Conscientious objection, barriers, and abortion in the case of rape: a study among physicians in Brazil

被引：36

作者：

Diniz, Debora ^{[1
]}

Madeiro, Alberto ^{[2
,3
,4
]}

Rosasc, Cristiao ^{[5
]}

机构：

[1] Univ Brasilia UnB Anis, Grad Program Social Policy, Inst Bioeth Human Rights & Gender, Brasilia, DF, Brazil

[2] Piaui State Univ Uespi, Res Ctr, Teresina, Brazil

[3] Piaui State Univ Uespi, Extens Program Womens Hlth, Teresina, Brazil

[4] Inst Bioeth Human Rights & Gender, Brasilia, DF, Brazil

[5] Brazilian Federat Obstet & Gynaecol FEBRASGO, Sexual Violence Commiss, Sao Paulo, Brazil

来源：

REPRODUCTIVE HEALTH MATTERS | 2014年 / 22卷 / 43期

关键词：

conscientious objection; abortion law and policy; barriers to abortion; rape; sexual violence; provider-patient relations; Brazil;

D O I：

10.1016/S0968-8080(14)43754-6

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

In Brazil, to have a legal abortion in the case of rape, the woman's statement that rape has occurred is considered sufficient to guarantee the right to abortion. The aim of this study was to understand the practice and opinions about providing abortion in the case of rape among obstetricians-gynecologists (OBGYNs) in Brazil. A mixed-method study was conducted from April to July 2012 with 1,690 OBGYNs who responded to a structured, electronic, self-completed questionnaire. In the quantitative phase, 81.6% of the physicians required police reports or judicial authorization to guarantee the care requested. In-depth telephone interviews with 50 of these physicians showed that they frequently tested women's rape claim by making them repeat their story to several health professionals; 43.5% of these claimed conscientious objection when they were uncertain whether the woman was telling the truth. The moral environment of illegal abortion alters the purpose of listening to a patient from providing care to passing judgement on her. The data suggest that women's access to legal abortion is being blocked by these barriers in spite of the law. We recommend that FEBRASGO and the Ministry of Health work together to clarify to physicians that a woman's statement that rape occurred should allow her to access a legal abortion. (C) 2014 Reproductive Health Matters

引用

页码：141 / 148

页数：8