Coping after your Termination

Blue Water Medical

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Deciding to end a pregnancy is a significant life event that involves a complex interplay of physical, emotional, and psychological factors. Whether the procedure was medical or surgical, the period following a termination requires intentional self-care and informed support. In Australia, approximately 1 in 4 women will experience an unplanned pregnancy in their lifetime, yet the post-termination journey remains a deeply personal and sometimes isolating experience.

This guide outlines the essential steps for physical recovery, emotional grounding, and accessing modern support tools available in 2026.

Prioritising Your Physical Recovery

Your body undergoes rapid hormonal and physical shifts immediately following a termination. Adhering to clinical recovery protocols is vital to prevent infection and ensure a smooth return to daily life.

  • Immediate Rest: Most individuals can return to light activities within 24 to 48 hours. However, it is essential to avoid strenuous exercise or heavy lifting for at least seven days to allow the uterus to settle.

  • Managing Discomfort: It is normal to experience cramping similar to a heavy period. Clinical advice for 2026 suggests using heat therapy—such as a therapeutic wheat bag—alongside over-the-counter analgesics like ibuprofen or paracetamol.

  • Infection Prevention: To mitigate the risk of pelvic inflammatory issues, avoid using tampons or menstrual cups for at least one week; high-absorbency sanitary pads or period underwear are recommended. Additionally, refrain from swimming, baths, or vaginal intercourse for seven days.

  • Monitoring Symptoms: While light bleeding can continue for up to three weeks, you should seek immediate medical review if you experience:

    • Saturated pads (two or more per hour).

    • Severe, localised abdominal pain.

    • Fever, chills, or an unusual discharge.

The Emotional Landscape: Normalising Your Feelings

There is no “correct” way to feel after a termination. Research indicates that while many feel an immediate sense of relief, others may navigate a spectrum of guilt, sadness, or “hormonal “blues” triggered by the sudden drop in pregnancy hormones (hCG).

In 2026, psychologists emphasise the “empty space” phenomenon—a period of adjustment where the mind catches up with the body’s new state. It is helpful to acknowledge these feelings without judgment.

Techniques for Emotional Grounding:

  1. Digital Detox: Limit social media consumption, particularly platforms with algorithm-heavy “maternity” content, to avoid unnecessary triggers during the first fortnight.

  2. Journaling: Writing down your reasons for the decision can provide a tangible “anchor” if you find yourself dwelling on “what-if” scenarios later.

  3. Mindfulness and Ritual: Some find solace in marking the date or the experience through a small, private gesture—planting a flower or writing a letter—to provide a sense of closure.

Religion and Societal Judgement

“Just because I had an abortion doesn’t mean I’m a bad person.”

“Everyone makes mistakes.”

“Motherly women have abortions too.”

“I made the best decision I could at the time.”

“If I could have done any better, I would have.”

“When I look back and ask myself if I was being selfish, I know that caring for myself is as important as caring for others. If I don’t love myself, how can I love others?”

Some people are afraid that God will not forgive them. They interpret any bad luck they have after the abortion as a sign of God’s punishment. But whether or not you had an abortion, you will experience both good and bad in your life. Blaming God and seeing punishment in misfortune is self-destructive and you should avoid it. Ask yourself, “Do I believe that God is all merciful?”

If you do, then have faith that you are forgiven and be open to receiving the forgiveness that is always there for you. Some women think that after their abortion God will cause a miscarriage when they want a baby, or make them sterile. These thoughts are not about the loving nature of God. God’s forgiveness is limitless and always there for us. 
A valuable lesson is learning to cope successfully with guilt. This means learning what to say and do for yourself to achieve self-forgiveness, learning what to avoid, believing in God’s mercy, and then using your energy to improve your life.

 

There is no “right” way to feel afterwards. You may feel relief, gratitude, sadness, anger, guilt, confidence, doubt, depression, renewed energy, remorse, “back to normal” or “no regrets at all”.

Some people, especially those who are opposed to abortion, believe that most women sink into a pit of depression, guilt and grief after an abortion. This is false. While some women report negative feelings and do experience guilt and depression afterwards, the majority of women do not report regrets or severe trauma. Many women report only positive feelings after their abortion and are at peace with themselves.

