Kunz J, Felder W, Zollinger M, Arzt G
Geburtshilflich-gynäkologische Abteilung, Schweizerische Pflegerinnenschule Zürich.
Schweiz Med Wochenschr. 1991 Sep 14;121(37):1328-35.
The sterilization of mentally retarded women raises gynecologic, psychiatric and legal questions. Gynecologic considerations include the experience of the reliability of reversible contraceptive methods with mentally retarded patients and questions concerning the type of operation. From the psychiatric point of view the prognoses of mentally retarded patients and the expected psychic coping with the operation are essential aspects in the indication for sterilization. Last but not least, the Swiss legal framework for sterilization must be considered. This aspect is illustrated on the basis of the results of a catamnestic analysis of 21 patients operated on between 1980 and 1987.
智障女性的绝育引发了妇科、精神病学及法律问题。妇科方面的考量包括智障患者使用可逆性避孕方法的可靠性体验以及手术类型相关的问题。从精神病学角度来看,智障患者的预后以及手术预期的心理应对能力是绝育指征中的关键因素。最后同样重要的是,必须考虑瑞士关于绝育的法律框架。基于对1980年至1987年间接受手术的21例患者的随访分析结果,对这一方面进行了阐述。