The research is a descriptive study of the unique and diverse experiences of women who terminated their pregnancy according to the Choice on Termination of Pregnancy Act, No 92 of 1996. It traced the psycho-social experiences of the participants from the point of discovery to the actual abortion. The decision to terminate their pregnancy was not an easy one, yet participants chose this plan of action on the basis of their socio-economic circumstances. Moral and financial support was offered to participants from their partners, friends and/or significant others whilst no therapeutic counselling was provided prior to their making the decision to terminate their pregnancy, or the actual termination. Pre-abortion counselling was offered pre-dominantly at private health care institutions whilst none of the health care facilities provided post abortion counselling. Many of the participants had to not only endure the emotional pain of their decision but also the judgmental attitudes of the health care professionals who performed the abortion procedure. Participants were unable to make informed choices regarding the choice of abortion methods. As a result they were also unprepared for the intense physical pain they endured during the procedure. The study used the descriptive research design and a qualitative methodology. Purposive sampling technique was used to select the thirteen participants. Data were obtained through the semi-structured interview schedule. The ages of the participants ranged between 19-31 years. The study concluded that the Choice on Termination of Pregnancy Act, No 92 of 1996 was necessary but that inadequate resources hampered provision of holistic services. In addition the Choice on Termination of Pregnancy Act, No 92 of 1996 does not stipulate that pre and post abortion counselling should be a pre-requisite to access abortion services. This lack of counselling resulted in participants reliance on the medical professionals choice of abortion technique which in most cases was not what participants preferred. This research therefore, advocates the need for medical professionals to provide adequate information to as well as attending to the psycho-social implications for women who request to terminate their pregnancy. / Thesis (M.A.)-University of Natal, Durban, 2000.

Objectives This study aimed to assess the association between perceived social support and induced abortion among young women in Lima, Peru. In addition, prevalence and incidence of induced abortion was estimated. Methods/Principal findings A cross-sectional study enrolling women aged 18–25 years from maternal health centers in Southern Lima, Peru, was conducted. Induced abortion was defined as the difference between the total number of pregnancies ended in abortion and the number of spontaneous abortions; whereas perceived social support was assessed using the DUKE-UNC scale. Prevalence and incidence of induced abortion (per 100 person-years risk) was estimated, and the association of interest was evaluated using Poisson regression models with robust variance. A total of 298 women were enrolled, mean age 21.7 (± 2.2) years. Low levels of social support were found in 43.6% (95%CI 38.0%–49.3%), and 17.4% (95%CI: 13.1%–21.8%) women reported at least one induced abortion. The incidence of induced abortion was 2.37 (95%CI: 1.81–3.11) per 100 person-years risk. The multivariable model showed evidence of the association between low perceived social support and induced abortion (RR = 1.94; 95%CI: 1.14–3.30) after controlling for confounders. Conclusions There was evidence of an association between low perceived social support and induced abortion among women aged 18 to 25 years. Incidence of induced abortion was similar or even greater than rates of countries where abortion is legal. Strategies to increase social support and reduce induced abortion rates are needed.

S v Mshumpa dealt with the very controversial issue of third party foetal violence that terminates prenatal life. The decision of the Eastern Cape Division emphasised that, until live birth, a foetus is not a legal subject with constitutional rights. As a result of its position in the law, a foetus cannot be the victim of criminal conduct. The court refused to develop the common law crime of murder to include a foetus and referred this issue to the legislature to address. Concerns raised by the research task relate to the most effective method of law reform and the implications of law reform for well established legal principles concerning legal subjectivity, vestment of constitutional rights and female reproductive rights. In order to avoid these concerns, the introduction of a statutory crime is determined as the preferred method for law reform. The aim of the study is to develop a suitably defined statutory crime, with definitional elements that conform to the Constitution and criminal law principles. Before embarking on the mission of exploring possible grounds that justify law reform, the research first examines the extent of inability of the law to impose criminal liability