Silent Voices, Hidden Scars: A Case Study on Gen Z Women Who Underwent Abortion

This study determined the experiences of two Generation Z women in Cebu who underwent abortion, focusing on understanding the underlying reasons behind their decision, the multifaceted impacts that followed, and the coping strategies they employed in response. According to Arshad et al. (2023), women’s abortion experiences are shaped by a combination of personal circumstances, societal pressures, and emotional responses, with coping mechanisms often emerging as a way to reconcile guilt, fear, and social stigma. Utilizing a qualitative case study approach, 2 participants participated in a semi- structured interview. Data collected were analyzed using Thematic Analysis to identify patterns of themes and codes among respondents. The findings highlighted the complexity of their experiences, from their reasons behind doing an abortion, the impacts and challenges to various dimensions of their health, to eventual acceptance and resilience. The results indicate that abortion among young Filipino women is not merely a medical act but a deeply emotional and moral experience influenced by cultural and religious values. The study concludes that abortion carries long-term psychological and spiritual effects, emphasizing the urgent need for compassionate, holistic post-abortion care that supports women’s emotional, physical, and spiritual recovery.

Abortion, challenges, coping mechanism, Gen Z Filipino women, reasons

1. Abortion, S. A. (2025, August 4). Back to Self-Discovery: What healing after Abortion has taught me about identity, grief, and growth |. Support After Abortion. https://supportafterabortion.com/blog/back-to-self-discovery-what-healing-after-abortion-has-taught-me-about-identity-grief-and-growth/ [Google Scholar] [Crossref]

2. Aléx, L., & Hammarström, A. (2004). Women’s experiences in connection with induced abortion – a feminist perspective. Scandinavian Journal of Caring Sciences, 18(2), 160–168. doi.org/10.1111/j.1471-6712.2004.00257.x [Google Scholar] [Crossref]

3. Alipanahpour, S., Tayebi, N., Zarshenas, M., & Akbarzadeh, M. (2021). Short-term physical and psychological health consequences of induced and spontaneous abortion: a cross-sectional study. Shiraz E-Medical Journal, 22(12). [Google Scholar] [Crossref]

4. Altshuler, A. L., Ojanen-Goldsmith, A., Blumenthal, P. D., & Freedman, L. R. (2021). “Going through it together”: Being accompanied by loved ones during birth and abortion. Social Science & Medicine, 284, 114234. doi.org/10.1016/j.socscimed.2021.114234 [Google Scholar] [Crossref]

5. American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.; DSM-5-TR). American Psychiatric Publishing. [Google Scholar] [Crossref]

6. American Psychological Association. (2017). Publication manual of the American Psychological Association (6th ed.). American Psychological Association. https://apastyle.apa.org/products/publication-manual-6th-edition [Google Scholar] [Crossref]

7. APA Dictionary of Psychology. (2025).https://dictionary.apa.org/identity-versus-identity-confusion [Google Scholar] [Crossref]

8. Arboleda, N. N. (2024). Mental Health Implications of Abortion and Abortion Restriction: A Brief Narrative Review of U.S. Longitudinal Studies. American Journal of Psychiatry Residents’ Journal, 20(1), 11–15. doi.org/10.1176/appi.ajp-rj.2024.200106 [Google Scholar] [Crossref]

9. Arshad, A., Aziz, H., Shabbir, G., Shakya, S., & Munir, Z. (2023). Improving safe post-abortion care practices: A study on interventions implemented by Ipas Pakistan. Frontiers in Public Health, 11. doi.org/10.3389/fpubh.2023.1004381 [Google Scholar] [Crossref]

10. Atakro, C. A., Addo, S. B., Aboagye, J. S., Menlah, A., Garti, I., Amoa-Gyarteng, K. G., Sarpong, T., Adatara, P., Kumah, K. J., Asare, B. B., Mensah, A. K., Lutterodt, S. H., & Boni, G. S. (2019). Contributing factors to unsafe abortion practices among women of reproductive age at selected district hospitals in the Ashanti region of Ghana. BMC Women S Health, 19(1). doi.org/10.1186/s12905-019-0759-5 [Google Scholar] [Crossref]

11. Auger, N., Healy-Profitós, J., Ayoub, A., Lewin, A., & Low, N. (2025). Induced abortion and implications for long-term mental health: A cohort study of 1.2 million pregnancies. Journal of Psychiatric Research, 187, 304–310. doi.org/10.1016/j.jpsychires.2025.05.031 [Google Scholar] [Crossref]

12. Bankole, A., Singh, S., & Haas, T. (2022, August 25). Reasons Why Women Have Induced Abortions: Evidence from 27 Countries. Guttmacher Institute. https://www.guttmacher.org/journals/ipsrh/1998/09/reasons-why-women-have-induced-abortions-evidence-27-countries [Google Scholar] [Crossref]

