Document Type : Research Paper

Authors

1 PhD Candidate, Department of Women Studies, Humanities Faculty, Tarbiat Modares University, Tehran, Iran.

2 Associate Professor, Department of Women Studies, Humanities Faculty, Tarbiat Modares University, Tehran, Iran.

3 Assistant Professor, Department of Social Sciences, Faculty of Social Sciences and Economics, Alzahra University, Tehran, Iran.

4 Assistant Professor, Department of Women Studies, Humanities Faculty, Tarbiat Modares University, Tehran, Iran.

Abstract

Women are subjected to distressing circumstances during the decision-making process and in the post-abortion period as a result of intentional abortion. The objective of this investigation is to ascertain the coping mechanisms that women employ when confronted with the consequences of intentional abortion. Using a descriptive phenomenological approach, in-depth semi-structured interviews were conducted with 40 women who had experienced intentional abortion in Alborz Province in 2024. The findings of this study indicate that women implement a variety of coping strategies when confronted with intentional abortions. These strategies can be classified into four primary approaches: “protective-restorative actions,” “moral reckoning,” “justification-building,” and “comprehensive avoidance.” The “justification-building” approach integrates rational, religious, and social arguments to transform abortion from a stigma to a legitimate and inevitable decision within specific life circumstances. The “comprehensive avoidance” approach serves as a defensive mechanism, employing cognitive-emotional strategies to alleviate the psychological burden of this decision. The “moral reckoning” approach is indicative of the critical reflection and reevaluation of this experience within the context of women’s personal value systems. Finally, “protective-restorative actions” illustrate systematic endeavors to mitigate the repercussions by implementing compensatory and preventative measures. Collectively, these strategies symbolize women’s endeavors to preserve psychosocial equilibrium within the existing cultural, social, and religious context. An evidence framework for the development of comprehensive reproductive policies and targeted psychological interventions in Alborz Province can be established by the study's findings. Such initiatives have the potential to prevent intentional abortions and reduce their negative psychosocial consequences by incorporating the adaptive strategies identified in counseling services.

Keywords

Main Subjects

Azadvari, E. & Karamhabibpour, K. (2023). Abortion: Conflict of Fear and Choice (A Study of the Social Circumstances Surrounding the Emergence of Abortion in the City of Mashhad). Journal of Social Problems of Iran14(1), 151-183. https://ijsp.ut.ac.ir/article_94848.html (In Persian)
 
Azadvari, E. (2020). The process of forming the decision for intentional abortion: A case study in Mashhad (Presenting a grounded theory. Master's thesis. Advised by Karam Habibpour Gatabi. Tehran: Kharazmi University, Faculty of Social Sciences. (In Persian)
Akbari, M. E., Haghdoost, A. A., Bourbour, Z., Ahmadi, N., Maghsoudi, S., Akbari, A., … & Nekouei, A. H. (2025) Prevalence and Causes of Abortion in the Islamic Republic of Iran. Cancer Research Center Shahid Beheshti University of Medical Sciences, Imam Hussein University, University of Religions and Denominations. (In Persian)
Bailey, C., & Bailey, C. (2021). Exploring lived experience. Researching virtual play experiences: Visual methods in education research.
Biggs, M. A., Upadhyay, U. D., McCulloch, C. E., & Foster, D. G. (2017). Women’s mental health and well-being 5 years after receiving OR being denied an abortion a prospective, longitudinal cohort study. JAMA Psychiatry, 74(2), 169–178.    https://doi.org/ 10.1001/jamapsychiatry.2016.3478
Binayew, M., Tesfaye, T., Hareru, H. E., Ewune, H. A., Assefa, G., Kebede, S. S., ... & Gube, A. A. (2022). Determinants of repeated induced abortion among reproductive age group women visiting health facilities of Sidama regional state, Ethiopia, 2020: Facility based unmatched case-control study. Clinical Epidemiology and Global Health, 16, 101079.    https://doi.org/10.1016/j.cegh.2022.101079
Carver, C. S., Scheier, M. F., & Weintraub, K. J. (1989). Assessing Coping Strategies: A Theoretically Based Approach. Journal of Personality and Social Psychology, 56(2), 267–283. https://doi.org/10.1037//0022-3514.56.2.267
Creswell, J. W., & Poth, C. N. (2025). Qualitative inquiry & research design: Choosing among five approaches. SAGE Publications.
Endler, N. S., & Parker, J. D. A. (1990). Multidimensional Assessment of Coping: A Critical Evaluation. Journal of Personality and Social Psychology, 58(5), 844–854. https://doi.org/10.1037/0022-3514.58.5.844
Fernández, J. J., & Adamczyk, A. (2025). Dimensions and clusters of abortion legal attitudes: A cross-national analysis of diverse nations. Social Science Research, 128, 103173. https://doi.org/10.1016/j.ssresearch.2025.103173
 