in cases of third party violence that terminates prenatal life. Aspects that are specifically investigated include the common law crime of murder, contravention of the Choice on Termination of Pregnancy Act, attempting the impossible and the common law crime of abortion. A further purpose of this examination is to determine the reasons why foetal interests are not taken into account. Appreciating the lack of criminal remedy, private law principles are considered in order to determine whether there are any principles available to supplement the deficiencies in criminal law. This research found that the value of dignity established by the founding principles of the Constitution and applied in the Choice on Termination of Pregnancy Act demonstrates that the state has an interest in prenatal life. The value of dignity serves as the foundation for law reform. Having established the existence of a sound legal basis which justifies law reform, the research requires an investigation into foreign jurisdictions where the crime of third party foetal violence exists as a result of a state interest in foetal life. The purpose of the investigation is to determine whether the crime is effectively implemented. The United States of America is the selected country to study because third party foetal violence receives attention at both state and federal level. The research found that the implementation of foetal homicide laws in the United States infringes on female reproductive rights and to a certain extent, the foetal homicide laws also grants a foetus legal subjectivity. The United States fails to effectively implement the crime of third party foetal violence in line with its own established legal principles. The research benefits from the study conducted on the United States in that the United States demonstrates the definitional elements the proposed crime should contain in order for the statutory crime to be harmonious with established constitutional and criminal law principles. The study concludes with the recommendation that a statutory crime be developed in the context of female reproductive rights rather than considering the foetus as the victim of crime. The statutory crime is a response to unauthorised third party violence that terminates a woman’s pregnancy. The definitional elements include foetal viability for purposes of causation and will only be applicable to intentional conduct. The value of dignity in relation to prenatal life serves as a support structure for the driving force of female reproductive rights. / Dissertation (LLM)--University of Pretoria, 2011. / Public Law / unrestricted

Thesis (M.Dev.) --University of Limpopo, 2007 / The study sought to develop guidelines that are aimed at improving Termination of Pregnancy (TOP) services that are rendered by public hospital based midwives. The researcher applied a qualitative and descriptive design. The study targeted midwives in the Bohlabela District, which has three hospitals. A non-probability purposive sampling was used to 6 midwives who are currently conducting TOP services in the hospitals. Data collection was both in-depth and conducted in face-to-face interviews with each participant. The findings of the study were analyzed, categorized into sub-themes, and revealed that midwives who conduct TOP services experience the following challenges, namely: inadequate human resource, poor infrastructure, lack of equipments, poor management support, and lack of support from doctors. Based on the findings of the study, it is imperative that all hospitals be designated centres for TOP services, so as to reduce the workload in the few hospitals that currently are inundated. The infrastructure needs to be improved, information about TOP services to the public has to be disseminated through awareness campaigns, and scarce skills allowances must be introduced. In addition, more staff members need to be employed. The study further recommends that the TOP policy guideline be reviewed in terms of allowing other competent health professionals to perform TOP. Chapter two discusses the literature review regarding the challenges that affect midwives who conduct TOP. In this study, theresearch compares the practice of TOP by the developing and developed countries, looks at related to laws at on TOP; gives an overview of sterilization Act in South Africa; mentions the amendments of laws on TOP; considers other legal restrictions; presents mandatory counseling for TOP clients; focuses on religious, cultural and traditional beliefs. The researcher has consulted different literatures, journals articles and website on challenges that affect midwives in rendering TOP in Limpopo, South Africa and world wild. Chapter three presents research methodology that consists of research design; area of study; population; sampling method; data collection method and procedure; ensuring trust worthiness; and ethical consideration, to be followed by limitation of the study. Chapter deals with data analysis and interpretation. Chapter five presents the researcher’s conclusions and recommendations.

