Courtship period is like a trial to the honeymoon period as couples enjoy each other’s company getting to know their future better half. The post-marriage period too is blissful for most couples as they lead a happy life enjoying what life has to offer before getting into family commitments. Once the couple decides to go the family way, things start taking a different turn in many of their lives. Some couples are blessed to conceive as soon as they plan but for many others, the journey is rather a long one that’s filled with emotions. But there are some couples who plan on not getting pregnant for a certain period until they settle in life and are ready for parenthood. These face another sort of emotional turmoil being in a constant state of worry of getting pregnant. Such is life with different people coming over with different set of emotions depending on their situation. Couples sometimes hit the hard path with unplanned pregnancies and abortion exists as their only option to escape from the clutches of unplanned parenthood and economic crisis. There are plenty other reasons too for abortions besides this concerning the woman involved here. For instance, when you find yourself 5 weeks pregnant at 16 years of age it doesn’t call for celebration.
A Complex Rollercoaster Ride
Despite harsh rules on abortions worldwide the rates haven’t decreased monumentally. The word still seems to be a taboo but the human community has started accepting it pretty much more than during earlier times. Abortion wrecks the pregnant woman’s mind causing a wave of emotions within herself. She is at the threshold of a hundred different feelings all happening simultaneously within her and to worsen the scenario, there are multiple other effects of abortion too that can affect the quality of life later. The most important of all is its impact on subsequent pregnancies. A study quotes that one pregnancy loss may have its effect shown on subsequent pregnancies in a woman’s life. According to this study, those women who have experienced a single pregnancy loss are at a 30% higher risk of suffering from pregnancy complications in subsequent pregnancies compared to those women who have never had a single abortion or miscarriage (https://www.indiatoday.in/lifestyle/health/story/single-abortion-may-adversely-affect-later-deliveries-and-pregnancies-women-287969-2015-08-12).
Generally, though, elective abortion isn’t thought to cause fertility issues or complications in future pregnancies but there are various studies too that suggest a link between pregnancy termination and increased risk of premature birth and low birth weight. However, the risk depends on the type of abortion done-medical (medications taken to abort fetus and they mostly don’t increase risk of pregnancy complications) or surgical (removal of fetus through vagina). It is commonly abortions that are associated with complications that impact future fertility. Some of the common complications include uterine injury from the procedure, infection and serious bleeding that calls for immediate surgery. We have studies too supporting the fact that medical abortion is unlikely to affect a woman’s future reproductive health as it doesn’t increase the risk of ectopic pregnancy, miscarriage, preterm birth or low birth weight babies in forthcoming pregnancies any more than surgical abortion.
The Safest Bet for Complications Includes Unsafe Abortion Practices
The primary reason for complications arising from abortions is due to opting for unsafe ways to abort the fetus that can later on lead to dangerous consequences while conceiving. Sometimes, the happiness of attaining motherhood remains unfulfilled as it can lead to infertility issues too. Complication rates are extremely high in those places where access to safe abortion procedures are minimal. Such unsafe procedures can lead to uterine injury, bowel injury and severe infections. Non-sterile abortions increase infertility rates and death rates too whose common causes include sepsis, haemorrhage, infection, genital trauma and necrotic bowel. Also, a non-sterile abortion causes pelvic inflammatory disease (PID) that develops in 20% women who opt for self-abortion. Sometimes, these women also need a hysterectomy to treat the individual from the complication and in due course they lose their fertility. Almost 8-11% of maternal deaths globally occur due to such unsafe abortions-such mortality is also a hindrance to future fertility.
Medical abortion is the easiest way to flush off the fetus and is also the most-practiced method to abort. We have a number of abortion drugs available and the over-the-counter pills available for abortion is increasing rapidly. Also, restrictions and laws against abortions force women to use desperate practices that botches the abortion resulting in almost 8-11% (30.000 deaths annually) maternal deaths every year. But abortion-related death has indeed reduced compared to a previous few decades, by almost 42% since the 90s despite the fact that 45% abortions worldwide are still performed under unsafe circumstances.
Can an Abortion Affect your Fertility? https://www.nytimes.com/2019/05/30/well/can-an-abortion-affect-your-fertility.html
Unsafe Abortions Pose Threat to Fertility: https://timesofindia.indiatimes.com/home/science/Unsafe-abortion-poses-threat-to-fertility/articleshow/20228285.cms
When Abortion is Illegal, Women Rarely Die. But they Still Suffer: https://www.theatlantic.com/health/archive/2018/10/how-many-women-die-illegal-abortions/572638/
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