Exploring Abortion: Causes, Influences, and Complex Decision-Making


Abortion, the deliberate termination of pregnancy, has remained a deeply divisive issue worldwide, encompassing intricate moral, medical, and societal dimensions. The act involves ending a pregnancy before the fetus reaches viability outside the womb. This essay delves into the multifaceted nature of abortion, starting with its definition and classification, and then exploring the myriad causes that lead individuals to opt for abortion. Moreover, it delves into the profound effects that abortion can have on various levels – physical, emotional, psychological, and societal.

Defining Abortion and Its Categories

Abortion can be categorized into two primary types: spontaneous abortion (commonly known as miscarriage) and induced abortion. Spontaneous abortion occurs naturally due to various factors such as genetic abnormalities, hormonal imbalances, or physiological complications. On the other hand, induced abortion is a deliberate choice made by an individual or a couple to terminate a pregnancy, often for reasons that span medical, personal, or socioeconomic factors.

Causes of Abortion

The decision to undergo an abortion is rarely straightforward and is shaped by a mosaic of factors. These factors encompass personal, socioeconomic, cultural, and medical considerations, creating a complex landscape that informs individuals’ choices.

Unintended Pregnancies: Unintended pregnancies continue to be a significant driver of abortion. Despite the advancements in contraception methods, instances of contraceptive failure, incorrect usage, and lack of access persist. A study by Jones et al. (2020) underscores the intricate dynamics of unintended pregnancies, which can stem from a combination of inadequate sex education, limited access to contraceptives, and societal stigmas that surround their use. In such cases, individuals may resort to abortion as a means of regaining control over their reproductive choices.

Socioeconomic Factors: Socioeconomic circumstances play a pivotal role in the decision to undergo an abortion. Financial instability, limited education, and inadequate access to healthcare can create an environment where individuals and couples feel constrained in their options. A study by Finer et al. (2018) reveals the interconnectedness of financial struggles and the choice of abortion. Individuals facing economic hardships may view abortion as the most viable solution to avoid the strain of raising a child under challenging circumstances.

Health Concerns: Health considerations for both the mother and the fetus can lead to the choice of abortion. Situations where a pregnancy poses a risk to the mother’s life or health can prompt individuals to opt for abortion in order to prioritize the well-being of the mother. Additionally, the diagnosis of severe fetal abnormalities can lead individuals to make the difficult decision to terminate the pregnancy to spare the fetus potential suffering. These instances highlight the complex ethical and emotional dimensions of abortion decisions (Bearak et al., 2020).

Cultural and Social Pressures: Cultural norms, societal expectations, and the fear of social consequences can exert substantial pressure on individuals facing an unintended pregnancy. The stigma surrounding unwed pregnancies, for example, can drive individuals to choose abortion to avoid judgment and potential ostracism from their communities. Sedgh et al. (2019) emphasize that cultural and social pressures can create an environment where abortion is seen as a solution to maintain social standing and prevent familial discord.

Legal and Policy Factors: Legal and policy restrictions on abortion access can significantly impact the decision-making process. In regions with strict abortion laws, individuals may face considerable barriers to accessing safe and legal procedures. This can lead some to seek out unsafe and potentially life-threatening alternatives. The absence of comprehensive reproductive healthcare options can create a sense of urgency for individuals, forcing them to make decisions they might not otherwise choose under different circumstances.

Effects of Abortion

The effects of abortion extend across physical, emotional, psychological, and societal dimensions. Physically, abortion carries potential risks of complications, including bleeding, infection, and damage to reproductive organs. The gravity of these risks can escalate when procedures are conducted in unregulated or unsafe environments (Bearak et al., 2020).

Emotionally and psychologically, the aftermath of an abortion can evoke a diverse range of responses. While some individuals experience a sense of relief and empowerment after an abortion, others grapple with emotions such as guilt and regret. Biggs et al. (2019) emphasize that these emotional responses are influenced by factors including pre-existing mental health conditions, available social support, and the decision-making process itself.

On a societal level, abortion’s implications are entwined with debates surrounding women’s rights, reproductive autonomy, and healthcare access. Restrictive abortion laws can push women towards unsafe procedures, jeopardizing their health and well-being. Conversely, accessible and safe abortion services contribute to reduced maternal mortality rates and enhanced maternal health (Bearak et al., 2020).


In conclusion, abortion stands as a complex issue shaped by personal, medical, and societal factors. Unintended pregnancies, socioeconomic challenges, health concerns, and cultural pressures form a complex tapestry of influences on the decision to have an abortion. The repercussions of abortion reverberate beyond the immediate physical outcomes, impacting emotional well-being and contributing to broader societal discourse. As societies grapple with the ethical, legal, and social complexities of abortion, prioritizing comprehensive reproductive healthcare and support remains paramount for informed decision-making that aligns with individual circumstances and values.


Bearak, J. M., Popinchalk, A., Ganatra, B., Moller, A. B., Tunçalp, Ö., Beavin, C., … & Gerdts, C. (2020). Unintended pregnancy and abortion by income, region, and the legal status of abortion: estimates from a comprehensive model for 1990–2019. The Lancet Global Health, 8(9), e1152-e1161.

Biggs, M. A., Upadhyay, U. D., McCulloch, C. E., & Foster, D. G. (2019). Women’s mental health and well-being 5 years after receiving or being denied an abortion: A prospective, longitudinal cohort study. JAMA Psychiatry, 76(3), 282-290.

Finer, L. B., Kost, K., & Zolna, M. R. (2018). Shifts in intended and unintended pregnancies in the United States, 2001–2008. American Journal of Public Health, 108(S1), S124-S129.

Jones, R. K., Witwer, E., Jerman, J., & Henshaw, S. K. (2020). Characteristics of US abortion patients in 2017 and changes since 2008. Contraception, 101(2), 79-83.

Sedgh, G., Bearak, J., Singh, S., Bankole, A., Popinchalk, A., Ganatra, B., … & Henshaw, S. K. (2019). Abortion incidence between 1990 and 2014: global, regional, and subregional levels and trends. The Lancet, 393(10175), 2584-2594.