Thesis (MPH.) -- University of Limpopo, 2020 / Background: In South Africa, the Choice on Termination of Pregnancy Act (CTOP) (No. 92 of 1996) promotes a woman's reproductive right and choice to have an early, safe and legal abortion. Pregnancy termination among young women constitutes a public health problem particularly in South Africa where high prevalence of abortion has been recently recorded. HIV acquisition is increased two to four-fold during pregnancy, due to biological and behavioural factors including immunological changes, hormonal changes affecting the genital tract mucosa, higher frequency of unprotected sex and incident sexually transmitted infections (STIs) during pregnancy. There is a growing interest in exploring maternal mental health effects of unintended pregnancies. However, the evidence base from a small number of available studies is characterized by considerable variability, inconsistency and inconclusive findings. Therefore, the primary objective of this study was to investigate the prevalence of HIV and its association with termination of pregnancy at Seshego Zone 4 clinic in Limpopo Province. Methodology: A cross-section descriptive retrospective review study in which convenience sampling of the records of women who terminated pregnancies was used in this study. The key variable of interest in this study was HIV results and all patients records without evidence of HIV testing, and the associated results were excluded. A self-designed data extraction tool was used to extract the data from patients records and tool covered variables such as the age of the women, educational status, marital status, occupational status, year and month of termination of pregnancy, gestational age, parity, and gravidity, method of contraceptive used, HIV status, ARV and ARV regimens. Data analysis was done using the STATA statistical software version 12 for Windows (STATA Corporation, College Station, Texas). vi Results: The mean age was 24.98 years SD±14.4 and majority of women who terminated pregnancies were in the age group 20 – 24 years at 35.7% and the least number of women who terminated pregnancies were in the age groups ≥ 40 years and ≤ 14 years at 2.3% and 0.3% respectively. Majority of the women who terminated pregnancies had parity of 1 – 2 at 47.4% followed by parity of zero at 42.3% and 3 – 4 at 9.9%. Majority of the women who terminated pregnancies were in gravida 1 at 42.8% followed by those with gravida 2 at 27.1% and those who were pregnant between the 3rd and 4th time were 26.9%. There was a statistical significance difference (p<0.001) of the use of contraceptives by age groups and also in relation to parity and similarly to gravidity. The prevalence of HIV amongst women who terminated pregnancies in the current study was found to be 11.6% and this was high in 2018 at 10.5% followed by 2019, 2015 and 2016 at 10.3%, 9.2% and 9.1% respectively. The prevalence of HIV amongst women who terminated pregnancies increased with increasing level of education from 4.1% amongst women who had primary or no educational level the followed by 9,0% and 13.6% in women who had secondary and tertiary educational level respectively. The risk of women who terminate pregnancies being HIV positive in the current study increased significantly with increasing age as older women were 1.9 times more likely to be HIV positive as compared to younger ones (p=0.004) Conclusion: The findings of this study highlight the need to address the structural socio-economic drivers of the HIV epidemic among women of child-bearing age. Women of child-bearing age in this setting have large unmet reproductive health needs. Structural interventions, such as increasing contraceptive use which may be useful for reducing the burden of unplanned pregnancies. Key concepts Human immunodeficiency virus, Acquired immunodeficiency syndrome, Termination of pregnancy, Parity and Gravidity.

Objectifs et hypothèses :Cette thèse a pour objectif d'explorer les causes de la non observance en contraception orale qui se traduit par un nombre important d'IVG chez des femmes pourtant sous contraception. Nous avons formulé 3 hypothèses : il existe des différences significatives entre les femmes présentant des difficultés d'adhésion thérapeutique et celles qui n'en présentent pas. La 2ème hypothèse a trait à l'existence de relations significatives entre les causes de non observance et la motivation générale. La 3ème hypothèse énonce l'existence de différences significatives entre les moyennes des deux groupes concernant les causes de non observance, la motivation générale et ses différentes dimensions. Population : Elle est composée de 50 femmes âgées de 20 à 55 ans utilisatrices de la contraception orale, (soit deux groupes : 25 femmes présentant des difficultés d'observance et 25 femmes ne présentant pas des difficultés d'observance). Instruments : Deux questionnaires ont été mis au point et utilisés : 1) Un questionnaire sur l'observance en contraception orale et une échelle d'évaluation des causes de non observance en contraception orale. 2) Une échelle de Motivation Globale EMG-28 destinée à l’évaluation du degré de motivation à l'observance de la contraception orale en examinant les degrés d'auto-détermination de la motivation dans la vie en général. Résultats : Les résultats indiquent l'existence de causes de non observance liées à l'utilisatrice (oublis, fausses croyances, peur des effets indésirables, manque d'information), à la contraception orale (routine, lassitude, contrainte de la prise journalière) et à la relation entre le prescripteur et l'utilisatrice (qualité de l'information donnée, relation thérapeutique, écoute, logique de prescription). Conclusion : Le processus d'utilisation de la contraception orale se révèle très complexe. Une prise en charge motivationnelle s'avère nécessaire chez les femmes en situation d'échec de contraception, comme nous le montrons avec les deux cas cliniques présentés. / Objectives and assumptions : This thesis aims explore the causes of non adherence in oral contraception which lead to TOP among women however under contraception. We formulated 3 assumptions: there are significant differences between the women presenting adherence problems and those without problems. The 2nd assumption supposes the existence of significant relations between the causes of non adherence and the general motivation. The 3rd assumption states the existence of significant differences between the averages of the two groups concerning the causes in non adherence, the general motivation and its various components. Population : A survey was carried out based on a sample of 50 women users of oral contraception in Amiens, including a group of 25 women which exhibit adherence problems. Tools : Two questionnaires were developed within the framework of this thesis, 1) A questionnaire on adherence in oral contraception and a scale for the evaluation of the causes of non adherence in oral contraception. 2) A Scale of Global Motivation EMG28 intended to evaluate the degree of motivation for adherence to oral contraception by examining the self-determination degree of motivation in life in general. Results : Collected data confirm the assumptions posed. It reveals existence of causes of non observance related on the user (missing pills, beliefs, fear of undesirable effects, information lack, on the oral contraception (routine, lassitude, constraints …) and the relation between the prescriber and the user (therapeutic relation, quality of information given, model of prescription). Conclusion : The process of use of oral contraception appears very complex. A motivational therapy is necessary among women in situation of failure of contraception, as we show it with clinical cases presented.

