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  • Ethical dilemmas and legal ambivalence affects the midwives’ perception for providing sexual and reproductive health consultation to women with intellectual disability

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Ethical dilemmas and legal ambivalence affects the midwives’ perception for providing sexual and reproductive health consultation to women with intellectual disability
  1. Iffat Naeem1,
  2. Tanvir Chowdhury Turin1,2
  1. 1 Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
  2. 2 Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
  1. Correspondence to Dr Tanvir Chowdhury Turin, Department of Family Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada; turin.chowdhury{at}ucalgary.ca

https://doi.org/10.1136/ebnurs-2019-103203

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    Commentary on: Höglund B and Larsson M. Ethical dilemmas and legal aspects in contraceptive counselling for women with intellectual disability—Focus group interviews among midwives in Sweden. J Appl Res Intellect Disabil 2019;33:1558–66.

    Implications for practice and research

    • Midwives experience ambivalence and ethical dilemmas while providing contraceptive counselling to women with intellectual disabilities. Education and organisational support are needed for midwives to train them for providing sexual and reproductive health consultations to women with intellectual disabilities.

    • Future research must focus on understanding how to provide better organisational support, both for midwives and women with intellectual disabilities.

    Context

    Although United Nations conventions dictate equal rights to sexual and reproductive health for women with intellectual disability (ID),1 there are disparities faced by these women when accessing such care.2 Swedish healthcare follows the ethical principles, including fairness, doing good, not doing harm, and respecting autonomy, that prove difficult to …

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    Footnotes

    • Competing interests None declared.

    • Provenance and peer review Commissioned; internally peer reviewed.