13. Bantero, K. B., Deressa, J. T., Tilahun, S. W., & Kitawu, L. D. (2022). Reasons of women who undergone repeat induced abortion; in Wolaita Sodo town, Southern Ethiopia, 2021: A phenomenological qualitative study. Research Square (Research Square). https://doi.org/10.21203/rs.3.rs-1733847/v2 [Google Scholar] [Crossref]

14. Barringer, M. N., Sumerau, J. E., & Gay, D. A. (2020). Generational variation in young adults’ attitudes toward legal abortion: Contextualizing the role of religion. Social Currents, 7(3), 279-296. doi.org/10.1177/2329496520905020 [Google Scholar] [Crossref]

15. Barton, K., Redshaw, M., Quigley, M. A., & Carson, C. (2017). Unplanned pregnancy and subsequent psychological distress in partnered women: a cross-sectional study of the role of relationship quality and wider social support. BMC Pregnancy and Childbirth, 17(1). doi.org/10.1186/s12884-017-1223-x [Google Scholar] [Crossref]

16. Bazié, F., Thomas, H. L., Byrne, M. E., Kindo, B., Bell, S. O., & Moreau, C. (2022). Typologies of women’s abortion trajectories in Burkina Faso: findings from a qualitative study. Reproductive Health, 19(1). doi.org/10.1186/s12978-022-01526-3 [Google Scholar] [Crossref]

17. Bhat, A. (2023, August 18). Snowball Sampling: Definition, Method, Pros & Cons. QuestionPro. https://www.questionpro.com/blog/snowball-sampling/ [Google Scholar] [Crossref]

18. Biggs, A., Brough, P., & Drummond, S. (2017). Lazarus and Folkman's psychological stress and coping theory. In C. L. Cooper & J. C. Quick (Eds.), The handbook of stress and health: A guide to research and practice (pp. 351–364). Wiley Blackwell. doi.org/10.1002/9781118993811.ch21 [Google Scholar] [Crossref]

19. Biggs, M. A., Gould, H., & Foster, D. G. (2013). Understanding why women seek abortions in the US. BMC Women S Health, 13(1). doi.org/10.1186/1472-6874-13-29 [Google Scholar] [Crossref]

20. Biney, A. a. E., & Atiglo, D. Y. (2016). Examining the association between motivations for induced abortion and method safety among women in Ghana. Women & Health, 57(9), 1044–1060. doi.org/10.1080/03630242.2016.1235076 [Google Scholar] [Crossref]

21. Blystad, A., Haukanes, H., Tadele, G. et al. (2019). The access paradox: abortion law, policy and practice in Ethiopia, Tanzania and Zambia. Int J Equity Health 18, 126 doi.org/10.1186/s12939-019-1024-0 [Google Scholar] [Crossref]

22. Cartwright, A. F., Bell, S. O., & Upadhyay, U. D. (2024). Separating Procedure-related Fears From Future Fertility Concerns Among a Cohort Seeking Abortion Information Online. Women's health issues : official publication of the Jacobs Institute of Women's Health, 34(1), 45–50. doi.org/10.1016/j.whi.2023.06.004 [Google Scholar] [Crossref]

23. Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. doi.org/10.1191/1478088706qp063oa [Google Scholar] [Crossref]

24. British Psychological Society. (2014).Code of human research ethics. British Psychological Society. https://www.bps.org.uk/news-and-policy/bps-code-human-research-ethics [Google Scholar] [Crossref]

25. Cayabyab, Marc Jayson (November 16, 2023). CHR risks zero budget for supporting abortion. The Philippine Star. Archived from the original on November 16, 2023. Retrieved June 9, 2024. [Google Scholar] [Crossref]

26. Cedervall, Y., & Åberg, A. C. (2010). Physical activity and implications on well-being in mild Alzheimer’s disease: A qualitative case study on two men with dementia and their spouses. Physiotherapy Theory and Practice, 26(4), 226–239. doi.org/10.3109/09593980903423012 [Google Scholar] [Crossref]

27. Center for Reproductive Rights. (2010). Facts on abortion in the Philippines: Criminalization and a general ban on abortion [Report]. Retrieved from https://reproductiverights.org/sites/crr.civicactions.net/files/documents/pub_fac_philippines_1%2010.pdf [Google Scholar] [Crossref]

28. Center for Reproductive Rights. (2010). Forsaken lives: the harmful impact of the Philippine criminal abortion ban. [Google Scholar] [Crossref]

29. Center for Reproductive Rights. (2024, July 15). Philippines’ Abortion Provisions - Center for Reproductive Rights. https://reproductiverights.org/maps/provision/philippiness-abortion-provisions/ [Google Scholar] [Crossref]

30. Chae, S., Desai, S., Crowell, M., & Sedgh, G. (2017). Reasons why women have induced abortions: a synthesis of findings from 14 countries. Contraception, 96(4), 233–241. doi.org/10.1016/j.contraception.2017.06.014 [Google Scholar] [Crossref]

31. Chand, S. P., & Marwaha, R. (2023, April 24). Anxiety. In StatPearls [Internet]. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK470361/ [Google Scholar] [Crossref]

