Category: News

Suicidal women struggle to get second opinion when seeking an abortion

Expert teams are not always available when assessment needed

Irish Independent

Eilish O’Regan

Concerns have emerged at senior HSE levels about the failure to always secure a psychiatrist to give a second opinion in cases where a pregnant woman is seeking an abortion on the grounds she is suicidal.

An internal document said in some cases it has meant the two psychiatrists and obstetrician, who are required under law to make an assessment in such cases, cannot be found.

Abortion is allowed in cases of suicide risk under the Protection of Life During Pregnancy Act of 2013, which came into effect in 2014.

The abortion can only be allowed if the doctors agree she is suicidal. If she is turned down, the woman then can apply for a review before another panel.

However, in an internal report authorised by Dr Philip Crowley, HSE national director for quality improvement, the lack of availability of a “second opinion” psychiatrist at the initial assessment means that in some cases the woman’s application is going straight to review. . . [Full text]

First compensation claim for compulsory sterilisation in Japan

BioEdge

Michael Cook

A Japanese woman in her 60s is planning to sue the government over her forced sterilization under a 1948 law. This will be the first time that state compensation has been sought for sterilisation. The mentally disabled woman in Miyagi Prefecture was a teenager when she was forced to undergo the procedure.

Records of 2,700 people who were sterilized under the Eugenic Protection Law — which was in force until 1996 — have been found in local government archives, a development which could help victims seek state compensation.

Like some Western countries, Japan has a dark eugenic past.

A 1948 Eugenic Protection Law (EPL) was intended to prevent the births of “inferior descendants” and to foster the health of mothers and pregnant women. It provided for both voluntary and involuntary sterilisation. Doctors could apply for permission for sterilisation to a regional board if a patient suffered from a range of conditions which were believe to be hereditary, including schizophrenia, manic-depressive psychosis, epilepsy, abnormal sexual desire, “remarkable criminal inclination,” Huntington’s disease, muscular dystrophy, albinism, achromatopsia, deafness, haemophilia, and so on.

The Ministry of Health issued guidelines in 1953 clarifying what doctors could do: “It is permissible to restrain the patient’s body, to administer an anesthetic, or to deceive the patient, etc.”

According to government statistics, between 1949 to 1994, 16,520 involuntary sterilizations were performed, 11,356 on women, and 5,164 on men. Most were performed on inmates of psychiatric hospitals and institutions for intellectually disabled people.

Compulsory sterilisation lapsed in 1996 with the passage of the Mother’s Body Protection Law. However, the Japanese government has refused to apologize to the victims of the law or offer them compensation.

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Psychiatrists given clear guidelines on abortion law: HSE

Irish Independent

Eilish O’Regan

The HSE says it has issued “clear guidance” to the heads of mental health services “detailing and clarifying the roles and responsibilities of psychiatrists in cases where a pregnant woman is seeking an abortion on grounds of suicide risk.

The Protection of Life During Pregnancy Act allows for abortion where a woman is assessed as suicidal on the opinion of two psychiatrists and an obstetrician.

But an internal HSE document, overseen by Philip Crowley, the HSE national director for quality improvement, warned of the failure to always secure a psychiatrist locally to give the necessary second opinion.

In some cases this stage is having to be bypassed and the woman must go before a review panel to assess her case. . . [Full Text]

Christian doctors and other medical staff opposing abortion face serious disadvantage, lords told

Press Association

Some doctors and midwives are suffering “serious disadvantage and discrimination” for their beliefs over abortion and other medical activities, peers have been told.

Baroness O’Loan also claimed young healthcare professionals are leaving the UK as they cannot carry out certain tasks, arguing there is a need to “reestablish legal protection” for medical conscientious objections.

The Crossbench peer’s Conscientious Objection (Medical Activities) Bill – which is being supported by the Free Conscience campaign – would apply to the withdrawal of life-sustaining treatment, human embryo research and activity linked to preparing, supporting or performing an abortion.

But her proposal split the Lords, with Labour’s Baroness Young of Old Scone among those voicing their opposition and describing it as “unnecessary and potentially dangerous” given existing protections. . .  [Full Text]

Dutch euthanasia regulator quits over dementia killings

Catholic Herald

Simon Caldwell

The number of dementia patients killed by euthanasia has risen fourfold over the past five years

A Dutch euthanasia regulator has quit her post in protest at the killings of patients suffering from dementia.

Berna van Baarsen, a medical ethicist, said she could not support “a major shift” in the interpretation of her country’s euthanasia law to endorse lethal injections for increasing numbers of dementia patients.

She has now resigned from one of Holland’s five regional assessment committees set up to oversee the provision of euthanasia. . . [Full Text]