{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T07:09:10Z","timestamp":1789024150016,"version":"build-2803163510"},"reference-count":57,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T00:00:00Z","timestamp":1783123200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T00:00:00Z","timestamp":1783123200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","award":["554002012"],"award-info":[{"award-number":["554002012"]}],"id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Womens Ment Health"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate how unintended pregnancy (UP) is associated with the occurrence of mental health (MH) problems one year later among womxn, while also considering pregnancy outcome (abortion\/continuation), co-occurring risks and protective factors. We examine this in the Dutch context, given available abortion care up to 24 weeks gestation and high diversity in people\u2019s pregnancy intentions. We hypothesized that MH problems are more prevalent among those whose pregnancy was more unintended.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Data from the Dutch BluePrInt study included both womxn who had an abortion (AB,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009152) and who continued their UP (CT,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009212). They filled out an online survey shortly after their abortion (AB) or around 14 weeks gestation (CT), and at follow-up one year later. Key variables included pregnancy intendedness (continuously measured), anxiety\/depression symptoms (measured with a screening tool based on the CIDI), social- and partner support, abuse experiences, UP-related variables (difficulty deciding, uncertainty, pressure, and negative emotions) and socioeconomic position.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>26.5% developed MH symptoms one year after their UP, with no significant differences between AB and CT groups. Pregnancy intendedness and -outcome (abortion vs. continuation), as well as their interaction, were not related to MH symptoms one year later. Previous MH was the strongest predictor of MH risks (OR: 3.54), while perceived social support from family\/friends was associated with a lower risk (OR: 0.66).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In a context where abortion care is available, pregnancy intendedness and -outcome do not increase people\u2019s risks of MH symptoms one year after experiencing an UP. Instead, previous MH and support from family\/friends are important for MH after experiencing an UP. Positioning UP as inherently problematic is not warranted. Policy and practice should center people\u2019s lived reproductive experiences and care needs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00737-026-01745-8","type":"journal-article","created":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T02:59:20Z","timestamp":1783133960000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mental health after unintended pregnancy: insights from a context with available abortion care"],"prefix":"10.1007","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5239-5719","authenticated-orcid":false,"given":"Wieke Y","family":"Beumer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0564-5994","authenticated-orcid":false,"given":"Tessa J","family":"Roseboom","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0560-4949","authenticated-orcid":false,"given":"Jenneke","family":"van Ditzhuijzen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,4]]},"reference":[{"issue":"6","key":"1745_CR1","doi-asserted-by":"publisher","first-page":"586","DOI":"10.1037\/0278-6133.19.6.586","volume":"19","author":"NE Adler","year":"2000","unstructured":"Adler NE, Castellazzo ESE, G., Ickovics JR (2000) Relationship of subjective and objective social status with psychological and physiological functioning: preliminary data in healthy white women. Health Psychol 19(6):586\u2013592. https:\/\/doi.org\/10.1037\/0278-6133.19.6.586","journal-title":"Health Psychol"},{"issue":"3","key":"1745_CR2","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1363\/48e10316","volume":"48","author":"AR