32. Chen, H. (2022, July 18). Abortion’s illegal in the Catholic majority Philippines, so more than a million women a year turn to other options. CNN. https://www.cnn.com/2022/07/18/asia/philippines-abortion-ban-women-intl-hnk [Google Scholar] [Crossref]

33. Chibber, K. S., Biggs, M. A., Roberts, S. C., & Foster, D. G. (2014). The role of intimate partners in women’s reasons for seeking abortion. Women S Health Issues, 24(1), e131–e138. doi.org/10.1016/j.whi.2013.10.007 [Google Scholar] [Crossref]

34. Cordero Jr, Dalmacito. (2024). Letter to the Editor: Teenage Pregnancy in the Philippines: Effects and Interventions. Journal of Preventive Medicine and Public Health. 57. 304-305. 10.3961/jpmph.24.221. [Google Scholar] [Crossref]

35. Creswell, J. W., & Poth, C. N. (2017)Qualitative inquiry and research design: Choosing among five approaches(4th ed.). Sage Publications. https://us.sagepub.com/en-us/nam/qualitative-inquiry-and-research-design/book248649 [Google Scholar] [Crossref]

36. Crowe, S., Cresswell, K., Robertson, A., Huby, G., Avery, A., & Sheikh, A. (2011). The case study approach. BMC Medical Research Methodology, 11(1).doi.org/10.1186/1471-2288-11-100 [Google Scholar] [Crossref]

37. Dalton, P. S., Ghosal, S., & Mani, A. (2014). Poverty and aspirations failure. The Economic Journal, 126(590), 165–188. doi.org/10.1111/ecoj.12210 [Google Scholar] [Crossref]

38. Davis, Don & Worthington, Everett & Hook, Joshua & Hill, Peter. (2013). Research on Religion/Spirituality and Forgiveness: A Meta-Analytic Review. Psychology of Religion and Spirituality. 5. 233-241. 10.1037/a0033637. [Google Scholar] [Crossref]

39. Davis, D. E., Ho, M. Y., Griffin, B. J., Bell, C., Hook, J. N., Van Tongeren, D. R., DeBlaere, C., Worthington, E. L., & Westbrook, C. J. (2015). Forgiving the self and physical and mental health correlates: A meta-analytic review. Journal of Counseling Psychology, 62(2), 329–335. doi.org/10.1037/cou0000063 [Google Scholar] [Crossref]

40. Dawood, Y., de Vries, J. M., van Leeuwen, E., van Eekelen, R., de Bakker, B. S., Boelen, P. A., & Pajkrt, E. (2024). Psychological sequelae following second‐trimester termination of pregnancy: A longitudinal study. Acta Obstetricia et Gynecologica Scandinavica. doi.org/10.1111/aogs.14848 [Google Scholar] [Crossref]

41. Döring, N. (2023). Abortion attitudes (media content, user comments). DOCA - Database of Variables for Content Analysis. https://www.hope.uzh.ch/doca/article/view/4624 [Google Scholar] [Crossref]

42. Finer, L. B., & Hussain, R. (2013). Unintended pregnancy and unsafe abortion in the Philippines: Context and consequences [Report]. Guttmacher Institute. https://www.guttmacher.org/report/unintended-pregnancy-and-unsafe-abortion-philippines-context-and-consequences [Google Scholar] [Crossref]

43. Frederico, M., Michielsen, K., Arnaldo, C., & Decat, P. (2018). Factors Influencing Abortion Decision-Making Processes among Young Women. International Journal of Environmental Research and Public Health, 15(2), 329. doi.org/10.3390/ijerph15020329 [Google Scholar] [Crossref]

44. Frohwirth, L., Coleman, M., & Moore, A. M. (2018). Managing religion and morality within the abortion experience: Qualitative interviews with women obtaining abortions in the U.S. World Medical & Health Policy, 10(4), 381–400. doi.org/10.1002/wmh3.289 [Google Scholar] [Crossref]

45. Gebeyehu, Natnael Atnafu, Abebe, Kelemu , Atalay, Yibeltal & Birhan, Belete. (2023). Global prevalence of post-abortion depression: systematic Review and Meta-Analysis. [Google Scholar] [Crossref]

46. Genicot, G., & Ray, D. (2020). Aspirations and economic behavior. Annual Review of Economics, 12(1), 715–746. doi.org/10.1146/annurev-economics-080217-053245 [Google Scholar] [Crossref]

47. Gentile, S. (2017). Perinatal mental health: An update on psychotic and mood disorders emerging in the perinatal period. Psychiatry and Clinical Neurosciences, 71(10), 754–770. doi.org/10.1111/pcn.12533 [Google Scholar] [Crossref]

48. Gerdts, C., Dobkin, L., Foster, D. G., & Schwarz, E. B. (2016). Side effects, physical health consequences, and mortality associated with abortion and birth after an unwanted pregnancy. Women’s Health Issues, 26(1), 55–59. doi.org/10.1016/j.whi.2015.10.001 [Google Scholar] [Crossref]

