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Abortion ups risk of mental illness: Myth

Friday, Feb 10, 2012
Reuters

NEW YORK - In women with a history of mental illness such as schizophrenia and bipolar disorder, getting an abortion does not increase their chances of landing in a psychiatric facility again, suggests a new study from Denmark.

Still, those who had an abortion had a higher overall readmission rate both before and after the procedure than women who gave birth.

Some researchers -- as well as political opponents of abortion -- have suggested that aborting a fetus can take a serious psychological toll on women, although doctors who do the procedures argue that's generally not the case.

"We're not saying that this group of women is necessarily doing really, really well. What we're saying is that the procedure itself doesn't seem to be associated with a higher risk of readmission," said Trine Munk-Olsen, from the University of Aarhus, one of the study's authors.

"It does seem to be a more vulnerable group of women," she told Reuters Health.

Munk-Olsen pointed out that her study only took into account psychiatric episodes that were severe enough to require intensive treatment, so it can't give any clues into whether abortion might have an effect on more mild depression, for example.

Feelings of sadness and loss around the time of an abortion are "temporary and appropriate," said Dr. Anne Davis, an ob-gyn at the Columbia University Medical Center in New York.

"There are going to be normal emotional reactions to that type of stress," Davis, who wasn't involved in the new study, told Reuters Health. That's not the same thing as saying women are likely to have serious mental health issues as a result of the procedure, she added.

The new data come from records of Danish women with a past psychiatric facility stay who had an abortion or gave birth between 1994 and 2007. In each of those cases, the researchers tracked the woman's chance of being readmitted for any psychiatric disorder in the nine months before the abortion or birth and the year afterward.

Of the 2,838 women getting a first abortion, 11 per cent were readmitted sometime during the study. That compares to just five per cent of the 5,293 women who gave birth.

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