Pregnancy and Abortion 130

Rape 130

Incest 133

Second and Third Trimester Abortion 135

Social Effects and Implications of Abortion

Outcome – Refused Abortions 137

Sex Selection Abortion 139

Genetic Engineering 141

Deterioration of Economic and Social Conditions Following Abortion 142

Abortion and Race or Poverty 143

Abortion and Religion 151

Decline of Religious Involvement After Abortion 154

Physical Effects of Abortion

Abortion Technique and Its Relationship to Adverse Physical Effects 155

Short Term Complications and Other Aspects of Morbidity 156

Immediate Physical Complications 159

Cervical Injuries 160

Perforated Uterus 161

Pain in Women 163

Acute Pain 163

Chronic Pain 164

Organ or System Failure 165

Cerebrovascular Diseases (Stroke) 165

Circulatory Diseases 165

Disseminated Intravascular Coagulation (DIC) 166

Amniotic Fluid Embolism 166

Pulmonary Embolism 167

Adult Respiratory Distress Syndrome 167

Infection Associated With Abortion 168

Septic Abortion 168

Acute Renal Failure from Septic Abortion 168

Autoimmune Disease 168

Endometritis 169

Genital Tract Infection 170

Pelvic Inflammatory Disease (PID) 172

General Background Studies 172

Abortion-Related Pelvic Inflammatory Disease 174

Bacterial Vaginosis 177

Chlamydia Trachomatis Infection 179

Gonnorhea 181


Hepatitis 185

Use of Antibiotics in Connection With Induced Abortion 185

Impact on Later Pregnancies 188

Secondary Infertility 188

Uterine Fibroids 189

Gestational Trophoblastic Disease 189

Hypertension (High-Blood Pressure) 190

Ectopic Pregnancy 192

Placenta Previa/Aburuptio Placentae/Retained Placenta 196

Subsequent Miscarriage, Premature Birth or Low Birth Weight 198

Neonatal Infection 204

Intraamniotic Infection 204

Subsequent Fetal Malformation/Birth Defects 204

Cancer Risk Associated With Abortion 206

General Studies 206

Breast Cancer 206

Protective Effect of Early Childbirth 207

Induced Abortion as an Independent Risk Factor 209

Cervical Cancer 214

Ovarian Cancer 219

Endometrial Cancer 222

Lung Cancer 224

Colon and Rectal Cancer 226

Other Cancers 227

Abortion and Maternal Mortality

Maternal Death from Abortion 227

Pregnancy-Associated Mortality 233

Adolescents and Abortion

Adolescent Developmental Issues 235

Abortion Decision-Making Among Adolescents 243

Pregnant Teenagers Reliance on Others to Make

Pregnancy Resolution Decisions 246

Adolescent Abortion and Parental Involvement 247

Parental Notice or Consent 247

Effect of Parental Involvement Laws 248

Necessity of Parental Involvement 249

Family Estrangement 249

Parental Reaction to Pregnancy 251

Profile of Adolescents Not Disclosing Pregnancy

or Abortion to Parents 252

Availability of Financial Resources as a Factor 252

Adolescent Violation of Conscience or Belief 255

Adolescent Long Term Psychological Sequelae 256

Adolescent Demographic Data 256

Differential Physical Complications of Adolescent Abortion 257

Adolescent Risk of Breast Cancer 258

Definition of Terms 260

ISBN: 0-9648957-0-6   $34.95 (paper)  276 pp.

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