49. Getahun, G. K., Kidane, M., Fekade, W., Shitemaw, T., & Negash, Z. (2023). Exploring the reasons for unsafe abortion among women in the reproductive age group in western Ethiopia. Clinical Epidemiology and Global Health, 22, 101301. doi.org/10.1016/j.cegh.2023.101301 [Google Scholar] [Crossref]

50. Gipson, J. D., Hirz, A. E., & Avila, J. L. (2011). Perceptions and Practices of Illegal Abortion among Urban Young Adults in the Philippines: A Qualitative Study. Studies in Family Planning, 42(4), 261–272.doi.org/10.1111/j.1728-4465.2011.00289.x [Google Scholar] [Crossref]

51. Grace, K. T., & Anderson, J. C. (2016). Reproductive Coercion: A Systematic review. Trauma Violence & Abuse, 19(4), 371–390. https://doi.org/10.1177/1524838016663935 [Google Scholar] [Crossref]

52. Haddad, L. B., & Nour, N. M. (2009). Unsafe abortion: unnecessary maternal mortality. Reviews in obstetrics & gynecology, 2(2), 122–126. [Google Scholar] [Crossref]

53. Hanschmidt, F., Linde, K., Hilbert, A., Heller, S. G. R., & Kersting, A. (2016). Abortion Stigma: A Systematic Review. Perspectives on Sexual and Reproductive Health, 48(4), 169–177. https://doi.org/10.1363/48e8516 [Google Scholar] [Crossref]

54. Haseli, A., Rahnejat, N., & Rasoal, D. (2024). Reasons for unsafe abortion in Iran after pronatalist policy changes: a qualitative study. Reproductive Health, 21(1). https://doi.org/10.1186/s12978-024-01929-4 [Google Scholar] [Crossref]

55. Hassan, M. (2024, March 25). Qualitative research – Methods, analysis types, and guide. Research Method. https://researchmethod.net/qualitative-research/ [Google Scholar] [Crossref]

56. Hoque, E. (2022, November 15). Stanley Hall “Storm and Stress ” Theory- B.Ed notes. EduCere Centre. https://educerecentre.com/stanley-hall-storm-and-stress-theory/?form=MG0AV3 [Google Scholar] [Crossref]

57. Huang, Y., Zhang, X., Li, W., Song, F., Dai, H., Wang, J., Gao, Y., Liu, X., Chen, C., Yan, Y., Wang, Y., & Chen, K. (2014) A meta-analysis of the association between induced abortion and breast cancer risk among Chinese females. Cancer causes & control : CCC, 25(2), 227–236. doi.org/10.1007/s10552-013-0325-7 [Google Scholar] [Crossref]

58. Huß, B., & Kaiser, F. (2022). Induced Abortion and Life Satisfaction in Germany: The Role of Selection Processes and Short-Term Effects. Zeitschrift Fur Soziologie, 51(4), 404–419. doi.org/10.1515/zfsoz-2022-0022 [Google Scholar] [Crossref]

59. Jones, K. A., Freijah, I., Carey, L., et al. (2022). Moral injury, chaplaincy and mental health provider approaches to treatment: A scoping review. Journal of Religion and Health, 61, 1051–1094.doi.org/10.1007/s10943-022-01534-4 [Google Scholar] [Crossref]

60. Kamranpour, B., Noroozi, M., & Bahrami, M. (2019). Supportive needs of women who have experienced pregnancy termination due to fetal abnormalities: a qualitative study from the perspective of women, men and healthcare providers in Iran. BMC Public Health, 19(1). doi.org/10.1186/s12889-019-6851-9 [Google Scholar] [Crossref]

61. Katz, J. (2019). Supporting Women Coping with Emotional Distress after Abortion. https://eric.ed.gov/?id=EJ1221518 [Google Scholar] [Crossref]

62. Kerns, J., Cheeks, M., Cassidy, A., Pearlson, G., & Mengesha, B. (2022). Abortion Stigma and Its Relationship with Grief, Post-traumatic Stress, and Mental Health-Related Quality of Life After Abortion for Fetal Anomalies. Women's health reports (New Rochelle, N.Y.), 3(1), 385–394. doi.org/10.1089/whr.2021.0027 [Google Scholar] [Crossref]

63. Khodadoust, M., Mohamadi, R., Asadi-Karam, G., Mahmoodian, Z., Ensafi, Z., Sarreshteh, M., & Nakhaee, N. (2024). How does an unplanned pregnancy affect maternal stress and depression from pregnancy to 12 months postpartum? A longitudinal study. Medical Journal of the Islamic Republic of Iran. doi.org/10.47176/mjiri.38.150 [Google Scholar] [Crossref]

