Cargando…

Therapeutic termination of pregnancy and women’s mental health: Determinants and consequences

The therapeutic termination of pregnancy (TToP) is an induced abortion following a diagnosis of medical necessity. TToP is applied to avoid the risk of substantial harm to the mother or in cases of fetal unviability. This type of induced abortion is provided after the second semester of gestation if...

Descripción completa

Detalles Bibliográficos
Autores principales: di Giacomo, Ester, Pessina, Rodolfo, Santorelli, Mario, Rucco, Daniele, Placenti, Valeria, Aliberti, Francesca, Colmegna, Fabrizia, Clerici, Massimo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8613757/
https://www.ncbi.nlm.nih.gov/pubmed/34888166
http://dx.doi.org/10.5498/wjp.v11.i11.937
_version_ 1784603704096194560
author di Giacomo, Ester
Pessina, Rodolfo
Santorelli, Mario
Rucco, Daniele
Placenti, Valeria
Aliberti, Francesca
Colmegna, Fabrizia
Clerici, Massimo
author_facet di Giacomo, Ester
Pessina, Rodolfo
Santorelli, Mario
Rucco, Daniele
Placenti, Valeria
Aliberti, Francesca
Colmegna, Fabrizia
Clerici, Massimo
author_sort di Giacomo, Ester
collection PubMed
description The therapeutic termination of pregnancy (TToP) is an induced abortion following a diagnosis of medical necessity. TToP is applied to avoid the risk of substantial harm to the mother or in cases of fetal unviability. This type of induced abortion is provided after the second semester of gestation if fetal illness or the pregnancy cause physical danger or pathological mental distress to the mother. Socio-cultural and economic determinants could influence the desire for children and family planning in couples, as well as the use of effective contraception and the choice to perform an induced abortion. Also, pre-existing mental health problems could affect the decision between carrying on a problematic pregnancy or having TToP. Furthermore, the TToP is a reproductive event with an important traumatic burden, but also with an intrinsic therapeutic effect and it can produce different psychological and psychopathological effects on women and couples. The aim of this review is to evaluate what demographic, reproductive and psychopathological determinants are involved in the choice of undergoing a TToP in women. Also, we will examine both positive and negative consequences of this procedure on women’s mental health, underlying which factors are related to a worse outcome in order to provide the best clinical support to vulnerable groups.
format Online
Article
Text
id pubmed-8613757
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Baishideng Publishing Group Inc
record_format MEDLINE/PubMed
spelling pubmed-86137572021-12-08 Therapeutic termination of pregnancy and women’s mental health: Determinants and consequences di Giacomo, Ester Pessina, Rodolfo Santorelli, Mario Rucco, Daniele Placenti, Valeria Aliberti, Francesca Colmegna, Fabrizia Clerici, Massimo World J Psychiatry Evidence Review The therapeutic termination of pregnancy (TToP) is an induced abortion following a diagnosis of medical necessity. TToP is applied to avoid the risk of substantial harm to the mother or in cases of fetal unviability. This type of induced abortion is provided after the second semester of gestation if fetal illness or the pregnancy cause physical danger or pathological mental distress to the mother. Socio-cultural and economic determinants could influence the desire for children and family planning in couples, as well as the use of effective contraception and the choice to perform an induced abortion. Also, pre-existing mental health problems could affect the decision between carrying on a problematic pregnancy or having TToP. Furthermore, the TToP is a reproductive event with an important traumatic burden, but also with an intrinsic therapeutic effect and it can produce different psychological and psychopathological effects on women and couples. The aim of this review is to evaluate what demographic, reproductive and psychopathological determinants are involved in the choice of undergoing a TToP in women. Also, we will examine both positive and negative consequences of this procedure on women’s mental health, underlying which factors are related to a worse outcome in order to provide the best clinical support to vulnerable groups. Baishideng Publishing Group Inc 2021-11-19 /pmc/articles/PMC8613757/ /pubmed/34888166 http://dx.doi.org/10.5498/wjp.v11.i11.937 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
spellingShingle Evidence Review
di Giacomo, Ester
Pessina, Rodolfo
Santorelli, Mario
Rucco, Daniele
Placenti, Valeria
Aliberti, Francesca
Colmegna, Fabrizia
Clerici, Massimo
Therapeutic termination of pregnancy and women’s mental health: Determinants and consequences
title Therapeutic termination of pregnancy and women’s mental health: Determinants and consequences
title_full Therapeutic termination of pregnancy and women’s mental health: Determinants and consequences
title_fullStr Therapeutic termination of pregnancy and women’s mental health: Determinants and consequences
title_full_unstemmed Therapeutic termination of pregnancy and women’s mental health: Determinants and consequences
title_short Therapeutic termination of pregnancy and women’s mental health: Determinants and consequences
title_sort therapeutic termination of pregnancy and women’s mental health: determinants and consequences
topic Evidence Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8613757/
https://www.ncbi.nlm.nih.gov/pubmed/34888166
http://dx.doi.org/10.5498/wjp.v11.i11.937
work_keys_str_mv AT digiacomoester therapeuticterminationofpregnancyandwomensmentalhealthdeterminantsandconsequences
AT pessinarodolfo therapeuticterminationofpregnancyandwomensmentalhealthdeterminantsandconsequences
AT santorellimario therapeuticterminationofpregnancyandwomensmentalhealthdeterminantsandconsequences
AT ruccodaniele therapeuticterminationofpregnancyandwomensmentalhealthdeterminantsandconsequences
AT placentivaleria therapeuticterminationofpregnancyandwomensmentalhealthdeterminantsandconsequences
AT alibertifrancesca therapeuticterminationofpregnancyandwomensmentalhealthdeterminantsandconsequences
AT colmegnafabrizia therapeuticterminationofpregnancyandwomensmentalhealthdeterminantsandconsequences
AT clericimassimo therapeuticterminationofpregnancyandwomensmentalhealthdeterminantsandconsequences