Psychological Impact on Patients and Staff

  • Nancy B. Kaltreider


Far more than most other medical procedures, abortion is surrounded by social considerations and poses a number of potential problems for all concerned with it. Dealing with second-trimester abortion is particularly difficult, not only because the fetus may be perceived less as a potential life at some time in the distance future (and more as a baby at that moment), but also because the woman who delays her decision to seek an abortion may be emotionally more fragile than the woman who chooses to abort early. To compound matters further, patient and staff reactions to second-trimester abortion clearly are influenced by the characteristics of the method of pregnancy termination per se. The use of dilatation and evacuation in the second trimester presents a unique situation; what may be best for the patient may be most upsetting for her physician and his/her colleagues.


Obstet Gynecol Therapeutic Abortion Abortion Care Trimester Abortion Strong Emotional Reaction 
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  1. 1.
    Adler NE: Abortion: a social-psychological perspective.J Soc Issues 35:100, 1979.CrossRefGoogle Scholar
  2. 2.
    Ekblad M: Induced abortion on psychiatric grounds: a follow-up study of 479 women. Acta Psychiatr Neurol Scand. (suppl)99:3, 1955.Google Scholar
  3. 3.
    Patt SL, Rappaport RG, Barglow P: Follow-up of therapeutic interruption of pregnancy. Arch Gen Psychiatry 20:408, 1969.PubMedGoogle Scholar
  4. 4.
    Osofsky JD, Osofsky HJ: The psychological reaction of patients to legalized abortion. Am J Orthopsychiatry 42:48, 1972.PubMedCrossRefGoogle Scholar
  5. 5.
    Ewin JA, Rouse BA: Therapeutic abortion and a prior psychiatric history. Am J Psychiatry 130:37, 1976.Google Scholar
  6. 6.
    Peck A, Marcus H: Psychiatric sequelae of therapeutic interruption of pregnancy.J Nerv Merit Dis. 143:417, 1966.CrossRefGoogle Scholar
  7. 7.
    Smith EM: A follow-up study of women who request abortion. Am J Orthopsychiatry 43:574, 1973.PubMedCrossRefGoogle Scholar
  8. 8.
    Payne EC, Kravitz AR, Notman MT, et al: Outcome following therapeutic abortion. Arch Gen Psychiatry 33:725, 1976.PubMedGoogle Scholar
  9. 9.
    Niswander K, Patterson R: Psychological reaction to a therapeutic abortion. Obstet Gynecol. 29:702, 1967.PubMedGoogle Scholar
  10. 10.
    Schaeffer C, Pine F: Pregnancy, abortion and the developmental tasks of adolescence.J Am Acad Child Psychiatry 11:511, 1972.CrossRefGoogle Scholar
  11. 11.
    Bracken M, Swigar M: Factors associated with delay in seeking induced abortions. Am J Obstet Gynecol. 113:301, 1972.PubMedGoogle Scholar
  12. 12.
    Center for Disease Control: Abortion surveillance—United States, 1976. Morb Mort Wkly Rep. 27:175, 1978.Google Scholar
  13. 13.
    Kaltreider N: Psychological factors in midtrimester abortion. Psychiatry Med. 4:129, 1973.CrossRefGoogle Scholar
  14. 14.
    Bibring GL, Dwyer TF, Huntington DS, et al: A study of the psychological processes in pregnancy and of the earliest mother-child relationship. Psychoanal Study Child 16:9, 1961.Google Scholar
  15. 15.
    Kerenyi TD, Glascock EL, Horowitz ML: Reasons for delayed abortion: results of four hundred interviews. Am J Obstet Gynecol. 117:299, 1973.PubMedGoogle Scholar
  16. 16.
    Blumberg B, Golbus M, Hanson K: Psychological sequelae of abortion performed for a genetic indication. Am J Obstet Gynecol. 122:799, 1975.PubMedGoogle Scholar
  17. 17.
    Osofsky JD, Osofsky HJ, Rajan R, et al: Psychosocial aspects of abortion in the United States. Mt. Sinai J Med. 42:456, 1975.PubMedGoogle Scholar
  18. 18.
    Char WF, McDermott JF: Abortions and acute identity crises in nurses. Am J Psychiatry. 128:952, 1972.PubMedGoogle Scholar
  19. 19.
    Kane FJ, Feldman M, Jain S, et al: Emotional reactions of abortion services personnel. Arch Gen Psychiatry 28:409-411, 1973.Google Scholar
  20. 20.
    Kaltreider N, Goldsmith S, Margolis A: The impact of midtrimester abortion techniques on patients and staff. Am J Obstet Gynecol. 28:409, 1973.Google Scholar
  21. 21.
    McNair D, Lorr M, Doppleman L: Profile of Mood States Manual San Diego, Educational and Industrial Testing Service, 1971.Google Scholar
  22. 22.
    Horowitz MJ, Wilner N, Alvarez W: Impact of Event Scale: a measure of subjective stress. Psychosom Med. 41:209, 1979.PubMedGoogle Scholar
  23. 23.
    Bracken MB, Kasl SV: Delay in seeking induced abortion. Am J Obstet Gynecol. 121:1008, 1975.PubMedGoogle Scholar

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© Gary S. Berger, William E. Brenner and Loius G. Keith 1981

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  • Nancy B. Kaltreider

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