Thesis (MPH.) -- University of Limpopo, 2014 / Legalising Termination of Pregnancy (TOP) in South Africa has given women the choice to decide to terminate an unwanted pregnancy. The implementation of the Choice on Termination of Pregnancy (CTOP) Act No. 92 of 1996 which was promulgated in 1997 engendered many challenges for the registered midwives performing TOP. A qualitative phenomenological study was conducted to explore and describe the experiences of registered midwives performing TOP at Polokwane / Mankweng Hospital Complex, which is one of the public hospitals in Limpopo Province. Registered midwives with 12 months or more experience in the TOP clinics participated in this study. Interviews were conducted with the participants. The audiotaped interviews and observational notes were transcribed and coded using Tesch’s qualitative and systematic approach of analysing textual data. The major themes that emerged from the data analysis include lack of resources, emotional and psychological trauma, lack of support, religious and cultural beliefs, blaming and coping mechanisms. Several sub-themes were identified that reflected the themes in greater detail. These were shortage of human and material resources, stress and frustration of midwives, rejection and labelling of midwives performing TOP, conscientious objection, cultural beliefs, lack of support by colleagues and management, failure by the community to use contraceptives, self-blaming, debriefing to assist registered midwives and self-acceptance. Guidelines based on contextualisation of these themes and sub-themes to improve identified challenges included retention of personnel through recognition and incentives, increase budgeting for essential equipment, planned debriefing sessions, promotion of positive attitudes by colleagues and intense training on reproductive health, including TOP.

The primary aim of this investigation is to focus on the delivering of pre-abortion counselling from a social work perspective. The importance of delivery of pre abortion counselling with regard to the pregnant woman, who is considering the termination of a pregnancy, is accentuated on the one hand. On the other hand, the focus is on making social workers aware of becoming involved in abortion-related services. The thesis consists of five Sections: SECTION A This section indicates the actuality of the research, namely a study of pre-abortion counselling according to which four research questions are formulated. The overarching research aim and four research objectives are discussed in the section. This research takes on the intervention research model within the combined qualitative and quantitative research approach. The survey procedure was utilized in two different manners to wit the single-system design and mailed questionnaires. The data which was captured during thorough interviews was processed computer-wise as well as by hand. SECTION B This section was presented in the form of four articles in which the research finding were reported. AU four articles form part of the all-embracing research aims and objectives and of the entire research project. However, every article is a sub-project of the entire research project because it also acts independently - each with a distinctive problem statement, research aim and objectives, research methods and distinctive content. Section B consists of the following articles: Article 1 discusses abortion as a moral dilemma in South Africa and points out that there are still unanswered questions with regard to this acute subject that is as old as mankind. In Article 2 the living space of the pregnant woman who requests the termination of a pregnancy is discussed with the accent on the necessity for the understanding of such a woman who finds herself in a crisis situation, in order to deliver an effective social work service. The importance of pre-abortion counselling with crisis intervention as the proper model is discussed in Article 3. And as indicated that delivering pre-abortion counselling to the pregnant woman who requests the termination of a pregnancy is essential for the decision-making process but also with regard to her future. Article 4 discusses the opinion of social workers concerning the delivery of pre-abortion counselling. 'The social worker as a pre-abortion counsellor, and who forms part of the multi-professional team receives priority attention here. SECTION C In Section C, the conclusions and recommendations with regard to this research is explained. The limitations of this study are indicated, and recommendations are made with a view to its utilisation in theory and in practice as well as for training and research SECTION D AU addendum that are referred to in the thesis are contained in this section. SECTION E Although each article has its own source list, a combined source list of the entire research project is presented in this section. / Thesis (Ph.D. (Social Work))--North-West University, Potchefstroom Campus, 2005.