Aiken","year":"2016","unstructured":"Aiken AR, Borrero S, Callegari LS, Dehlendorf C (2016) Rethinking the Pregnancy Planning Paradigm: Unintended Conceptions or Unrepresentative Concepts? Perspect Sex Reprod Health 48(3):147\u2013151. https:\/\/doi.org\/10.1363\/48e10316","journal-title":"Perspect Sex Reprod Health"},{"issue":"4","key":"1745_CR3","doi-asserted-by":"publisher","first-page":"392","DOI":"10.3109\/09540261.2014.928270","volume":"26","author":"J Allen","year":"2014","unstructured":"Allen J, Balfour R, Bell R, Marmot M (2014) Social determinants of mental health. Int Rev Psychiatry 26(4):392\u2013407. https:\/\/doi.org\/10.3109\/09540261.2014.928270","journal-title":"Int Rev Psychiatry"},{"key":"1745_CR4","unstructured":"APA (2008) Task force on mental health and abortion. http:\/\/www.apa.org\/pi\/wpo\/mental-health-abortion-report.pdf"},{"issue":"2","key":"1745_CR5","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1111\/jmwh.13457","volume":"68","author":"SL Auerbach","year":"2023","unstructured":"Auerbach SL, Coleman-Minahan K, Alspaugh A, Aztlan EA, Stern L, Simmonds K (2023) Critiquing the unintended pregnancy framework. J Midwifery Womens Health 68(2):170\u2013178. https:\/\/doi.org\/10.1111\/jmwh.13457","journal-title":"J Midwifery Womens Health"},{"key":"1745_CR6","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1186\/s12884-015-0505-4","volume":"15","author":"J Bahk","year":"2015","unstructured":"Bahk J, Yun SC, Kim YM, Khang YH (2015) Impact of unintended pregnancy on maternal mental health: a causal analysis using follow up data of the Panel Study on Korean Children (PSKC). BMC Pregnancy Childbirth 15:85. https:\/\/doi.org\/10.1186\/s12884-015-0505-4","journal-title":"BMC Pregnancy Childbirth"},{"issue":"5","key":"1745_CR7","doi-asserted-by":"publisher","first-page":"426","DOI":"10.1136\/jech.2003.014787","volume":"58","author":"G Barrett","year":"2004","unstructured":"Barrett G, Smith SC, Wellings K (2004) Conceptualisation, development, and evaluation of a measure of unplanned pregnancy. J Epidemiol Community Health 58(5):426\u2013433. https:\/\/doi.org\/10.1136\/jech.2003.014787","journal-title":"J Epidemiol Community Health"},{"issue":"3","key":"1745_CR8","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1136\/bmjgh-2021-007151","volume":"7","author":"JM Bearak","year":"2022","unstructured":"Bearak JM, Popinchalk A, Beavin C, Ganatra B, Moller AB, Tuncalp O, Alkema L (2022) Country-specific estimates of unintended pregnancy and abortion incidence: a global comparative analysis of levels in 2015\u20132019. BMJ Global Health 7(3):1\u201310. https:\/\/doi.org\/10.1136\/bmjgh-2021-007151","journal-title":"BMJ Global Health"},{"key":"1745_CR10","doi-asserted-by":"publisher","DOI":"10.1177\/17455057231213737","author":"WY Beumer","year":"2023","unstructured":"Beumer WY, Roseboom TJ, Koot MH, Vrijkotte TG, van Ditzhuijzen J (2023) Carrying an unintended pregnancy to term and long-term maternal psychological distress: Findings from the Dutch prospective ABCD study. Women\u2019s Health. https:\/\/doi.org\/10.1177\/17455057231213737","journal-title":"Women\u2019s Health"},{"issue":"1","key":"1745_CR9","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1111\/psrh.12293","volume":"57","author":"WY Beumer","year":"2025","unstructured":"Beumer WY, Reilingh AYAM, Dalmijn E, Roseboom TJ, van Ditzhuijzen J (2025) Motivations for abortion or continuation of an unwanted pregnancy: A scoping review of the global literature. Perspect Sex Reprod Health 57(1):45\u201362. https:\/\/doi.org\/10.1111\/psrh.12293","journal-title":"Perspect Sex Reprod Health"},{"issue":"12","key":"1745_CR11","doi-asserted-by":"publisher","first-page":"870","DOI":"10.1016\/j.chiabu.2009.04.006","volume":"33","author":"JM Boden","year":"2009","unstructured":"Boden JM, Fergusson DM, Horwood LJ (2009) Experience of sexual abuse in childhood and abortion in adolescence and early adulthood. Child Abuse Negl 33(12):870\u2013876. https:\/\/doi.org\/10.1016\/j.chiabu.2009.04.006","journal-title":"Child Abuse