Hymen reconstruction is a controversial measure performed to
help young females under threat of honour-related violence. Official guidelines
often reject offering hymen reconstructions. On the other hand, extraordinary
measures in order to enable operations of Jehovah's Witnesses who want a
bloodless operation in order to avoid religiously related sanctions are often
considered praiseworthy. The aim is thus to examine whether or not there are
relevant differences between these two measures.
We identified twelve potential differences. One difference
could be considered relevant (patient-safety), but in favour of hymenoplastic
operations.
Since we did not identify enough relevant differences to
justify offering bloodless operations to Jehovah's Witnesses but not offering
hymen reconstruction due to honour-related norms, we conclude that these two
groups of patients should be treated equally. This means that neither of the
patient groups should be offered these extraordinary operations or that both
groups of patients should be offered such operations. Similarly, there are no
reasons for judging those who perform the operations differently.
Full article at: http://goo.gl/TVCWvh
- 1Stockholm Centre for Healthcare Ethics, Karolinska Institutet, LIME, 171 77 Stockholm, Sweden. niklas.juth@ki.se.
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