A new meta-analysis published in PLOS Medicine provides more information on the link between intimate partner violence and abortion. You can read the entire analysis online, but this post at WECARE summarizes some of the main points, from the point of view of people working to reduce abortions.
1) Intimate partner violence, including history of rape, sexual assault, contraception sabotage, and coerced decision-making, was associated with abortion. Unfortunately with the limited data available to the authors, it was not possible to ascertain the typical timing of exposure to violence relative to abortion. However, it is likely that various patterns exist, with violence both preceding and following abortion in many victims’ lives. Escalation of violence after the procedure is a strong possibility, particularly when partners are against the abortion.In a high quality study by Fisher and colleagues (2005) published in the Canadian Medical Association Journal, the authors reported that women presenting for a third abortion were over 2.5 times more likely to have a history of physical or sexual violence than women presenting for their first.
2) Women in violent relationships were more likely to have concealed their abortion from partners compared to women who were not victims of violence. Women likely believed they could not continue the pregnancy and were afraid of the abusive partner’s behavior if the abortion had been revealed. Many women in abusive relationships may feel they have to abort, because they are trying to free themselves from the relationship, they do not want to bring a child into a home with violence, and/or they do not believe they have the emotional energy to go through a pregnancy and raise a child, among other reasons. With sensitive, appropriate pre-abortion counseling, women in abusive relationships can be identified and safely assisted out of the violent, dangerous situation and helped to continue their pregnancies if desired. Without sensitive, substantive care, abortion is often perceived as the only option available.
3) Women welcomed the opportunity to disclose IPV and to be offered help. Women who present at abortion clinics are often at a point where they are quite receptive to help, and if screening and intervention do not occur, countless women will continue their lives feeling trapped and afraid in a violent relationship. If the abortion take place, then there is a high probability that they will suffer psychological consequences as a result that further compound a life marked by significant suffering. Numerous studies from the peer-reviewed literature have documented the fact that women, who feel pressured by partners, abortion counselors, other people in their lives, and/or by life circumstances, are more likely to experience post-abortion mental health problems.
The study focused on women having abortions, but the findings also have obvious implications for crisis pregnancy centers.
(Thanks to Consistent Life for the tip.)
