Heidenreich W, Petersen P, Schneider J
Geburtshilfe Frauenheilkd. 1982 Jul;42(7):554-7. doi: 10.1055/s-2008-1036918.
Seven mentally retarded women were sterilized in the Department of Obstetrics and Gynaecology of Medical School Hannover between 1.6.74 and 1.6.81. The decision to operate proceeded only after careful consideration by the director of the clinic. Each case was documented with proof that improvement of the mental situation was unprobable and that sterilization seemed highly desirable. In spite of strong reservation the sterilization of a mentally retarded may medically and ethically be justified in exceptional cases. The operation seems possible by the following: The sterilization may only be performed if the patient does not obviously refuse it. Diagnosis and prognosis of the mental handicap must undoubtedly be proven. If the patient cannot judge the consequence of the operation the legal guardian must decide for her. The court must consent in these cases. Regarding legal theory the decision by the guardian is an open question.
1974年6月1日至1981年6月1日期间，七名智障女性在汉诺威医学院妇产科接受了绝育手术。手术决定仅在诊所主任仔细考虑后才做出。每个病例都有记录，证明其精神状况不太可能改善，而且绝育似乎非常必要。尽管有强烈的保留意见，但在特殊情况下，智障者的绝育在医学和伦理上可能是合理的。手术似乎可以通过以下方式进行：只有在患者没有明显拒绝的情况下才能进行绝育。智障的诊断和预后必须毫无疑问地得到证实。如果患者无法判断手术的后果，法定监护人必须为其做出决定。在这些情况下，法院必须同意。就法律理论而言，监护人的决定是一个有待探讨的问题。
