European Stars And Stripes (Newspaper) - January 14, 1978, Darmstadt, Hesse                                Sterilization abuse How widespread is it by Naddle Bro can hew York times on april Valerie Clleta of Philadel phia gave birth to a son except for her disappointment that her third child was not a the delivery in the Hospital of the University of Pennsylvania was totally uneven the following the 23yearold Mother was taken to the operating room and Cuett said the other Day that she had not requested the does not know who ordered did not know in Advance that it was to be done and did not learn until six months later Hal the effect of tubal Ugat loathe cutting and tying of the fallopian lubes to Block the passage of sperm was virtually Al avg last year Cuell underwent an operation to reverse the the doctors iat the hospitals infertility service me Hal i didst have very Good she said in the but if that what i that what they would i told them being that the first operation was done without my this operation would be done with my it was performed on june and she was told it was a Success but she Haslet to now a student at a Community College who has plans to become a lawyer and get off the pub Caselm Ance is considering a second operation or Legal i really dont want to she i just want them to put me Back like they found George director of the family planning service at the Hospital of the University of said he could not discuss details of the Case a cutout the patients signed he said a general the specific request for a sterilization is to be instituted by the unless there is a compelling medical 11 Lias always been my Job to insure we make a Looper cent Effort to prevent no one knows How pervasive Secru Liatha abase Bat one government official said recently that the number of women had been sterilized in recent years was surely in the the preponderance of those women Are said to be poor or members of minority doctors concede that there have been abuses but contend that they have been in any the Issue has become one d impassioned concern not just because of past abuse but also be cause of the fear of future authorities say that blame for abuse is hard to a Constellation of people is but the major problems come Tram the medical an welfare establish ment because they Are in the strongest position to fright said Nancy a lawyer for the Center for constitutional recently Joseph Caurana he Secretary of education and proposed a set of regulations intended to make sure that women who did not wish to be sterilized were not coerced into being and that those who did were thoroughly briefed in the alternatives to and ramifications of their the new Federal guidelines would among other provisions thai Days elapse Between the time the prospective patient signs what to known As an informed consent and the actual that the physician state in writing Hal he has fully explained the risks and benefits of sterilization and has made it Clear that the patient would not forfeit welfare benefits or other benefits if she declined the proce 4 that sterilization not be carried out or any person the regulations would also attempt to curtail the use of hysterectomies As a form of with the Cal Kano proposals left open for meat ult highly controversial question of her Tor Uoo the mentally treated Nekr us existing the now subject to 10 regional hearings and a May period for would apply Only in those procedures financed with Federal which comprise an estimated 10 per Cert of All Aeril kaons done in the United according to Peter be for the department 3 education and the govern Uit is preparing to Back the proposals Wiki a 1978 Almog system of enforcement and because of the prominence of the authorities Are hopeful with vigilant the new Laws will make abuse nearly but women particularly those not covered by Federal funds or those who live in the Many localities that do not yet have Laws governing sterilization Are advised not to sign consent forms they dont understand and to ask just As legislation la lightening control of litigation is several major based on allegations similar to those made by Cuett Are about to be heard in courts across the such cases of alleged abuse Are it has been shown sterilization abuse can also transgress sensitivity in lesser asked Nancy Stearns of the Center for constitutional what docs mean letting a woman go into this so it appears to be voluntary but not telling her Hal it is permanent so that she cannot give in formed consent ii not and the hardest part of All is documenting us Karen Stamm of the Cam Mallee to end Sterl citation abuse enumerated other harmful most of which would be rendered illegal by the new regulations its being pressured while youre in labor or about to have an abortion its being told that if you dont sign the consent your welfare will be Cut off its being told that there is a medical necessity for a Hysterectomy when there is not its not being told that sterilization is permanent its not being offered other methods of contraception its the use of the package Deal in which women Are told they must sign for a sterilization to get an the some women can be applied in stare indirect Mary Foran of san a coordinator at the coalition for the medical rights of said with abortion funds being Cut off and sterilization still there will be More impetus toward As far As were lion is not but when its the Only option that not a Ster Luwauna abuse is considered not Only the act of commission but the act of Amli Chw As this was us View of Merrie Spaeth Deputy director of National affairs for the association for voluntary sterilization on the one hand you have the doctor who says in English to the hispanic woman in the throes of  you like me to solve your problems sign on the other hand you also have the doctor in Appala but a  Tow of oath i really dont want to i just wont them to put me Back like they found where the fee is i turning Down the woman with her she to virtually unavailable to the marginally those who Are ineligible for medi Caid or other Federal the More affluent May Alto find doors closed la theres still tremendous resistance on the part of Doc Spaeth the typical response to a couple in their late married four years with one child youre Loo you dont know your own some people believe that one Way to diminish abuse is to offer sterilization in settings other than so that candidates would have to deliberately seek out the serv but efforts in thai direction have further in flamed the planned parenthood federation of America and the association for voluntary sterilization have put their energies into an  project in which clinics would among other a which is a relatively simple but including some who on other occasions have been allies of planned argue that the by making sterilization a simpler outpatient would be minimizing the importance of a virtually irreversible no Mailer How sterilization abuse is arguments about it focus essentially on the preservation of some people believe that its an invasion of the to clonal rights of the individual woman to have to wait those 30 that the first amendment Grants the right of privacy Between physician and said Dewse coordinator of the women and health committee of the new York chapter of the National organization for she went there should be no legislation at All on sexual but unfortunately abuses have made it with legislation moving so we must look at the question of personal rights versus the general the 30day guideline must be observed be cause it gives women the Chance lobe some hrs Laju have a drastically different out they be eve that regulations rather than patients and can do Mare Barm Hun nod James director of obstetrics and gynaecology at the Harlem Hospital said it was already do Ficula for women requesting Tubat ligation to actually get in since the its even doctors just dont wan to go through the Schuyler Kings county Hospital obstetrics and gynaecology chief and professor of obstetrics and gynaecology at the downstate medical said i object to the treatment of sterilization As a totally different if you wish to have your head All you have to do is sign a piece of if you want your tubes you Are not considered capable of making that some later Fere with Quality medical be citing tit Case a patient who was already la labor when she was admitted to Bis service lot other she was a visitor from Guyana Here on a convention and was having her fourth or fifth he she was Well informed and asked for a we had to you must wait 30 More that Means another another another separation from its not Good medical if there is one Issue that All factions agree it is the need for the development of a Safe and acceptable More than anything the authorities would go a Long Way toward eliminating the stars and stripes Poge is