Extremists who want to deny any psychological importance to the abortion experience have repeatedly misquoted and twisted Koop's statements. In essence, Koop's official statement was simply that we need to do more research before we can arrive at any irrefutable conclusions. In numerous interviews, however, Koop has refuted this misrepresentation of his views. He has stated he is personally convinced by the existing evidence that many women do suffer serious post-abortion psychological problems. Speaking as the Surgeon General, however, he conservatively, and properly, concluded that more research needs to be done .
Every woman is different.
They have different responses that may appear in a different time frame. Some women repress or are unaware of any aftereffects for years. Many reactions are delayed but are triggered later by significant events such as the birth of a child, the death of a loved one or the end of a relationship, or a religious conversion. A major problem is that women and men may feel unable to share their grief with others. It wasn't really a baby, yet, so there's nothing to feel bad about.