The primary aim of this investigation is to focus on the delivering of pre-abortion counselling from a social work perspective. The importance of delivery of pre abortion counselling with regard to the pregnant woman, who is considering the termination of a pregnancy, is accentuated on the one hand. On the other hand, the focus is on making social workers aware of becoming involved in abortion-related services. The thesis consists of five Sections: SECTION A This section indicates the actuality of the research, namely a study of pre-abortion counselling according to which four research questions are formulated. The overarching research aim and four research objectives are discussed in the section. This research takes on the intervention research model within the combined qualitative and quantitative research approach. The survey procedure was utilized in two different manners to wit the single-system design and mailed questionnaires. The data which was captured during thorough interviews was processed computer-wise as well as by hand. SECTION B This section was presented in the form of four articles in which the research finding were reported. AU four articles form part of the all-embracing research aims and objectives and of the entire research project. However, every article is a sub-project of the entire research project because it also acts independently - each with a distinctive problem statement, research aim and objectives, research methods and distinctive content. Section B consists of the following articles: Article 1 discusses abortion as a moral dilemma in South Africa and points out that there are still unanswered questions with regard to this acute subject that is as old as mankind. In Article 2 the living space of the pregnant woman who requests the termination of a pregnancy is discussed with the accent on the necessity for the understanding of such a woman who finds herself in a crisis situation, in order to deliver an effective social work service. The importance of pre-abortion counselling with crisis intervention as the proper model is discussed in Article 3. And as indicated that delivering pre-abortion counselling to the pregnant woman who requests the termination of a pregnancy is essential for the decision-making process but also with regard to her future. Article 4 discusses the opinion of social workers concerning the delivery of pre-abortion counselling. 'The social worker as a pre-abortion counsellor, and who forms part of the multi-professional team receives priority attention here. SECTION C In Section C, the conclusions and recommendations with regard to this research is explained. The limitations of this study are indicated, and recommendations are made with a view to its utilisation in theory and in practice as well as for training and research SECTION D AU addendum that are referred to in the thesis are contained in this section. SECTION E Although each article has its own source list, a combined source list of the entire research project is presented in this section. / Thesis (Ph.D. (Social Work))--North-West University, Potchefstroom Campus, 2005.

La recherche explore les traces et remaniements du deuil prénatal au cours d'une grossesse suivant une Interruption Médicale de Grossesse (IMG) pour raison fœtale. Le statut du fœtus/bébé y est triplement complexe: entre humain et non humain sur le plan légal ; objet perceptible mais non directement visible dans la réalité matérielle ; à la fois prolongement narcissique et objet interne - partiel et potentiellement total dans la réalité psychique. Cet extrême paradoxe constitue un défi majeur du travail psychique du deuil prénatal. Selon le contexte culturel et les choix singuliers, maternels et paternels, face à ces possibles, les pratiques autours de sa mort seront différentes et aboutiront à des processus de deuil contrastés. Dans le cas particulier d'une IMG, l'expérience clinique nous invite à envisager deux aspects fondamentaux. D'un côté, la décision prise par la mère avec le choix qui s'impose à elle d'interrompre ou non la grossesse - et par là la vie du fœtus/bébé - interroge d'emblée ses éventuelles traces actualisées de culpabilité. De l'autre, être enceinte d'un fœtus porteur d'une pathologie grave représente pour la femme une blessure narcissique renvoyant au concept de honte. Dans leur articulation avec les processus narcissiques et objectaux, la honte et la culpabilité sont des prismes pertinents pour étudier les spécificités d'une grossesse suivant une IMG au cours de laquelle les liens entre objets internes, objets externes, sujet et groupe sont mis en exergue. Dans ce contexte, trois questions constituent la problématique de cette étude: le mode d'investissement du fœtus/bébé décédé est-il réactualisé par l'investissement du fœtus/bébé de la grossesse actuelle ? La grossesse active-t-elle de manière particulières des traces de honte et de culpabilité que nous nommons pour les singulariser vivances ? De quelle façon ces vivances s'articulent-elles avec les mouvements psychiques de la femme dans les processus de deuil ? Méthodologie: Cette recherche qualitative se réfère à une méthodologie hypothético-déductive et s'inscrit dans un référentiel