Negl"},{"issue":"2","key":"1745_CR12","doi-asserted-by":"publisher","first-page":"279","DOI":"10.1017\/S0033291716002312","volume":"47","author":"M Bot","year":"2017","unstructured":"Bot M, Middeldorp CM, de Geus EJ, Lau HM, Sinke M, van Nieuwenhuizen B, Smit JH, Boomsma DI, Penninx BW (2017) Validity of LIDAS (LIfetime Depression Assessment Self-report): a self-report online assessment of lifetime major depressive disorder. Psychol Med 47(2):279\u2013289. https:\/\/doi.org\/10.1017\/S0033291716002312","journal-title":"Psychol Med"},{"issue":"3","key":"1745_CR13","doi-asserted-by":"publisher","first-page":"317","DOI":"10.1080\/00016340500438116","volume":"85","author":"AN Broen","year":"2006","unstructured":"Broen AN, Moum T, Bodtker AS, Ekeberg O (2006) Predictors of anxiety and depression following pregnancy termination: a longitudinal five-year follow-up study. Acta Obstet Gynecol Scand 85(3):317\u2013323. https:\/\/doi.org\/10.1080\/00016340500438116","journal-title":"Acta Obstet Gynecol Scand"},{"issue":"17\u201318","key":"1745_CR14","doi-asserted-by":"publisher","first-page":"NP9864","DOI":"10.1177\/0886260519862274","volume":"36","author":"KL Chan","year":"2021","unstructured":"Chan KL (2021) The Role of Father Involvement and Intimate Partner Violence on Postnatal Depression Among Women With Unintended Pregnancy. J interpers Violence 36(17\u201318):NP9864\u2013NP9884. https:\/\/doi.org\/10.1177\/0886260519862274","journal-title":"J interpers Violence"},{"issue":"6","key":"1745_CR15","doi-asserted-by":"publisher","first-page":"436","DOI":"10.1016\/j.contraception.2008.07.005","volume":"78","author":"VE Charles","year":"2008","unstructured":"Charles VE, Polis CB, Sridhara SK, Blum RW (2008) Abortion and long-term mental health outcomes: a systematic review of the evidence. Contraception 78(6):436\u2013450. https:\/\/doi.org\/10.1016\/j.contraception.2008.07.005","journal-title":"Contraception"},{"issue":"27","key":"1745_CR16","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1016\/s0968-8080(06)27219-7","volume":"14","author":"HP David","year":"2006","unstructured":"David HP (2006) Born unwanted, 35 years later: The Prague Study. Reprod Health Matters 14(27):181\u2013190. https:\/\/doi.org\/10.1016\/s0968-8080(06)27219-7","journal-title":"Reprod Health Matters"},{"key":"1745_CR17","unstructured":"De Graaf R, Ten Have M, Van Dorsselaer S (2010) De psychische gezondheid van de Nederlandse bevolking: NEMESIS-2: opzet en eerste resultaten. Trimbos"},{"issue":"8","key":"1745_CR18","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1017\/S0033291720000100","volume":"51","author":"IO Fedko","year":"2020","unstructured":"Fedko IO, Hottenga JJ, Helmer Q, Mbarek H, Huider F, Amin N, Beulens JW, Bremmer MA, Elders PJ, Galesloot TE, Kiemeney LA, van Loo HM, Picavet HSJ, Rutters F, van der Spek A, van de Wiel AM, van Duijn C, de Geus EJC, Feskens EJM, Bot M (2020) Measurement and genetic architecture of lifetime depression in the Netherlands as assessed by LIDAS (Lifetime Depression Assessment Self-report). Psychol Med 51(8):1\u201310. https:\/\/doi.org\/10.1017\/S0033291720000100","journal-title":"Psychol Med"},{"issue":"5","key":"1745_CR19","doi-asserted-by":"publisher","first-page":"420","DOI":"10.1192\/bjp.bp.109.066068","volume":"195","author":"DM Fergusson","year":"2009","unstructured":"Fergusson DM, Horwood LJ, Boden JM (2009) Reactions to abortion and subsequent mental health. Br J Psychiatry 195(5):420\u2013426. https:\/\/doi.org\/10.1192\/bjp.bp.109.066068","journal-title":"Br J Psychiatry"},{"issue":"10","key":"1745_CR20","doi-asserted-by":"publisher","first-page":"2073","DOI":"10.1017\/s0033291714003213","volume":"45","author":"DG Foster","year":"2015","unstructured":"Foster DG, Steinberg JR, Roberts SCM, Neuhaus J, Biggs MA (2015) A comparison of depression and anxiety symptom trajectories between women who had an abortion and women denied one. Psychol Med 45(10):2073\u20132082. https:\/\/doi.org\/10.1017\/s0033291714003213","journal-title":"Psychol Med"},{"issue":"1","key":"1745_CR21","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1111\/j.1728-4465.2008.00148.x","volume":"39","author":"JD