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Pregnancy after abortion

Having an abortion brings its own set of issues to deal with, but what happens when you do start a family? We talk to one mum about the difficult emotions stirred up at this time, and an expert shares just how common this situation can be...

Elaine's story 

Gazing lovingly at her one-year-old son Cameron as he sleeps soundly in his cot, Elaine Howe says she’s happier than she’s ever been. Like any mum, she reckons her little boy is the light of her life. But for Elaine, Cameron is extra-special - because for the past nine years she had feared she could never have kids.

Nine years ago, 19-year-old Elaine had an abortion. And she's been racked with guilt ever since, believing the operation had somehow spoilt her chances of ever having a family.

She says: "Even now I remember the day of the operation as if it was yesterday. I believe for me it was the right thing to do at the time, but that has not stopped me wondering what might have been and fretting about whether I would ever conceive again.

"When I found out I was expecting Cameron, I cried with joy. The last time I was pregnant, it was the result of a one-night stand. This time I was in a stable relationship and had always known I wanted children with Cameron’s father.

"But that did not stop me worrying. All sorts of feelings I thought I had long buried were awakened. I remembered how I had gone off tea and coffee and developed a craving for a certain type of sweet.

"I began to fear something would happen to the baby. I thought that as I had not carried a baby to full-term last time, I would not manage it or did not deserve to now."

Elaine says she also found medical appointments difficult as at each one she was asked whether this was her first pregnancy. She says: "Despite never telling my family about my experience I had to keep repeating I had an abortion when I was 19. My mum attended one scan with me and I had to ring up beforehand to ask could they please not mention it."

What the experts say

According to Ann Furedi of the British Pregnancy Advisory Service, Elaine’s experience is not uncommon. However she says women who have terminated one pregnancy should be reassured that they have every chance of conceiving again.

There were over 170,000 terminations performed on women resident in England and Wales last year. And according to statistics, almost 40 per cent of women in this country will choose to end a pregnancy at some time. Out of those, most will go on to have a fulfilling family life.

Furedi says: "Women may fear something may have gone wrong during the procedure or can feel guilty, both leading to worries that they will not be able to have children. But they shouldn't worry. 

"We offer post abortion counselling and a woman faced with these particular circumstances may want to talk to her GP about it," she adds.

"Someone who has had a miscarriage may feel anxious because she does not know why her pregnancy ended, a woman who chose to end it knows she did it deliberately," says Furedi. "However, when she has a wanted pregnancy, she has to face up to all sorts of feelings and emotions that she did not face before. This may lead to guilt and insecurity.

"The most important message to get across is one of reassurance, as Elaine’s now happy experience has shown."

Where to next?