Ethical Dilemmas and Legal Aspects in Contraceptive Counselling for Women with Intellectual Disability--Focus Group Interviews among Midwives in Sweden

Autor/inn/en	Höglund, Berit; Larsson, Margareta
Titel	Ethical Dilemmas and Legal Aspects in Contraceptive Counselling for Women with Intellectual Disability--Focus Group Interviews among Midwives in Sweden
Quelle	In: Journal of Applied Research in Intellectual Disabilities, 32 (2019) 6, S.1558-1566 (9 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Höglund, Berit) ORCID (Larsson, Margareta)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1360-2322
DOI	10.1111/jar.12651
Schlagwörter	Foreign Countries; Females; Intellectual Disability; Ethics; Legal Responsibility; Contraception; Counseling; Obstetrics; Sexuality; Sexual Abuse; Counseling Techniques; Attitudes; Self Determination; Sweden + Suchen Sie Ihr Suchwort? Ausland; Weibliches Geschlecht; Intellect; Disability; Disabilities; Verstand; Behinderung; Ethik; Strafmündigkeit; Empfängnisverhütung; Counselling; Beratung; Geburtshilfe; Sexualität; Sexueller Missbrauch; Counseling technique; Counselling technique; Counselling techniques; Beratungsmethode; Attitude; Einstellung; Verhalten; Selbstbestimmung; Schweden
Abstract	Background: Few studies have explored ethical and legal issues in contraceptive counselling among women with intellectual disability (ID). This study aimed to gain a deeper understanding of these issues during midwifery contraceptive counselling. Method: The present authors interviewed 19 midwives in five focus groups in Sweden 2016-2017 and analysed data with content analysis. Results: The participants expressed that women with intellectual disability have equal right to relationships and sexual expressions, but feared exposure to sexual exploitation/abuse. They experienced ethical dilemmas related to principles of fairness and autonomy, but strived to provide assistance in spite of the women's cognitive impairment, presence of supporting persons and uncertainty of optimal counselling. Organizational support was insufficient. Conclusions: The midwives experienced ambivalence, uncertainty and ethical dilemmas in their counselling. They were, however, aware of legal aspects and strived for the women's best interest, right to self-determination and autonomous choices. The participants wanted better professional teamwork and support. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01