64. Kirkman, M., Rosenthal, D., Mallett, S., Rowe, H., & Hardiman, A. (2010). Reasons women give for contemplating or undergoing abortion: A qualitative investigation in Victoria, Australia. Sexual & Reproductive Healthcare, 1(4), 149–155. doi.org/10.1016/j.srhc.2010.08.001 [Google Scholar] [Crossref]

65. Koiwa, Y., Shishido, E., & Horiuchi, S. (2024). Factors Influencing Abortion Decision-Making of Adolescents and Young Women: A Narrative Scoping review. International Journal of Environmental Research and Public Health, 21(3), 288. doi.org/10.3390/ijerph21030288 [Google Scholar] [Crossref]

66. Leanderz, Å. G., Larsson, M., Lygnegård, F., Bäckström, C., & Henricson, M. (2025). The meaning of becoming a mother. A Phenomenological‐Hermeneutic study. Scandinavian Journal of Caring Sciences, 39(1). doi.org/10.1111/scs.70011 [Google Scholar] [Crossref]

67. Lee, M. T. D., Canalita, R. F., Tong, J. A. A., & Macapagal, M. E. J. (2021). Healthcare provider bias and the stigma of abortion: Perspectives of Filipino obstetricians and gynecologists. Asian Journal of Social and Clinical Psychology, 11(1), 47–58. https://econtent.hogrefe.com/doi/epdf/10.1027/2157-3891/a000099 [Google Scholar] [Crossref]

68. Leung, J. T. (2020). Perceived parental sacrifice, filial piety and hopelessness among Chinese adolescents: A cross‐lagged panel study. Journal of Adolescence, 81(1), 39–51. doi.org/10.1016/j.adolescence.2020.04.005 [Google Scholar] [Crossref]

69. Liu, H., Wu, F., Liao, G., Mai, S., & Ouyang, M. (2023). Impact of the intensive psychological intervention care on post-traumatic stress disorder and negative emotions of teenage female patients seeking an induced abortion. Frontiers in Psychiatry. doi.org/10.3389/fpsyt.2023.1033320 [Google Scholar] [Crossref]

70. Loi, U. R., Lindgren, M., Faxelid, E., Oguttu, M., & Klingberg-Allvin, M. (2018). Decision-making preceding induced abortion: a qualitative study of women’s experiences in Kisumu, Kenya. Reproductive Health, 15(1). doi.org/10.1186/s12978-018-0612-6 [Google Scholar] [Crossref]

71. Lyon, R., & Botha, K. (2021). The experience of and coping with an induced abortion: A rapid review. Health SA Gesondheid, 26.doi.org/10.4102/hsag.v26i0.1543 [Google Scholar] [Crossref]

72. Magsino, C. L. (2022, July 13). Why decriminalizing abortion is not possible in the Philippines. CBCP News. https://cbcpnews.net/cbcpnews/why-decriminalizing-abortion-is-not-possible-in-the-philippines/ [Google Scholar] [Crossref]

73. Major, B., Richards, C., Cooper, M. L., Cozzarelli, C., & Zubek, J. (1998). Personal resilience, cognitive appraisals, and coping: An integrative model of adjustment to abortion. Journal of Personality and Social Psychology, 74(3), 735–752.doi.org/10.1037/0022-3514.74.3.735 [Google Scholar] [Crossref]

74. Makleff, S., Wilkins, R., Wachsmann, H., Gupta, D., Wachira, M., Bunde, W., Radhakrishnan, U., Cislaghi, B., & Baum, S. E. (2019). Exploring stigma and social norms in women's abortion experiences and their expectations of care. Sexual and reproductive health matters, 27(3), 1661753. doi.org/10.1080/26410397.2019.1661753 [Google Scholar] [Crossref]

75. McLeod, S. (2024, September 30). Thematic analysis. Simply Psychology. https://www.simplypsychology.org/thematic-analysis.html [Google Scholar] [Crossref]

76. Miodrag, N., & Hodapp, R. M. (2011). Chronic Stress and its Implications on Health Among Families of Children with Intellectual and Developmental Disabilities (I/DD). In International review of research in developmental disabilities (pp. 127–161). https://doi.org/10.1016/b978-0-12-386495-6.00004-7 [Google Scholar] [Crossref]

77. Moafi, F., Momeni, M., Tayeba, M., Rahimi, S., & Hajnasiri, H. (2018). Spiritual Intelligence and Post-abortion Depression: a coping Strategy. Journal of Religion and Health, 60(1), 326–334. https://doi.org/10.1007/s10943-018-0705-0 [Google Scholar] [Crossref]

78. Montero Reyes, Y. ., Jurado, S. ., Pullaguari, M. ., & Llano, A. (2025). Social perception on the legalization of abortion. Southern Perspective Perspectiva Austral, 3, 54. https://doi.org/10.56294/pa202554 [Google Scholar] [Crossref]

79. Moseson, H., Bullard, K. A., Cisternas, C., Grosso, B., Vera, V., & Gerdts, C. (2020). Effectiveness of self-managed medication abortion between 13 and 24 weeks gestation: A retrospective review of case records from accompaniment groups in Argentina, Chile, and Ecuador. Contraception, 102(2), 91–98. https://doi.org/10.1016/j.contraception.2020.04.015 [Google Scholar] [Crossref]

