Ever since the death of her father, Genesis has had to take on more than the average seventeen-about-to-turn-eighteen girl should have to. When her mother fell into a depression after her father’s death, Genesis took on the responsibility of taking care of her family. She can’t just leave her mother to her grief. But then Genesis gets pregnant. It’s not how she expected her year to go–pregnancy in high school was never her plan. She and her boyfriend, Peter, decide that getting an abortion is the only option for them because they’re seventeen and not ready for a child. After the procedure, Genesis expects to find her boyfriend waiting for her in the lobby of the Planned Parenthood. Instead she discovers that Peter abandoned her there. She’s alone. It’s something that she hasn’t really addressed before.
The girl and her escort have the same wild hair and deep-set eyes. This has to be her mother, and I try to imagine my own mother helping me out, escorting me. But I can’t conjure the faintest image of this. Not anymore.*
What follows is a heartfelt exploration of first loves, friendship, and understanding that your–and others’–actions may not be so black and white.
While Aftercare Instructions puts an abortion at the forefront of the novel–and indeed the opening scene takes place at the clinic–it’s very decisively after: it focuses on what Genesis is going through after the abortion and after the realization that her boyfriend has abandoned her. She needs to learn how to move on from both events and figure out how they’re going to change her. Genesis doesn’t always address everything, but since the chapter titles deal with aftercare and details about what your body goes through after an abortion, the reader is constantly reminded of where the novel started and what Genesis will eventually have to come to terms with.
I thought that Bonnie Pipkin did a good job of showing Genesis’ processing; she goes through an array of emotions from betrayal, to second guessing, to wanting to forget, all while trying to hold herself and her family together. She’s very much a girl who thinks that she has to keep it to herself to protect others, even her best friend. I think there’s an important release when she’s able to confide in others. I also think it’s equally important that she wasn’t shamed for having an abortion. Instead we were shown female relationships where there was only concern.