The Truth about Abortion

Abortion rights are under attack in many countries. Yet a recent study shows just how damaging, both psychologically and economically, being denied an abortion can be.

by Richard Grossman MD

Dr. C. Everett Koop was President Ronald Reagan’s Surgeon General for most of his 2 terms. An excellent pediatric surgeon, Dr. Koop had very strong anti-abortion beliefs, consistent with Reagan’s.

Reagan asked Koop to research the psychological and physical harm that abortion does to women. When Koop did not find the substantiation he had expected, he refused to publish his findings. He is reported to have commented about the value of studies done by antiabortion people, mentioning “… the poor quality of their research evidence….”

When the report was made public, Koop stated: “There is no doubt about the fact that some people have severe psychological effects after abortion, but anecdotes do not make good scientific material.”

The world needed to wait more than 30 years to get good scientific evidence about abortion’s lack of psychological damage to women. Dr. Diana Greene Foster and a team of social scientists at the University of California, San Francisco, have finally done the research that was needed to determine the sociological and psychological safety of abortion. Their findings are good news for women.

The physical safety of abortion had already been determined. Despite what some people think, having an abortion is much, much safer than giving birth. It was only the psychological and economic effects that were in question in Koop’s era. 

The work of Dr. Foster and her group is outlined in a short TED talk, “What Happens When We Deny People Abortions?” In addition, her book The Turnaway Study (2020) is very readable; it intermixes their findings with short case histories of study women.

What is the best way to investigate the effect of abortion on women? You need to compare two sets of women. One group would be women with unintended pregnancies who had abortion care. The other group would also want to abort their pregnancies, but not be able to do so. Foster and her group found these two groups, and carefully followed each woman for 5 years. They recruited women from abortion clinics all over the USA. Each clinic has a gestational limit. Members of the first group were just under that limit; women had their desired abortions. Women in the control group were less fortunate. They were just over the limit, so could not have an abortion, and the nearest clinic where the abortion could be performed was too far away for them to travel. They were turned away and later delivered.

The findings were conclusive:

  • Most women who have an abortion do not regret having had it.
  • Having an abortion did not tend to cause psychological harm.
  • Women who wanted an abortion, but did not receive it, had an increase in poverty.
  • Being denied an abortion makes it more likely that a woman will stay with an abusive partner, and more likely that a woman will be a single parent without family support.
  • Children born as a result of abortion denial are more likely to live below the federal poverty level and experience poor maternal bonding.
  • More than half of women who seek abortions are already parenting children. This study found that the financial wellbeing and development of these older children are negatively impacted when their mothers are denied abortion.

Let’s hope that there will be no more deceit about abortion. Not only does abortion help women, but it also helps the children who preexisted the aborted pregnancy, or who were born after. The saddest finding of the Turnaway Study is that two of the women who were forced to carry unintended pregnancies died as a result of those pregnancies.

Richard Grossman is a retired obstetrician-gynecologist. He writes a monthly essay on human population at: www.population-matters.org. This text was originally posted on his site on 3 March 2024.

Read more about abortion on TOP: https://overpopulation-project.com/reproductive-biology-of-abortion/

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3 responses to “The Truth about Abortion”