80. Moseson, H., Herold, S., Filippa, S., Barr-Walker, J., Baum, S. E., & Gerdts, C. (2020). Self-managed abortion: A systematic scoping review. Best practice & research. Clinical obstetrics & gynaecology, 63, 87–110. https://doi.org/10.1016/j.bpobgyn.2019.08.002 [Google Scholar] [Crossref]

81. Musabwasoni, S., Nyiringango, G., Uwambaye, P., Mukeshimana, M., Ngoga, E., Uhawenimana, T., Musabirema, P., Ishimwe Bazakare, L., Sezibera, V., Mukamana, D., Klingberg-Allvin, M., Rulisa, S., & Bazirete, O. (2024). Psychology of Abortion: A Qualitative Exploration of Women's Quality of Life after Termination of Pregnancy Service Provision. Rwanda journal of medicine and health sciences, 7(1), 116–130. doi.org/10.4314/rjmhs.v7i1.9 [Google Scholar] [Crossref]

82. Musick, K., Meier, A., & Flood, S. (2016). How parents fare. American Sociological Review, 81(5), 1069–1095. doi.org/10.1177/0003122416663917 [Google Scholar] [Crossref]

83. Nasr, R., Nasr, N., Haddad, C., Saab, S. A., Ibrahim, S. A., Karam, J., & Rahman, A. A. (2024). Financial insecurity and mental well-being: experiences of parents amid the lebanese economic crisis. BMC Public Health, 24(1). https://doi.org/10.1186/s12889-024-20544-3 [Google Scholar] [Crossref]

84. NeJhaddadgar, N., Darabi, F., & Ezati, F. (2025). Factors Affecting Inducted Abortion: A scoping review. Journal of Research and Health, 15(1), 105–116.doi.org/10.32598/jrh.15.1.821.5 [Google Scholar] [Crossref]

85. Niţă, A. M., & Goga, C. I. (2020). A research on abortion: ethics, legislation and socio-medical outcomes. Case study: Romania. Romanian Journal of Morphology and Embryology, 61(1), 283–294. https://doi.org/10.47162/rjme.61.1.35 [Google Scholar] [Crossref]

86. O’Donnell, A. T., O’Carroll, T., & Toole, N. (2018). Internalized Stigma and Stigma-Related Isolation Predict Women’s Psychological Distress and Physical Health Symptoms Post-Abortion. Psychology of Women Quarterly, 42(2), 220–234. doi.org/10.1177/0361684317748937 [Google Scholar] [Crossref]

87. Obertinca, Bujar & Pacarada, Myrvete & Beha, Albiona & Kongjeli, Niltene & Gashi, Astrit & Blakaj, Valbona. (2016). Anxiety, Depression and Other Psychological Effects on Women After Induced Abortion. Public Health and Preventive Medicine. 2. 1-5. [Google Scholar] [Crossref]

88. Orenstein, G. A., & Lewis, L. (2022, November 7). Erikson’s Stages of Psychosocial Development. StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK556096/ [Google Scholar] [Crossref]

89. Pavlacic, J. M., Buchanan, E. M., Maxwell, N. P., Hopke, T. G., & Schulenberg, S. E. (2019). A Meta-Analysis of Expressive writing on posttraumatic stress, posttraumatic growth, and quality of life. Review of General Psychology, 23(2), 230–250. https://doi.org/10.1177/1089268019831645 [Google Scholar] [Crossref]

90. Payne, E. C., Kravitz, A. R., Notman, M. T., & Anderson, J. V. (1976). Outcome following therapeutic abortion. Archives of General Psychiatry, 33(6), 725-733. [Google Scholar] [Crossref]

91. Peck, A. M. (2014.). Forgiveness and the Post-Abortive Woman: Achieving Self-Forgiveness. ScholarWorks@GVSU. https://scholarworks.gvsu.edu/theses/611/ [Google Scholar] [Crossref]

92. Perez, J. R. M., Monteagudo, G. R. S., Nebrada, P. J. C., Arevalo, M. V. P. N., De la Paz, E. P., Ho, F. D. V., & Padilla, C. R. A. (2023). The spectre of unsafe abortions in the Philippines. The Lancet Regional Health – Western Pacific, 32, 100655. doi.org/10.1016/j.lanwpc.2022.100655 [Google Scholar] [Crossref]

93. Pohjoranta, E., Mentula, M., Hurskainen, R., Suhonen, S., & Heikinheimo, O. (2018). Sexual well‐being after first trimester termination of pregnancy: Secondary analysis of a randomized contraceptive trial. Acta Obstetricia Et Gynecologica Scandinavica, 97(12), 1447–1454. https://doi.org/10.1111/aogs.13440 [Google Scholar] [Crossref]