Gipson","year":"2008","unstructured":"Gipson JD, Koenig MA, Hindin MJ (2008) The effects of unintended pregnancy on infant, child and parental health: a review of the literature. Stud Fam Plann 39(1):18\u201338. https:\/\/doi.org\/10.1111\/j.1728-4465.2008.00148.x","journal-title":"Stud Fam Plann"},{"issue":"12","key":"1745_CR22","doi-asserted-by":"publisher","first-page":"2821","DOI":"10.1093\/humrep\/dew266","volume":"31","author":"J Goossens","year":"2016","unstructured":"Goossens J, Van Den Branden Y, Van der Sluys L, Delbaere I, Van Hecke A, Verhaeghe S, Beeckman D (2016) The prevalence of unplanned pregnancy ending in birth, associated factors, and health outcomes. Hum Reprod 31(12):2821\u20132833. https:\/\/doi.org\/10.1093\/humrep\/dew266","journal-title":"Hum Reprod"},{"issue":"10","key":"1745_CR23","doi-asserted-by":"publisher","first-page":"1196","DOI":"10.1080\/10810730.2013.872722","volume":"19","author":"JB Gray","year":"2014","unstructured":"Gray JB (2014) Social support communication in unplanned pregnancy: support types, messages, sources, and timing. J Health Communication 19(10):1196\u20131211. https:\/\/doi.org\/10.1080\/10810730.2013.872722","journal-title":"J Health Communication"},{"issue":"1","key":"1745_CR24","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1186\/1472-6874-14-76","volume":"14","author":"LF Harris","year":"2014","unstructured":"Harris LF, Roberts SCM, Biggs MA, Rocca CH, Foster DG (2014) Perceived stress and emotional social support among women who are denied or receive abortions in the United States: a prospective cohort study. BMC Womens Health 14(1):76. https:\/\/doi.org\/10.1186\/1472-6874-14-76","journal-title":"BMC Womens Health"},{"issue":"7","key":"1745_CR25","doi-asserted-by":"publisher","first-page":"613","DOI":"10.1080\/01612840.2019.1565873","volume":"40","author":"K Herbell","year":"2019","unstructured":"Herbell K, Zauszniewski J (2019) Stress Experiences and Mental Health of Pregnant Women: The Mediating Role of Social Support. Issues Ment Health Nurs 40(7):613\u2013620. https:\/\/doi.org\/10.1080\/01612840.2019.1565873","journal-title":"Issues Ment Health Nurs"},{"key":"1745_CR26","doi-asserted-by":"publisher","first-page":"100869","DOI":"10.1016\/j.pmedr.2019.100869","volume":"14","author":"B Hill","year":"2019","unstructured":"Hill B, Kothe EJ, Currie S, Danby M, Lang AY, Bailey C, Moran LJ, Teede H, North M, Bruce LJ, Skouteris H (2019) A systematic mapping review of the associations between pregnancy intentions and health-related lifestyle behaviours or psychological wellbeing. Prev Med Rep 14:100869. https:\/\/doi.org\/10.1016\/j.pmedr.2019.100869","journal-title":"Prev Med Rep"},{"issue":"1","key":"1745_CR27","doi-asserted-by":"publisher","first-page":"1917042","DOI":"10.1080\/26410397.2021.1917042","volume":"29","author":"L Holten","year":"2021","unstructured":"Holten L, de Goeij E, Kleiverda G (2021) Permeability of abortion care in the Netherlands: a qualitative analysis of women\u2019s experiences, health professional perspectives, and the internet resource of Women on Web. Sex Reprod Health Matters 29(1):1917042. https:\/\/doi.org\/10.1080\/26410397.2021.1917042","journal-title":"Sex Reprod Health Matters"},{"issue":"2","key":"1745_CR28","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1002\/wps.21305","volume":"24","author":"LM Howard","year":"2025","unstructured":"Howard LM, Wilson CA, Reilly TJ, Moss KM, Mishra GD, Coupland-Smith E, Riecher-R\u00f6ssler A, Seedat S, Smith S, Steinberg JR, van Ditzhuijzen J, Oram S (2025) Women\u2019s reproductive mental health: currently available evidence and future directions for research, clinical practice and health policy. World Psychiatry 24(2):196\u2013215. https:\/\/doi.org\/10.1002\/wps.21305","journal-title":"World Psychiatry"},{"key":"1745_CR29","unstructured":"IGJ (2025) Jaarrapportage 2024 Wet afbreking zwangerschap (Wafz). https:\/\/www.igj.nl\/documenten\/2025\/10\/23\/jaarrapportage-wet-afbreking-zwangerschap-2024"},{"issue":"1","key":"1745_CR30","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1186\/s12884-021-03644-5","volume":"21","author":"A