Folkman, S., Lazarus, R. S., Dunkel-Schetter, C., DeLongis, A., & Gruen, R. J. (1986). Dynamics of a Stressful Encounter. Cognitive Appraisal, Coping, and Encounter Outcomes. Journal of Personality and Social Psychology, 50(5), 992–1003. https://doi.org/10.1037/0022-3514.50.5.992
Garnsey, A., Liddell, J. L., Glover, A., Doria, C. M., Buscaglia, A., & Buxbaum, L. (2024). “I am empowered by this opportunity”: The role of abortion funds as an antidote to abortion stigma. SSM - Qualitative Research in Health, 6, 100478.            https://doi.org/10.1016/j.ssmqr.2024.100478
Ghazanfari, R. S., Moini, S. R., & Pezhhan, A. (2025). Estimating the Prevalence of Induced Abortions in Tehran Using the Network Scale-Up Method (NSUM). Journal of Population Association of Iran, e722853.     https://www.jpaiassoc.ir/article_722853.html (In Persian)
Hatamifar, S., & Rezaei, M. (2025). An Inquiry into Induced Abortion in Traditional Communities: An Ethnographic Study in Sardasht, Iran. Journal of Population Association of Iran, e722399.        https://doi.org/10.22034/jpai.2025.2044159.1376 (In Persian)
Huneeus, A., Capella, D., Cabieses, B., & Cavada, G. (2020). Induced Abortion According to Socioeconomic Status in Chile. Journal of Pediatric and Adolescent Gynecology, 33(4), 415-420.e1.     https://doi.org/10.1016/J.JPAG.2020.03.003
Jeltsch, C., & Berger-Höger, B. (2024). Information and support needs of women planning an abortion according to counselling regulations in Germany – A qualitative study[Informations- und Unterstützungsbedarfe von Frauen bei geplantem Schwangerschaftsabbruch nach Beratungsregelung in Deutschland – eine qualitative Studie]. Zeitschrift Fur Evidenz, Fortbildung Und Qualitat Im Gesundheitswesen, 190, 44–52. https://doi.org/10.1016/j.zefq.2024.09.001
Kaveny, M. C. (2023). Intentional Killing or A Right to Bodily Integrity: Can We Bridge the Moral Languages of Abortion? Journal of Moral Theology, 12(1). https://doi.org/10.55476/001c.66240
Khani, S., Gharibi, B., & Khaleghpanah, K. (2025). Demographic Correlates of Induced Abortion Experience: A Study of a Hidden Sample of Women in Sanandaj, Iran. Journal of Population Association of Iran, e722402. https://doi.org/10.22034/jpai.2025.2045200.1381 (In Persian)
Kimport, K., Weitz, T. A., & Freedman, L. (2016). The Stratified Legitimacy of Abortions. Journal of Health and Social Behavior, 57(4), 503–516. https://doi.org/10.1177/0022146516669970
Kosia, A., Frumence, G., Nyamhanga, T., Semakafu, A. M., & Kakoko, D. (2021). Coping strategies available for women living with HIV/AIDS experiencing intimate partner violence in the Singida Region, Tanzania. Intimate Partner Violence: Assessment, Treatment and Prevention, 149–169. https://doi.org/10.18203/2394-6040.IJCMPH20211966
Littell, J. H., Young, S., Pigott, T. D., Biggs, M. A., Munk-Olsen, T., & Steinberg, J. R. (2024). Abortion and mental health outcomes: A systematic review and meta-analysis. Campbell Systematic Reviews, 20(2). https://doi.org/10.1002/CL2.1410,
Moore, B., Poss, C., Coast, E., Lattof, S. R., & van derMeulen Rodgers, Y. (2021). The economics of abortion and its links with stigma: A secondary analysis from a scoping review on the economics of abortion. PLOS ONE, 16(2), e0246238. https://doi.org/10.1371/JOURNAL.PONE.0246238
Motavalli, R., Alizadeh, L., Namadi Vosoughi, M., & Shahbazzadegan, S. (2012). Evaluation of the Prevalence, Reasons and Consequences of Induced Abortion in Women of Ardabil in 2011. Journal of Ardabil University of Medical Sciences, 12(4), 384-391.       http://jarums.arums.ac.ir/article-1-74-fa.html (In Persian)
Nov-Klaiman, T., Bowman-Smart, H., & Horn, R. (2025). Women’s wellbeing as an empty declaration? A qualitative exploration of challenges in accessing termination of pregnancy due to fetal anomaly in Germany. BMC Medical Ethics, 26(1), 40. https://doi.org/10.1186/s12910-025-01196-3
Palacios-Serna, L. I., Obando-Peralta, E. C., Durand-Ascárate, L. A., Velazco-Reyes, B., & Soto, I. B. R. (2024). Coping Strategies For the Prevention of Social Violence in University Students. RGSA: Revista de Gestão Social e Ambiental, 18(9), e08670–e08670.         https://doi.org/10.24857/RGSA.V18N9-192
Pleasants, E., Parham, L., Karen, W., Dolgins, E., Upadhyay, U. D., Marshall, C., & Prata, N. (2024). Waiting to start abortion: A qualitative exploration of narratives of waiting shared in a Reddit community for abortion post-Dobbs leak in 2022. Social Science and Medicine, 349, 116877.    https://doi.org/10.1016/j.socscimed.2024.116877
 
