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Delayed after Effects of Medically Induced Abortion

Devereux, in his book, A Study of Abortion in Primitive Societies, (4) states "Every pregnancy, however normal it may be and however joyfully it may have been planned and anticipated, involves certain physiological, psychological and social adjustments which, in the broadest sense, represent 'stress'. Conversely, the artificial interruption of any pregnancy, however dangerous its continuation may be and however undesirable it may seem psychologically, socially, and economically, also involves basic physiological, psychological, and social readjustments which likewise represent 'stress'. "This decision results from a choice between two kinds of 'stress', one of which is rightly or wrongly deemed to be less painful than the other. The relative intensities of the two alternative types of stress are appraised in terms of some value system. ", . . what kinds and degrees of stress constitute a socially acceptable 'indication,' or a motivation which is in accordance with cultural standards, for the interruption of pregnancy." (4) The question of when a therapeutic abortion is really therapeutic cannot be treated lightly. (5,6,8,9,20) The recommendation of interruption of pregnancy in a high-risk population requires a thorough understanding of the female psychological and psychopathological reactions (12,13,14,16,17,23, 24,25,26). Klein (10) is explicit about these dangers: "While the woman may want to have the pregnancy interrupted, this wish may be accompanied by feelings of guilt and fear, and the abortion may, in such cases, precipitate a serious emergency reaction." This paper deals with the psychodynamic implication of delayed after effects of pregnancy interruption in a group of high-risk patients characterized by conflicts in the