For many women, there is a mixture of both positive and troublesome feelings after an abortion. These feelings may include guilt, sadness, anger, and regret which can be hard if you can’t cope with them.

Guilt is the feeling when you believe you have done something wrong. Feeling guilty about an abortion may mean feeling sad and disappointed, feeling angry with yourself, or feeling afraid of being found out and punished. Guilt can be useful if you use it to decide to take better care of yourself. Once you make this decision, continuing to feel guilty only drains, damages and defeats you.

The first step in coping with guilt is to ask yourself, “What exactly am I feeling guilty about?”

Some women say,

“I felt guilty because… I believed I ended a life…

I felt selfish…

I felt stupid to let myself get pregnant…

had premarital sex…

thought if I didn’t suffer, I wouldn’t be forgiven…

I normally feel guilty about everything and this was one more thing…

I felt guilty because I didn’t feel guilty about having an abortion.”

1. Write “I am feeling guilty because…” and finish the sentence with all the answers that are true for you.

2. Talk to a good listener, like a family member, counsellor, or someone you trust. Take the first step now instead of waiting until your guilt gets worse.

Write or talk about this question the same way you did with the first question. If you answer, “I did it because I was stupid,” think again. Stupid is a judgmental word that will trigger bad feelings about yourself. People do things for reasons, usually to satisfy a need. When you understand why you did something then you can avoid doing it again.

One woman discovered why she took the risk of having sex without thinking about birth control.

“I was feeling lonely and needy,” she said. “And an old boyfriend happened to be passing through town. He wanted to be with me and I sure needed to be wanted. I just wasn’t thinking,” she concluded sadly. She decided to be more protective of herself when she felt lonely, and instead of having sex, she’d get together with a female friend or family member. 
“That way I’m with someone who loves me, and I don’t get hurt by some thoughtless impulse.” 
She planned ahead instead of fooling herself that there would never be a next time.

The third step in coping with guilt is very important and can be very difficult.

Forgive yourself. If you can’t, here is the key — forgiveness depends on what you say and do for yourself. If you tell yourself, “I don’t deserve forgiveness,” then you’ll be stuck in guilt. But, if you tell yourself, “I’m okay and I forgive myself,” you will be able to move past the guilt.

Knowing what to say and do for yourself to cope with guilt is important, but knowing what not to do is just as important. Some women cope poorly and suffer with guilt for years after their abortion.

  1. “I’m stupid. I’m no good, I’m selfish. I should suffer for what I’ve done.” 
It just keeps the guilt going.
  2. “I tried to block the abortion out of my mind completely by keeping busy. Because I wasn’t honest with myself and wouldn’t let myself express my true feelings, guilt came flooding over me later in life. The only way I found peace was talking with a counsellor. If I had done this sooner, I probably wouldn’t have had so much trouble.”
  3. “I blamed my parents for the abortion. I guess I couldn’t face my own guilt at the time. But now with the help of my pastor, I’ve learned to deal with it.”
  4. “I kept finding things to do that would make me suffer. I cut myself off from my friends and family. I didn’t eat. I always dwelled on the abortion. I let other people make me feel guilty, and I got involved with men who treated me mean. The only way I quit all that was by getting professional help. I wish I had got it sooner – maybe I wouldn’t have put myself through hell.”
  5. Some women attempt to make up for their abortion by joining a Right-To-Life agency and focusing their energy on talking other women out of having an abortion. 
There is a drawback to this form of activity. Other women’s crises can prevent you from coming to grips with leftover anger, guilt and loss. As long as you continue this activity you can’t heal emotionally.

About the Author

Dr Susan Brumby (MBBS, UNSW)

(Ahpra Registration: MED0001048187)

is a registered specialist general practitioner with nearly 50 years of clinical dedication to women’s healthcare and reproductive rights. A pioneer in her field, she introduced medical termination of pregnancy to her practice in 2009 and has run her own clinic in Macquarie Fields, NSW, since 2001, offering dedicated, compassionate care. Alongside her clinical work, Dr Brumby is a passionate medical educator, peer mentor, and regular contributor to global healthcare discourse

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