Letter: Sterilization of children under 16 years of age.

ABSTRACT

PIP This is an official response by the British Paediatric Association t o a discussion paper prepared by the Dept. of Health and Social Security . Sterilization in children falls into 2 groups 1) those for whom ster ilization is unavoidable in the course of treatment of a serious medical condition, and (2) sterilization of children with a severe mental handicap to avoid pregnancy. In the 1st case a 2nd opinion should be sought if at all possible, but in some cases of cancer when the decision must be made at operation, this is not always feasible. In genetic conditions the presence of the condition alone cannot justify sterilization. A full consultation involving medical social workers, psychologists, and others should be sought. In no case should a parent be able to secure a daughter's sterilization because it is feared she may become promiscuous. Whenever possible sterilization should be postponed until age of consent. In cases of severe mental handicap there should be procedures which safeguard the interest of the person regardless of age. The Association opposes a central registry, as well as ethical committees. If consensus cannot be reached a Ward of the Court Procedure should be followed.^ieng