94. Pourreza, A., & Batebi, A. (2011). Psychological Consequences of Abortion among the Post Abortion Care Seeking Women in Tehran. Iranian journal of psychiatry, 6(1), 31–36. [Google Scholar] [Crossref]

95. Qian, J., Yu, X., Sun, S., Zhou, X., Wu, M., & Yang, M. (2019). Expressive writing for Chinese women with foetal abnormalities undergoing pregnancy termination: An interview study of women’s perceptions. Midwifery, 79, 102548. https://doi.org/10.1016/j.midw.2019.102548 [Google Scholar] [Crossref]

96. Rasch V. (2011). Unsafe abortion and postabortion care - an overview. Acta obstetricia et gynecologica Scandinavica, 90(7), 692–700. doi.org/10.1111/j.1600-0412.2011.01165.x [Google Scholar] [Crossref]

97. Rehnström Loi, U. (2020). Abortion, contraception and associated social stigma : consequences and solutions in a low-resource setting in western Kenya (Version 1). Karolinska Institutet. https://hdl.handle.net/10616/47380 [Google Scholar] [Crossref]

98. Remez, L., Mayall, K., & Singh, S. (2020). Global Developments in Laws on Induced Abortion: 2008-2019. International perspectives on sexual and reproductive health, 46(Suppl 1), 53–65. https://doi.org/10.1363/46e0920 [Google Scholar] [Crossref]

99. Republic of the Philippines. Revised Penal Code of the Philippines. Act No. 3815, 1930. https://chanrobles.com/revisedpenalcodeofthephilippinesbook2.htm [Google Scholar] [Crossref]

100. Robinson, R. S. (2023). Purposive sampling. In Springer eBooks (pp. 5645–5647). https://doi.org/10.1007/978-3-031-17299-1_2337 [Google Scholar] [Crossref]

101. Røseth, I., Sommerseth, E., Lyberg, A., Sandvik, B. M., & Dahl, B. (2022). No one needs to know! Medical abortion: Secrecy, shame, and emotional distancing. Health Care for Women International, 45(1), 67–85. https://doi.org/10.1080/07399332.2022.2090565 [Google Scholar] [Crossref]

102. Saikia, D., & Pradhan, M. R. (2023). Why do women abort their pregnancies? Evidence from the National Family Health Survey (2019–21) of India. Journal of Biosocial Science, 56(1), 125–140. https://doi.org/10.1017/s0021932023000081 [Google Scholar] [Crossref]

103. Seyoum, K., & Mengistu, S. (2023). Prevalence and determinants of repeat induced abortion in Ethiopia: A systematic review and meta-analysis. Heliyon, 9(10), e20277. https://doi.org/10.1016/j.heliyon.2023.e20277 [Google Scholar] [Crossref]

104. Singh, S., et al. (2009). Abortion worldwide: A decade of uneven progress. Guttmacher Institute.. [Google Scholar] [Crossref]

105. Solís Castillo, K. S., Vargas Peña, J. J., & Bonilla Ledesma, D. V. (2024). Importance of mental health in patients with post-abortion. Interamerican Journal of Health Sciences, 4, 59. https://doi.org/10.59471/ijhsc202459 [Google Scholar] [Crossref]

106. Spierling, T., & Shreffler, K. M. (2018). Tough Decisions: Exploring women’s decisions following unintended pregnancies. Frontiers in Sociology, 3. https://doi.org/10.3389/fsoc.2018.00011 [Google Scholar] [Crossref]

107. Sriarporn, P., Turale, S., Lordee, N., Liamtrirat, S., Hanpra, W., & Kanthino, A. (2016). Support program for women suffering grief after termination of pregnancy: A pilot study. Nursing and Health Sciences, 19(1), 75–80. https://doi.org/10.1111/nhs.12307 [Google Scholar] [Crossref]

108. Stake, R. E. (1995). The Art of Case Study Research. SAGE Publications. [Google Scholar] [Crossref]

109. Student, M. I. P., Khadivzadeh, T., PhD, Nekah, S. M. A., PhD, Ebrahimipour, H., PhD, & Tara, F., MD. (2019). Emotional and cognitive experiences of pregnant women following prenatal diagnosis of fetal anomalies: a qualitative study in Iran. pmc.ncbi.nlm.nih.gov. doi.org/10.30476/IJCBNM.2019.40843 [Google Scholar] [Crossref]

110. Tang, B. W. J., Ibrahim, B. B., & Shorey, S. (2024). Complex journeys of adolescents after induced abortion: A qualitative systematic review. doi.org/10.1016/j.pedn.2024.03.033 [Google Scholar] [Crossref]

111. Testoni, I., Finco, N., Keisari, S., Orkibi, H., & Azoulay, B. (2021). Conflicts Between Women's Religiosity and Sense of Free Will in the Context of Elective Abortion: A Qualitative Study in the Worst Period of Italy's COVID-19 Crisis. Frontiers in psychiatry, 12, 619684. https://doi.org/10.3389/fpsyt.2021.619684 [Google Scholar] [Crossref]

