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We might also imagine that in Morgenstern wrote something quite different in the original Florinese, and that Goldman whimsically replaced it with something that a 20th-century American would recognize. Translators do this sort of thing all the time.
I don't care to post an answer, but in the 1982 film Fast Times at Ridgemont High, one of the main characters (Stacy Hamilton, played by Jennifer Jason Leigh) gets an abortion. I haven't seen the movie in a long time, but I think all your desiderata are satisfied.
This nails all of the op's desiderata. It is portrayed as a difficult and serious choice, but there is no hint that Paula or her husband have made a mistake, that think they have made a mistake, or that they regret the decision.