Kazemi","year":"2021","unstructured":"Kazemi A, Ghaedrahmati M, Kheirabadi G (2021) Partner\u2019s emotional reaction to pregnancy mediates the relationship between pregnancy planning and prenatal mental health. BMC Pregnancy Childbirth 21(1):168. https:\/\/doi.org\/10.1186\/s12884-021-03644-5","journal-title":"BMC Pregnancy Childbirth"},{"issue":"4","key":"1745_CR31","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1002\/mpr.47","volume":"7","author":"RC Kessler","year":"2006","unstructured":"Kessler RC, Andrews G, Mroczek D, Ustun B, Wittchen HU (2006) The World Health Organization Composite International Diagnostic Interview short-form (CIDI\u2010SF). Int J Methods Psychiatr Res 7(4):171\u2013185. https:\/\/doi.org\/10.1002\/mpr.47","journal-title":"Int J Methods Psychiatr Res"},{"issue":"2","key":"1745_CR32","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1363\/4310311","volume":"43","author":"K Kimport","year":"2011","unstructured":"Kimport K, Foster K, Weitz TA (2011) Social sources of women\u2019s emotional difficulty after abortion: lessons from women\u2019s abortion narratives. Perspect Sex Reprod Health 43(2):103\u2013109. https:\/\/doi.org\/10.1363\/4310311","journal-title":"Perspect Sex Reprod Health"},{"key":"1745_CR33","unstructured":"Lazarus RS (1984) Stress, appraisal, and coping, vol 445. Springer"},{"key":"1745_CR34","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1016\/j.midw.2018.03.001","volume":"62","author":"R Lewinsohn","year":"2018","unstructured":"Lewinsohn R, Crankshaw T, Tomlinson M, Gibbs A, Butler L, Smit J (2018) This baby came up and then he said, I give up! The interplay between unintended pregnancy, sexual partnership dynamics and social support and the impact on women\u2019s well-being in KwaZulu-Natal, South Africa. Midwifery 62:29\u201335. https:\/\/doi.org\/10.1016\/j.midw.2018.03.001","journal-title":"Midwifery"},{"key":"1745_CR35","doi-asserted-by":"publisher","first-page":"e076518","DOI":"10.1136\/bmj-2023-076518","volume":"384","author":"JH Littell","year":"2024","unstructured":"Littell JH, Abel KM, Biggs MA, Blum RW, Foster DG, Haddad LB, Major B, Munk-Olsen T, Polis CB, Robinson GE, Rocca CH, Russo NF, Steinberg JR, Stewart DE, Stotland NL, Upadhyay UD, van Ditzhuijzen J (2024) Correcting the scientific record on abortion and mental health outcomes. BMJ 384:e076518. https:\/\/doi.org\/10.1136\/bmj-2023-076518","journal-title":"BMJ"},{"issue":"3","key":"1745_CR36","doi-asserted-by":"publisher","first-page":"e384","DOI":"10.1093\/pubmed\/fdv123","volume":"38","author":"CI Macleod","year":"2016","unstructured":"Macleod CI (2016) Public reproductive health and \u2018unintended\u2019 pregnancies: introducing the construct \u2018supportability\u2019. J Public Health 38(3):e384\u2013e391. https:\/\/doi.org\/10.1093\/pubmed\/fdv123","journal-title":"J Public Health"},{"key":"1745_CR37","unstructured":"Major B, Appelbaum M, Beckman L, Dutton MA, Russo NF, West C (2008) Mental health and abortion"},{"issue":"8","key":"1745_CR38","doi-asserted-by":"publisher","first-page":"1215","DOI":"10.1089\/jwh.2010.2379","volume":"20","author":"P Maxson","year":"2011","unstructured":"Maxson P, Miranda ML (2011) Pregnancy intention, demographic differences, and psychosocial health. J Women\u2019s Health 20(8):1215\u20131223. https:\/\/doi.org\/10.1089\/jwh.2010.2379","journal-title":"J Women\u2019s Health"},{"issue":"3","key":"1745_CR39","first-page":"19","volume":"81","author":"H McConachie","year":"2008","unstructured":"McConachie H, Welsh B, Keane B, Waterston T, Parker L, Cook M (2008) Wellbeing of new mothers. Community Pract 81(3):19\u201322","journal-title":"Community Pract"},{"issue":"1","key":"1745_CR40","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1186\/s12884-022-04558-6","volume":"22","author":"J McNamara","year":"2022","unstructured":"McNamara J, Risi A, Bird AL, Townsend ML, Herbert JS (2022) The role of pregnancy acceptability in maternal mental health and bonding during pregnancy. BMC Pregnancy Childbirth 22(1):267. https:\/\/doi.org\/10.1186\/s12884-022-04558-6","journal-title":"BMC