112. The Editors of Encyclopaedia Britannica. (2025, February 24). Abortion | Definition, Procedure, Laws, & Facts. Encyclopedia Britannica. https://www.britannica.com/science/abortion-pregnancy [Google Scholar] [Crossref]

113. The Lancet. (2018, March 24). Abortion: Access and safety worldwide. The Lancet, 391(10126), 1121. https://doi.org/10.1016/S0140-6736(18)30624-X [Google Scholar] [Crossref]

114. Turan, J. M., & Budhwani, H. (2021). Restrictive Abortion Laws Exacerbate Stigma, Resulting in Harm to Patients and Providers. American journal of public health, 111(1), 37–39. https://doi.org/10.2105/AJPH.2020.305998 [Google Scholar] [Crossref]

115. Upadhyay, U. D., Biggs, M. A., & Foster, D. G. (2015). The effect of abortion on having and achieving aspirational one-year plans. BMC Women S Health, 15(1). https://doi.org/10.1186/s12905-015-0259-1 [Google Scholar] [Crossref]

116. Ushie, B. A., Okunlola, D. A., Roemer, M., Akiode, A., Taiwo, A. O., Idoko, O. T., & Ajah, E. (2024). To tell or not to tell? Abortion disclosure and social support among women who received abortion care in Abuja and Lagos, Nigeria. doi.org/10.21203/rs.3.rs-5444566/v1 [Google Scholar] [Crossref]

117. Vismaya, A., Gopi, A., Romate, J., & Rajkumar, E. (2024). Psychological interventions to promote self-forgiveness: a systematic review. BMC Psychology, 12(1). https://doi.org/10.1186/s40359-024-01671-3 [Google Scholar] [Crossref]

118. Vlassoff, M., et al. (2012). The health system cost of post-abortion care in Uganda. Health Policy and Planning. https://heapol.oxfordjournals.org/content/early/2012/12/28/heapol.czs133.full.pdf+html [Google Scholar] [Crossref]

119. Wang, Z., Al Zaben, F., Koenig, H. G., & Ding, Y. (2021). Spirituality, moral injury and mental health among Chinese health professionals. BJPsych Open, 7(4), e135. doi.org/10.1192/bjo.2021.972 [Google Scholar] [Crossref]

120. Weng, S., Chang, J., Yeh, M., Wang, S., Lee, C., & Chen, Y. (2017). Do stillbirth, miscarriage, and termination of pregnancy increase risks of attempted and completed suicide within a year? A population‐based nested case–control study. BJOG an International Journal of Obstetrics & Gynaecology, 125(8), 983–990.doi.org/10.1111/1471-0528.15105 [Google Scholar] [Crossref]

121. World Health Organization (2024). https://www.who.int/news-room/fact-sheets/detail/abortion [Google Scholar] [Crossref]

122. World Health Organization: WHO. (2024, April 10). Adolescent pregnancy. https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy [Google Scholar] [Crossref]

123. Yadollahi, P., Doostfatemeh, M., Khalajinia, Z., Karimi, Z., & Ghavi, F. (2025). Perceived social support, marital satisfaction, and resilience in women with abortion experience through structural equation modeling. Scientific Reports, 15(1). doi.org/10.1038/s41598-024-83485-2 [Google Scholar] [Crossref]

124. yazdanpanahi, Z., Hajifoghaha, M., Keshtvarz Hesam Abadi, A., & Jafari, S. Z. (2024). Comparison of depression, anxiety, perceived stress, and resilience in parents faced with abortion in Iran: a longitudinal study. BMC Psychology, 12(1). doi.org/10.1186/s40359-024-02078-w [Google Scholar] [Crossref]

125. Yin, R. K. (2018). Case Study Research and Applications: Design and Methods (6th ed.). SAGE Publications. [Google Scholar] [Crossref]

126. Zaręba, Kornelia & La Rosa, Valentina Lucia & Ciebiera, Michał & MAKARA-STUDZISKA, Marta & Commodari, Elena & Gierus, Jacek. (2020). Psychological effects of abortion. An updated narrative review. Eastern Journal Of Medicine. 25. 477-483. 10.5505/ejm.2020.82246. [Google Scholar] [Crossref]

127. Zhang, Q., Wang, N., Hu, Y. et al. (2022). Prevalence of stress and depression and associated factors among women seeking a first-trimester induced abortion in China: a cross-sectional study. Reprod Health 19, 64 https://doi.org/10.1186/s12978-022-01366-1 [Google Scholar] [Crossref]

128. Zia, Y., Mugo, N., Ngure, K., Odoyo, J., Casmir, E., Ayiera, E., Bukusi, E., & Heffron, R. (2021). Psychosocial experiences of adolescent girls and young women subsequent to an abortion in Sub-Saharan Africa and globally: a Systematic review. Frontiers in Reproductive Health, 3. https://doi.org/10.3389/frph.2021.638013 [Google Scholar] [Crossref]

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