psychanalytique. La population est constituée de 11 femmes (primipares et multipares) enceintes après avoir vécu une IMG pour raison fœtale après 15 Semaines d'Aménorrhée (SA). Des entretiens semi-structurés ont été menés auprès de ces femmes aux trois trimestres de la grossesse. Elles ont également rempli des auto-questionnaires à chaque temps de la recherche (PAI, PGS, EPDS, STAI, DAS, PCLS). L'analyse des entretiens, audio-enregistrés, croise une observation approfondie de chaque cas avec une analyse de contenu thématique, prenant en compte le vécu subjectif de chaque femme, afin de répondre aux hypothèses de recherche. Résultats : Les résultats mettent en avant une réactualisation du processus de deuil au cours de la grossesse suivante. Ils vont dans le sens de la confirmation de la portée heuristique et clinique de l'étude de la honte et de la culpabilité lors d'une grossesse suivant une IMG. La honte se manifeste chez ces femmes par des vécus de dévoilement et d'exclusion, un sentiment de perte de contrôle, voire d'emprise, et un vécu d'échec et d'indignité. L'élaboration des vivances de honte est un bon marqueur de la possible résolution des dimensions narcissiques et développementales du processus de deuil. La culpabilité est très présente, en lien avec la pathologie fœtale, la décision d'interrompre la grossesse et vis-à-vis du bébé de la grossesse actuelle. Dans ce contexte, la honte et la culpabilité sont à comprendre comme les deux pôles d'un gradient continu. Sur le terrain périnatal, l'articulation sémiologique et psychopathologique de la dialectisation entre honte et culpabilité lors d'une grossesse suivant une IMG, permet de donner des repères cliniquement organisateurs dans le cadre d'une prévention transdisciplinaire médico-psycho-sociale des troubles de la parentalité et des dysharmonies relationnelles précoces. / The aim of this research is to explore the traces and updates of prenatal grief during a pregnancy subsequent to a Medical Termination of Pregnancy (MTP). The status of the fetus is triply complex: between human and non-human on a legal dimension ; perceptible object but that cannot directly be seen in the plan of material reality; both narcissistic extension and internal object - partial and potentially total - in psychic reality. This extreme paradox is the major challenge of the psychic work during prenatal bereavement. Depending on the cultural background and singular maternal and paternal choices among those possibilities, the practices surrounding the death of the baby will be different and lead to contrasting grieving processes. In the particular case of MTP, the clinical experience leads us to consider two fundamental aspects. On one hand, the decision taken by the mother with the choice that she has to make to interrupt the pregnancy or not - and thereby the fetus/baby's life - questions on possibles feelings of guilt. From the other hand, being pregnant with a fetus with a severe pathology represents a narcissistic injury referring to the concept of shame. Shame and guilt, because of their relationship with narcissistic and object-relation processes seem to be quite relevant to study the specificities of a pregnancy following a MTP. In this context, three main questions constitutes the problematic of this study : Is the investment of the dead fetus/baby updated by the investment of the current fetus/baby ? Is the pregnancy activating in a particular way feelings of shame and guilt ? What is the articulation of these feelings with the grieving process ? Methodology: This qualitative research refers to a hypothetical-deductive method and lays on a psychoanalytic background. Our population is composed with 11 women (primiparous and multiparous) pregnant after a MTP for fetal reasons occurred after 15 weeks of amenorrhea (WA). Semi-structured interviews were conducted on the three trimestre of the pregnancy. They also each time completed self-questionnaires (PAI, PGS, EPDS, STAI, DAS, PCLS). The analysis of the interviews, that were recorded, crosses a thorough observation of each case with a thematic content analysis, taking into account the subjective experience of each woman, in order to answer the research hypotheses. Results: The results highlight an updating of the grieving process during the following pregnancy. They are in line with the confirmation of the heuristic and clinical significance of the study of shame and guilt in a pregnancy following a MTP. For these women, shame is manifested by a feeling of unveiling and exclusion, loss of control, and an experience of failure and unworthiness. The elaboration of shame is a good marker for possible resolution of narcissistic and developmental dimensions of the grieving process. Guilt is very present, connected with fetal pathology, the decision to terminate the pregnancy and towards the baby of the current pregnancy. Shame and guilt can be understood as the two poles of a continuous gradient. Their study in the context of a pregnancy following a medically terminated one makes possible to offer pertinent semiological and psychopathological markers in the framework of primary and secondary prevention of troubles in parentality and in early relational dysharmonies.