Razeghi Nasrabad, H. B., & Sanjari, E. (2017). Factors Associated with Induced Abortion: Lived Experiences of Women in Tehran. Women’s Studies Sociological and Psychological15(2), 105-136.   https://doi.org/10.22051/jwsps.2017.8299.1165 (In Persian)
Reardon, D. C. (2018). The abortion and mental health controversy: A comprehensive literature review of common ground agreements, disagreements, actionable recommendations, and research opportunities. SAGE Open Medicine, 6, 2050312118807624.            https://doi.org/10.1177/2050312118807624
Rocca, C. H., Moseson, H., Gould, H., Foster, D. G., & Kimport, K. (2021). Emotions over five years after denial of abortion in the United States: Contextualizing the effects of abortion denial on women’s health and lives. Social Science and Medicine, 269.           https://doi.org/10.1016/j.socscimed.2020.113567
Scoglio, A. A. J., & Nayak, S. S. (2023). Alignment of state-level policies and public attitudes towards abortion legality and government restrictions on abortion in the United States. Social Science and Medicine, 320. https://doi.org/10.1016/j.socscimed.2023.115724
Sinfield, G., Goldspink, S., & Wilson, C. (2023). Waiting in the Wings: The Enactment of a Descriptive Phenomenology Study. International Journal of Qualitative Methods, 22. https://doi.org/10.1177/16094069231207012
Somaiya, D., & Lew, C. (2023). First Trimester Medication Abortion: Public Health Challenges and Clinical Guidance. Oxford Research Encyclopedia of Global Public Health.        https://doi.org/10.1093/ACREFORE/9780190632366.013.209
Speziale, H. S., & Carpenter, D. R. (2023). Qualitative Research in Nursing: Advancing the Humanistic Imperative.
Strauss, A., & Corbin, J. (2021). Basics of Qualitative Research. Tehran: Andisheh Rafi. (In Persian)
Yee, S. F. (2019). The Framework of Transcendental Phenomenology (pp. 1–21). Springer, Singapore. https://doi.org/10.1007/978-981-13-2679-0_1
Zafari Dizji, A. (2014). Lived experience of women in voluntary pregnancy termination. Master's thesis. Advised by Afsaneh Tavassoli. Tehran: Alzahra University. Faculty of Social Sciences and Economics. (In Persian)