There is a substantial literature of correlational findings from studies in developed countries where abortion is legal that are riddled with methodological problems and selective biases that exaggerate post-pregnancy mental health risks of abortion while minimizing risks for unwanted childbearing. Health professionals need to be able to critically evaluate this literature and use caution when generalizing findings across contexts differing in legal grounds for abortion. The impact of diversity in women’s characteristics, circumstances, and reasons for avoiding childbirth has not been adequately incorporated in theory or research seeking to explain the variations that are found in women’s post-abortion mental health. Critical reviews have established that predictors of problems after abortion or childbirth are similar. Further, when a woman has an unwanted pregnancy, i.e., a pregnancy that she does not wish to end in a term birth, the likelihood that she will have post-pregnancy mental health problems is similar regardless of pregnancy outcome (abortion vs. delivery). Selective sampling bias that advantages the delivery group, common risk factors, and confounding of abortion with unintended pregnancy explain the correlation of legal abortion with negative outcomes observed in the literature from developed countries. Meanwhile, documented negative effects of unwanted pregnancy and childbearing are multiple, severe, and long-lasting for mother and child. Changing societal conditions, particularly in developing countries, provide an opportunity for correcting biases and limitations of current research. High quality studies aimed at understanding the varied relationships of unintended pregnancy to mental health outcomes –both positive and negative– in the context of the diverse circumstances of women’s lives are sorely needed. Such studies can inform the development of programs to re- duce unwanted childbearing and promote pre- and post-pregnancy mental health for all women, regardless of how they choose to end their pregnancy.
Cell-sediment separation methods can potentially enable determination of the elemental composition of microbial communities by removing the sediment elemental contribution from bulk samples. We demonstrate that a separation method can be applied to determine the composition of prokaryotic cells. The method uses chemical and physical means to extract cells from benthic sediments and mats. Recovery yields were between 5% and 40%, as determined from cell counts. The method conserves cellular element contents to within 30% or better, as assessed by comparing C, N, P, Mg, Al, Ca, Ti, Mn, Fe, Ni, Cu, Zn, and Mo contents in Escherichia coli. Contamination by C, N, and P from chemicals used during the procedure was negligible. Na and K were not conserved, being likely exchanged through the cell membrane as cations during separation. V, Cr, and Co abundances could not be determined due to large (>100%) measurement uncertainties. We applied this method to measure elemental contents in extremophilic communities of Yellowstone National Park hot springs. The method was generally successful at separating cells from sediment, but does not discriminate between cells and detrital biological or noncellular material of similar density. This resulted in Al, Ti, Mn, and Fe contamination, which can be tracked using proxies such as metal:Al ratios. With these caveats, we present the first measurements, to our knowledge, of the elemental abundances of a chemosynthetic community. The communities have C:N ratios typical of aquatic microorganisms, are low in P, and their metal abundances vary between hot springs by orders of magnitude.