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Post-Abortion Syndrome
Post-Abortion Syndrome (PAS) is the term used to describe a woman's inability to process the feelings
of fear, anger, sadness, grief and guilt surrounding her abortion experience.
Research indicates that during the time immediately following an abortion, many women experience
"psychological numbing." In order to protect their emotional stability, many women
employ psychological defense mechanisms to repress any uncomfortable or disturbing feelings. As a
result, many emotional reactions to abortions are delayed, sometimes for more than 5 or 10 years.
The early defense mechanisms are very effective in keeping painful memories away, but they consume
a lot of mental energy. Eventually, if enough stress enters the life of a woman who has had an
abortion, she may find herself without the ability to cope.
A variety of experiences may trigger symptoms associated with PAS. The symptoms described here may
not happen all at the same time, but if a woman experiences any of them, we can help.
Guilt
This is what men and women feel when they have gone against what they believe is morally right. A
woman who believes that part of her identity as a woman is to protect and nurture children may
find the burden of guilt relentless. Often women feel that unpleasant events which occur after her
abortion have happened because "she deserved it."
Anxiety
Anxiety is an emotional or physical state of apprehension. It may manifest itself as an inability
to relax, irritability, dizziness, pounding heart, upset stomach, headaches, worry about the
future, difficulty concentrating and disturbed sleep. She may avoid things having to do with
babies (baby showers, the grocery aisle where baby food is sold, etc.) In severe cases, anxiety
may develop into panic attacks or agoraphobia (fear of open spaces).
Psychological Numbing
Many post-abortive women vow they will never again allow themselves to be put in such a vulnerable
position. As a result, they work extremely hard to keep their emotions on a flat level
without highs and lows. This greatly hampers their ability to form and maintain close bonds with
others.
Depression/Suicide
The sense of hopelessness and utter futility, combined with the inability to find pleasure from
any source, may lead ultimately to self-hatred and the desire to simply die. A few women reach
the point of clinical depression, but most continue to function, while experiencing uncontrollable
crying episodes, deterioration of self-image, poor motivation, some sleep, eating or sexual
dysfunction, and a preoccupation with death.
Anniversary Syndrome
This phenomenon is an increase of painful memories around the time of the anniversary of the
abortion or the projected due date of the baby annually. It is fairly common among women with PAS.
Flashbacks/Nightmares
A sudden disturbing re-living of the abortion episode is often reported among women who have PAS.
It may be triggered in situations that resemble the abortion experience, like a gynecological
exam, but some women indicate that even their vacuum cleaner, which makes a noise similar to the
suction instrument used during an abortion procedure, produces the distressing flashbacks. In
addition, some women may experience recurring nightmares about their aborted baby.
Preoccupation With Becoming Pregnant
A significant percentage of women who abort become pregnant again within one year. This desire
to be pregnant again seems to represent the hope that the new pregnancy will serve as a
replacement for the one which was aborted.
Anxiety Over Childbearing Issues
PAS may lead a woman to consider herself an unfit mother unfit to have other children
or fearful that she may become the parent of disabled children as "punishment,"
or that a wanted baby may not be carried to term. She may even pressure herself to be the
"World's Perfect Mother," to make up for the abortion decision, and to reassure
herself she is not a bad mother.
Inability to Bond
A post-abortive woman may not allow herself to become attached to another developing child
during pregnancy, because of the fear of loss listed above. If a woman already has other
children at the time of her abortion, she may unconsciously disconnect herself emotionally
from them, or, in extreme cases, abuse them because children no longer seem valuable.
Eating Disorders
Women with PAS sometimes develop eating disorders: large weight gain or loss may make her
feel less attractive and therefore make her feel as if she is less likely to become pregnant
again. A dramatic weight loss may even shut down her menstrual cycle.
Chemical Abuse
Alcohol and drugs often serve as a form of self-medication from life's painful realities.
Unfortunately, the mental and physical complications of chemical dependency only amplify
the symptoms of PAS.
Self Punishment
This may take the form of choosing or staying in abusive relationships, promiscuity,
failure to obtain reasonable medical care, or deliberately hurting herself physically or
emotionally. It is possible for a woman with an abortion experience to have other symptoms
such as rage, nervousness, hatred toward men, or regret. Studies have found that women who
abort are 25% more likely to seek psychiatric care than women with no prior abortion
experience. One study noted that women have "only a 50% chance of getting over their
abortion experience within 5 to 7 months." Among those who were still struggling,
"none of those we were able to see at 14 months post-abortion had improved." If
what you have read sounds like you, or someone you know, please call us.
What percentage of women experience some form of PAS?
- depression (98%)
- regret (69%)
- flashbacks (61%)
- guilt (61%)
- lower self esteem (54%)
- anniversary (54%)
- rage (47%)
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- feeling helpless (42%)
- bitterness (39%)
- replacement baby (34%)
- anxiety (32%)
- nightmares (30%)
- hostility toward men (28%)
- suicidal thoughts (24%)
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"Identifying and Overcoming Post Abortion Syndrome," by Paul Reisser, M.D., and
Terry Reisser, M.S. Sources: Psychological Reactions Reported After Abortion, The Post
Abortion Review, Vol. 2, No. 3 1995, Elliot Institute, Open Arms, National Office PO Box 9292
Colorado Springs, CO 80923, "Psychological Sequelae of Therapeutic Abortion in Young
Unmarried Women," Judith Wallerstein, Archives of General Psychiatry, Vol. 27 1972.
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