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Giavanna M. Uvari
“Abortion is part of being a mother and of caring for children, because part of caring for
children is knowing when its not a good idea to bring them into the world.” (Pollitt K. 2012) The
purpose of abortion is to “perform a procedure to save the life of the pregnant woman; to prevent
harm to the woman's physical or mental health, and to terminate a pregnancy where indications
are that the child will have a significantly increased chance of mortality or morbidity” (Ferris
1999). The idea behind abortion was never meant to be an ethical problem, yet the world has
found a way to make it one. Not having access to legal abortions due to government and state
created laws creates danger in the world of pregnancy, leading to increasing death rates among
pregnant women and their babies. While the federal government seemingly does everything it
can to help prevent unwanted pregnancies by women and teens, strict laws created that make
abortions impossible to carry out have a larger detrimental effect on womens physical and mental
Discussion
The controversy surrounding abortion has been apparent since the late 1800s. The famous
Roe vs. Wade case began the abortion debate in 1973. As time continued, different states were
allowed to alter their abortion laws from the government based on head figures and their
personal opinions. Decisions in states such as Alabama have shut down the option for abortion
completely, leaving mothers with slim options left. Unsafe and illegal abortions became
increasing popular after laws were put into place banning legal abortions in may states. The
negative effect these laws have had on women and their decisions regarding abortions are
The two main ideas behind abortion and its controversy are pro-choice and pro-life.
These two separate ideas divide women all over the US due to the extremist points of view and
disagreements from both sides. If the mother-to-be concludes they cannot care for the child once
born or either the fetus or the mothers’ health will be compromised, or both, during pregnancy or
accompanying the birth, women still do not support others in their decisions. The option for
abortion is becoming slimmer by the day as government agencies are shutting down abortion and
reproductive clinics such as Planned Parenthood. “The number of clinics who perform abortions
is dropping by the year, with only 755 left in 2018 nationwide” (Congleton et. al, 1993). Each
state is required to have legal abortions options and currently all 50 states have at least one
abortion clinic, but the red tape some states produce make it harder to access legal abortions. The
combination of reduced abortion clincs and violent protesters outside any abortion clinics left is
resulting in an increasing number of abortions done at home using the Aid Access Pill or unsafe
methods.
Roe vs. Wade was the first case ever to begin the abortion controversy both among the
citizens and government of the US. The document Pro-Life Activities explains decisions the
Supreme Court made to protect abortion rights following the case. “The Court also set up a
framework in which the woman's right to abortion and the state's right to protect potential life
shift: during the first trimester of pregnancy, a woman's privacy right is strongest and the state
may not regulate abortion for any reason; during the second trimester, the state may regulate
abortion only to protect the health of the woman; during the third trimester, the state may
regulate or prohibit abortion to promote its interest in the potential life of the fetus, except where
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abortion is necessary to preserve the woman's life or health” (Harrison, Nayler 1991). The 7-2
Supreme Court decision ruled that women have the right to choose between abortion or life. This
struck down the Texas abortion law as unconstitutional and created a foundation for controversy
to this day. As states started enforcing different abortion laws other court cases such as; Doe vs.
Bolton, Planned Parenthood vs. Danforth, Maher vs. Roe, Harris vs. McRae, and Hill vs.
Colorado among many more, began showing up in the Supreme Court challenging the legality of
abortion and its extent. The varying laws by state confused mothers and created an even bigger
debate on why some states sought abortion as a sin while others allowed it.
Unsafe and Illegal Abortions due to Laws Created Restricting Legal Procedures.: Due to
the strict anti-abortion laws created by some states, mothers-to-be undergo unsafe and illegal
abortions to terminate their pregnancy; this results in an increased risk for health problems, both
long term and short term, as well as increased mental illnesses. These “back street abortions” are
usually conducted in unsanitary areas with tools that are improperly sanitized. The lack of
medical supervision and medications leaves mothers in excruciating pain with an increased
“You cannot have maternal health without reproductive health. And reproductive health
includes contraception and family planning and access to legal, safe abortion” (Clinton 2016).
Legal abortions lead to healthy women and helps prevent illegal and unsafe abortions. Without
the access to safe and legal abortions, many women report feeling depressed, guilt, or self-hatred
months to years after having an illegal abortion. About 25 million illegal documented abortions
occur in the US every year and 7 million of those result in complications according to The US
Bureau of Labor Statistics. Southern states such as Georgia are known to have the strictest anti-
abortion laws with one law stating “If a woman flies out of Georgia to have an abortion, the
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woman can be tried with murder or given a life sentence in jail if a fetal heartbeat was detected,
upon return” (An Overview of Abortion Laws 2019). Laws in Alabama state “Alabama doctors
can get their license revoked and jail time up to 99 years if they conduct an abortion after a
heartbeat is detected” (An Overview of Abortion Laws 2019). These strict laws leave desperate
mothers no option but to seek out unsafe abortions, leaving plenty of room for complications
“There is now virtually no disagreement among researchers that some women experience
negative psychological reactions post abortion. Instead, the disagreement concerns the following:
(1) The prevalence of women who have these experiences …, (2) The severity of these negative
reactions …, (3) The definition of what severity of negative reactions constitutes a public health
or mental health problem …, [and] (4) The classification of severe reactions…,” (Wilmoth
1992). It is clear these four main ideas have evolved since 1992 but the foundation has stayed the
same. Mental illness such as depression, anxiety, and PTSD specific to post abortions are all very
common after both legal and illegal abortions. Brend Major conducted a study based on the
mental health of women post-abortion and reported her results: “2 years after their abortions,
1.5% of the remnant participates (38% of the 1177 eligible women, after dropouts) had all the
symptoms for abortion-specific post-traumatic stress disorder (PTSD)” (Major 2008). She also
found that rising rates of depression, anxiety, and PTSD were more common 2-3 years post
abortion compared to 1 or 2 months post abortion. She states, “Women 2-3 years post-abortion
experienced lowering rates of positive reactions, relief, and decision satisfaction and higher rates
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of depression, anxiety, and negative feelings over all” (Major 2008). To further back up Majors’
research, a report from the American Psychological Association’s (APA) Task Force on Mental
Health and Abortion (TFMHA) agreed with her in that “it is clear that some women do
experience sadness, grief, and feelings of loss following termination of a pregnancy, and some
experience clinically significant disorders, including depression and anxiety” (APA). Abortion
presents great opportunities for women to make decisions about their body and future lifestyle.
