Abortion

After abortion: whom to call when you need help

It's important, after an abortion, to know whom to call if a problem arises.

Call 911 or report to your nearest emergency department if:

• you think you're going to pass out
• you have trouble breathing
• you have severe abdominal pain
• you have chest pain, coughing, or shortness of breath

Call your doctor or report to your nearest hospital if:

• you experience bleeding heavier than your normal menstrual period or if your bleeding lasts longer than 2 weeks
• you have increased vaginal discharge or discharge that smells bad
• you feel lightheaded or faint
• you feel sad, hopeless, fearful, unable to sleep or suicidal
• you feel sick to your stomach and are unable to drink fluids
• you have pain that is not relieved through pain medication
• you have a fever over 100°F (38°C)
• you have pain, redness, tenderness, or swelling in your legs, particularly in the back of the calf
• you have trouble urinating or passing stool, particularly if you have mild pain or swelling in your lower abdomen

Be aware of any changes in your health. Contact your doctor if:

• you don't get better as expected
• you develop any new symptoms
• you have any problems with your medications
• you have any questions or concerns

Some women find it very emotionally difficulty to cope with having had an abortion. In fact, between 5 and 30 percent report feelings of anxiety, guilt or mild depression. It's normal to experience a broad range of emotions after an abortion—from relief and happiness to sadness, shame, regret, guilt, grief, and loss. There are as many reactions as there are women and each woman is unique.

Most women feel they have made the right decision; it's rare for them to become clinically depressed following an abortion. However, if your feelings are overwhelming and persistent, or if you have a previous history of depression, you should consult a professional therapist. (Refer to Finding and Evaluating a Therapist for more information.) Depression is a very serious illness.

Consider counseling even if you feel "OK"—abortion is a weighty issue and there is no "right" or "normal" way to feel about it: every woman is different.

Understanding your emotions and taking care of yourself are important: doing so can help you let go of pain and start to heal. Talk to your partner, friends, or family to let them know what you're feeling. You may also want to consider professional counseling. If you're not sure where to go for counseling, talk to your abortion provider: most providers can refer you to counseling services to assist you in dealing with your feelings.