  1. Edith Crowther Avatar

    Yes, but the salient fact about the wonderful Dr Koop is that he believed abortion was a moral issue and not a political one. (Ditto euthanasia.) Personally, he was against abortion and euthanasia in theory – but personal moral choices remain a choice, in the end, affected by many unpredictable (and often unchosen) factors. He only objected to declaring officially, as the State’s Surgeon General, that abortion harmed women because he found little evidence for this, on the whole, apart from some cases. Slyly, the pro-abortion campaigners are now wielding this honest admission and leaving out his entire personal stance, including the monumentally important fact that he thought the State had no business legislating on this matter. This holes both the pro and anti campaigners below the water – thank goodness, as both campaigns have become an Industry of no benefit to anyone.
    He championed the rights of disabled children and saved hundreds of moderately disabled newborns through surgery – however I do not know what he thought privately about abortion of a foetus known to be SEVERELY disabled and not rescuable by surgery, and this remains a very tricky (and separate) subject – especially as an ocean of mutagens and teratogens sweeps across the world via biocides and other pollutants (including several in the form of medical prescription drugs). But again, he will certainly have insisted it should be a personal moral decision, and not one for elections and lawyers obeying majority votes by every Tom, Dick and Harry (and every Mary, Jane and Sue).
    I do think that he was right about keeping abortion out of politics, as it becomes more and more of a political football. Whatever the Government does, desperate women who have not been able to say “No” to overbearing men (including husbands), or have just been promiscuous, are going to seek an abortion whether it is legal or not. And doctors who believe they are being kind (to the woman) are going to “help” them.
    The Church used to try and encourage women to have the child and then give it up for adoption – something that could make a comeback as infertility becomes a bit of an epidemic (due to pollution all over the world).
    But the Church is in decline, and no-one else seems inclined to follow this “solution” which is itself fraught with problems – not least the fact that mothers who carry their child to term are likely to want to hang onto it like grim death. In any case, if Biologists are right about any species in massive Overshoot being bound to crash equally massively, there is surely no need for Population campaigners to peddle some technical “fix” for lethal human numbers? Just wait for the crash – it will be a lot more effective than any “fix”, and also a lot less polluting (since all modern medicine creates mountains of waste products, like everything modern).
    Interesting – and topical – is Koop’s stance on tobacco, which was very different because it is much simpler to prove that addiction to nicotine is harmful than to prove that abortion is harmful to the mother. Wiki says that he “issued a challenge to Americans in 1984 to ‘create a smoke-free society in the United States by the year 2000.’ As Surgeon General, he released eight reports on the health consequences of tobacco use, including the first report on the health consequences of involuntary tobacco smoke exposure. During Koop’s tenure as Surgeon General [1982 to 1989], smoking rates in the United States declined significantly from 38% to 27% – though Congress passed no laws against it, apart from those placing warning labels on cigarette packs and requiring advertising to include the labels.”
    Smoking dropped via education, in short. Surely if schools taught how an embryo develops after conception, this near-miracle of biology would make even teenagers think twice about creating such a wonder only to destroy it? I am supposed to be highly educated, and I even did Biology at A-level – yet until recently I have been woefully ignorant about what is going on in the mother post-conception (or even pre-conception – for instance, I never knew until recently, that girls are born with all the eggs they will ever have already present and thus open to alteration by environmental mutagens).
    But schools seem to have an allergy to the truth, on any topic, focusing instead on the wild imaginings of social manipulators. I also never knew until recently, that human cells have 23 pairs of chromosomes (22 pairs of autosomes and one pair of sex chromosomes), giving a total of 46 per cell – whatever the cell’s function may be. The 23rd pair is either XX (female) or XY (male) – apart from rare variations. Can this really be true? Is my dandruff all XX? And a man’s dandruff all XY? It seems so startling. But in a world of lies, the truth often is quite startling.

  2. gaiabaracetti Avatar

    Thank you for this. In Italy, we are going back on this issue. Apparently, with a new law, anti-abortion activists will be allowed into family planning clinics. We also have a law allowing doctors to object, based on conscience (“obiezione di coscienza”), to performing an abortion, which might have made sense when abortion was first legalised, but doesn’t now: it’s unfair to the women, unfair to those doctors who do not object and have to carry out all the abortions themselves, which is not what they had signed up for, and unfair to the taxpayers. If you don’t want to perform abortions, don’t become a gynecologist in a public hospital!
    Moreover, in the media and popular discourse you often hear condescending talk about the “difficult”, “traumatising” choice to have an abortion, meaning, in the best cases: these poor women are suffering so much already, we should be more sympathetic. But it’s untrue. Abortion doesn’t lead to life-long suffering and regret. Women usually take such an important decision carefully, and do no regret it. Of course women would prefer to be able to avoid getting pregnant in the first place when they don’t want a child, but an abortion is still better than being forced to carry out a pregnancy you do not want.

  3. Jack Avatar

    This has become a big issue for me especially after leaving the Catholic Church (30+ years ago) and especially after being married-partner with a woman from Iran who had two abortions and often spoke of it (she had no regrets). More and more we are seeing an effect of overpopulation we rarely see and that is the loss of rights especially for women. Hopefully, in the US this will be a rallying cry to dump the person most responsible for the turn around of our Supreme Court toward the abortion issue and many basic rules of civility. Many of our states with pro (human) life agendas have failed to pass draconian laws due to the woman’s vote. Thank you for your comment as it shows loss of abortion rights is becoming an international problem.

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