Pregnancy Childbirth"},{"key":"1745_CR41","unstructured":"National Collaborating Centre for Mental Health (2011) Induced abortion and mental health: a systematic review of the mental health outcomes of induced abortion, including their prevalence and associated factors"},{"issue":"1","key":"1745_CR42","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1080\/03630242.2012.732681","volume":"53","author":"C Razurel","year":"2013","unstructured":"Razurel C, Kaiser B, Sellenet C, Epiney M (2013) Relation between perceived stress, social support, and coping strategies and maternal well-being: a review of the literature. Women Health 53(1):74\u201399. https:\/\/doi.org\/10.1080\/03630242.2012.732681","journal-title":"Women Health"},{"issue":"11","key":"1745_CR43","doi-asserted-by":"publisher","first-page":"1547","DOI":"10.1007\/s10995-019-02782-9","volume":"23","author":"CH Rocca","year":"2019","unstructured":"Rocca CH, Wilson MR, Jeon M, Foster DG (2019) Stability of retrospective pregnancy intention reporting among women with unwanted pregnancies in the United States. Matern Child Health J 23(11):1547\u20131555. https:\/\/doi.org\/10.1007\/s10995-019-02782-9","journal-title":"Matern Child Health J"},{"key":"1745_CR44","doi-asserted-by":"crossref","unstructured":"Rothman KJ, Huybrechts KF, Murray EJ (2024) Epidemiology: an introduction. Oxford University Press","DOI":"10.1093\/oso\/9780197751541.001.0001"},{"issue":"1","key":"1745_CR46","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1186\/s12884-022-04452-1","volume":"22","author":"NN Schonewille","year":"2022","unstructured":"Schonewille NN, Rijkers N, Berenschot A, Lijmer JG, van den Heuvel OA, Broekman BFP (2022) Psychiatric vulnerability and the risk for unintended pregnancies, a systematic review and meta-analysis. BMC Pregnancy Childbirth 22(1):153. https:\/\/doi.org\/10.1186\/s12884-022-04452-1","journal-title":"BMC Pregnancy Childbirth"},{"issue":"2","key":"1745_CR45","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1111\/acps.13625","volume":"149","author":"NN Schonewille","year":"2024","unstructured":"Schonewille NN, Jonkman NH, van Kempen A, van Pampus MG, van den Heuvel OA, Broekman BFP (2024) Pregnancy intention in relation to maternal and neonatal outcomes in women with versus without psychiatric diagnoses. Acta psychiatrica Scandinavica 149(2):110\u2013123. https:\/\/doi.org\/10.1111\/acps.13625","journal-title":"Acta psychiatrica Scandinavica"},{"key":"1745_CR47","unstructured":"Sprenger M, Beumer WY, van Ditzhuijzen J, Kiefte-de Jong JC (2025) Pregnancy intentions in the Netherlands: an evaluation of a multidimensional and continuous construct [preprint]. https:\/\/www.medrxiv.org\/content\/10.1101\/2023.11.13.23298453v4"},{"key":"1745_CR49","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1016\/j.socscimed.2012.11.011","volume":"81","author":"JR Steinberg","year":"2013","unstructured":"Steinberg JR, Tschann JM (2013) Childhood adversities and subsequent risk of one or multiple abortions. Soc Sci Med 81:53\u201359. https:\/\/doi.org\/10.1016\/j.socscimed.2012.11.011","journal-title":"Soc Sci Med"},{"issue":"2 Pt 1","key":"1745_CR48","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1097\/AOG.0000000000000092","volume":"123","author":"JR Steinberg","year":"2014","unstructured":"Steinberg JR, McCulloch CE, Adler NE (2014) Abortion and mental health: Findings from The National Comorbidity Survey-Replication. Obstet Gynecol 123(2 Pt 1):263\u2013270. https:\/\/doi.org\/10.1097\/AOG.0000000000000092","journal-title":"Obstet Gynecol"},{"issue":"2","key":"1745_CR50","doi-asserted-by":"publisher","first-page":"275","DOI":"10.1002\/wps.21087","volume":"22","author":"M Ten Have","year":"2023","unstructured":"Ten Have M, Tuithof M, van Dorsselaer S, Schouten F, Luik AI, de Graaf R (2023) Prevalence and trends of common mental disorders from 2007\u20132009 to 2019\u20132022: results from the Netherlands Mental Health Survey and Incidence Studies (NEMESIS), including comparison of prevalence rates before vs. during the COVID-19 pandemic. World Psychiatry 