Unfortunately, women fail to look at both the mental and physical aspects following their
abortion, and never realize PTSD, or other mental illnesses, can affect them until it occurs.
Speical Cases of Sickness or Rape.: In many present day cases, women are required to
carry their fetus to term and deliver due to strict laws created by the US government, even if the
fetus is severely sick, stillborn, or a result of rape. The mental health downgrade for mothers
placed in these situations is severe days to years following the birth of their dead fetus or child in
need of critical care. Going through the stages of pregnancy is supposed to be joyful and exciting
upon meeting the new arrival. Carrying a child to full term only to know you will never be able
to meet or love them due to health problems or because they are a daily reminder of a tragedy is
a terrifying, confusing thought. “Women who become pregnant as a result of rape or incest are
still required to carry their fetus to term in states such as Alabama. A law is in effect which states
“women cannot abort their fetus after 6 weeks even if the pregnancy is a result of rape, incest, or
any other involuntary sexual act”. Most women do not even know they are pregnant by that time
period.” (Crawley, Willman, Clark, Walsh, Clare, 2008) This unborn child is already a daily
reminder of the disgusting incident the mother encountered, can you imagine how it will be
treated upon arrival? An environment is created where the child is a daily reminder a tragedy
possibly resulting in the child not getting the love and care it deserves from its mother. In a way,
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abortion could be considered a sense of relief to the mother in cases such as severe sickness or
rape. Most pregnant women are still extremely sad over the thought of abortion, but if its a
known the mother cannot provide the financial or mental support the child will need growing up,
it may seem better to not give birth. This is a perfectly sane option, especially in the cases listed
above, and women should be provided the right to privacy to decide on how they would like to
deal with their pregnancy. Women should have access to safe and legal abortions and surrounded
Planned Parenthood plays a huge role in the legal abortion process nationwide and
provides support to pregnant mothers. This is a very positive government funded project that was
created to help reduce post abortion mental illnesses such as depression or anxiety. Their goal is
also to reduce complications post abortion which are usually contracted through unsafe or
unsanitary procedures. Although Planned Parenthood specializes in abortions, they are also
known for much more as other services include; providing birth control, educating people on any
age of sex or pregnancy, giving prenatals and other essential care during pregnancy, STD testing,
well-woman exams, screenings for cancer, hormone therapy, and infertility care. Although these
other services are offered, more than 50% of the revenue from Planned Parenthood comes from
abortions alone. With the increasing amount of Planned Parenthoods being shut down, pregnant
mothers are forced to look elsewhere for a safe abortion and can easily be overwhelmed. Each
state is currently required to keep one legal abortion clinic open, but it does not have to be a
Planned Parenthood. The support from the “no judgement zone” gives women of all ages a
judgement free and purely educational experience. They are there to present all possible options,
including abortion, and to discuss and answer any questions. Their website has step by step
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instructions on what to do and when to contact a doctor or make an appointment at their nearest
facility.
The controversy abortion plays in America has been and will be continued throughout
time. As everyone has a different view, pro life or pro choice, the decisions the government
creates will never please everyone. Certain laws not permitting legal abortions even in cases such
as rape, severe illness, or complications to the mother create serious health problems such as
septic shock and result in depression or other mental related illnesses. Operations like Planned
Parenthood aim to safely educate women about their options once pregnant, keeping abortion a
https://www.guttmacher.org/state-policy/explore/overview-abortion-laws.
https://abort73.com/abortion_facts/birth_control_and_abortion/.
Congleton, Kam|Calhoun, G., & G., L. (1993, July 31). Post-Abortion Perceptions; A
https://eric.ed.gov/?id=ED370020.
Crawley, L.|Willman, S., K.|Clark, R., Leisa|Walsh, & Clare. (2008, November 30). Making
Women the Subjects of the Abortion Debate: A Class Exercise that Moves beyond.
Retrieved from
https://eric.ed.gov/?id=EJ856273.
Ferris, & E., L. (1999, November 30). Legal and Ethical Issues in Evaluating Abortion Services.
Retrieved from
https://eric.ed.gov/?id=EJ627419.
Flinn, & Susan. (1992, November 30). Adolescent Abortion and Mandated Parental
Involvement: The Impact of Back Alley Laws on Young Women. Retrieved from
https://eric.ed.gov/?id=ED365917.
Harrison, L. K., & Naylor, K. L. (1991, December). The laws that affect abortion in the United
https://www.ncbi.nlm.nih.gov/pubmed/1798604.
Jacobson, & L., J. (1990, June 30). The Global Politics of Abortion. Worldwatch Paper 97.
Retrieved from
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https://eric.ed.gov/?id=ED328509.
https://www.istandwithpp.org/defund-defined.
Summary of Roe v. Wade and Other Key Abortion Cases. (n.d.). Retrieved from
http://www.usccb.org/issues-and-action/human-life-and-
dignity/abortion/upload/Summary-of-Roe-v-Wade-and-Other-Key-Abortion-Cases.pdf.