22(2):275\u2013285. https:\/\/doi.org\/10.1002\/wps.21087","journal-title":"World Psychiatry"},{"key":"1745_CR51","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1080\/10810730.2013.825668","volume":"18","author":"I Van der Heide","year":"2013","unstructured":"Van der Heide I, Wang J, Droomers M, Spreeuwenberg P, Rademakers J, Uiters E (2013) The relationship between health, education, and health literacy: results from the Dutch Adult Literacy and Life Skills Survey. J Health Commun 18:172\u2013184. https:\/\/doi.org\/10.1080\/10810730.2013.825668","journal-title":"J Health Commun"},{"issue":"11","key":"1745_CR53","doi-asserted-by":"publisher","first-page":"1737","DOI":"10.1016\/j.jpsychires.2013.07.024","volume":"47","author":"J van Ditzhuijzen","year":"2013","unstructured":"van Ditzhuijzen J, ten Have M, de Graaf R, van Nijnatten CH, Vollebergh WA (2013) Psychiatric history of women who have had an abortion. J Psychiatr Res 47(11):1737\u20131743. https:\/\/doi.org\/10.1016\/j.jpsychires.2013.07.024","journal-title":"J Psychiatr Res"},{"issue":"3","key":"1745_CR54","doi-asserted-by":"publisher","first-page":"246","DOI":"10.1016\/j.contraception.2015.05.003","volume":"92","author":"J van Ditzhuijzen","year":"2015","unstructured":"van Ditzhuijzen J, Ten Have M, de Graaf R, van Nijnatten CH, Vollebergh WA (2015) The impact of psychiatric history on women\u2019s pre- and postabortion experiences. Contraception 92(3):246\u2013253. https:\/\/doi.org\/10.1016\/j.contraception.2015.05.003","journal-title":"Contraception"},{"issue":"2","key":"1745_CR52","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1363\/psrh.12028","volume":"49","author":"J van Ditzhuijzen","year":"2017","unstructured":"van Ditzhuijzen J, Ten Have M, De Graaf R et al (2017) Correlates of common mental disorders among Dutch women who have had an abortion: a longitudinal cohort study. Perspect Sex Reprod Health 49(2):123\u2013131. https:\/\/doi.org\/10.1363\/psrh.12028","journal-title":"Perspect Sex Reprod Health"},{"key":"1745_CR55","doi-asserted-by":"publisher","first-page":"1714668","DOI":"10.3389\/fpubh.2025.1714668","volume":"13","author":"M Xu","year":"2025","unstructured":"Xu M, Luo Y, Huang Y, Liu Y, Ding L (2025) Risk factors for postpartum depression: an umbrella review. Front Public Health 13:1714668. https:\/\/doi.org\/10.3389\/fpubh.2025.1714668","journal-title":"Front Public Health"},{"issue":"1","key":"1745_CR56","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1186\/s12874-023-01890-z","volume":"23","author":"M Zhao","year":"2023","unstructured":"Zhao M, Huang C-C, Mendoza M, Tovar X, Lecca L, Murray M (2023) Subjective socioeconomic status: an alternative to objective socioeconomic status. BMC Med Res Methodol 23(1):73. https:\/\/doi.org\/10.1186\/s12874-023-01890-z","journal-title":"BMC Med Res Methodol"},{"key":"1745_CR57","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1207\/s15327752jpa5201_2","volume":"52","author":"GD Zimet","year":"1988","unstructured":"Zimet GD, Dahlem NW, Zimet SG, Farley GK (1988) The Multidimensional Scale of Perceived Social Support. J Pers Assess 52:30\u201341","journal-title":"J Pers Assess"}],"container-title":["Archives of Women's Mental Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00737-026-01745-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00737-026-01745-8","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00737-026-01745-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T07:05:07Z","timestamp":1789023907000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00737-026-01745-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,4]]},"references-count":57,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["1745"],"URL":"https:\/\/doi.org\/10.1007\/s00737-026-01745-8","relation":{},"ISSN":["1434-1816","1435-1102"],"issn-type":[{"value":"1434-1816","type":"print"},{"value":"1435-1102","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,4]]},"assertion":[{"value":"8 January 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 June 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 July 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"104"}}