Article Text
Journal review
Conscientious objection and refusal to provide reproductive healthcare: a White Paper examining prevalence, health consequences and policy responses
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Chavkin W, Leitman L, Polin K; for Global Doctors for Choice. Int J Gynecol Obstet 2013;123:S41–S56.
This is a comprehensive analysis of conscientious objection/refusal by doctors, nurses, midwives and pharmacists in five areas of reproductive healthcare: abortion, assisted reproductive technologies (ART), contraception, unavoidable pregnancy loss due to maternal illness and prenatal diagnosis. The rights of objecting providers are balanced against those of patients. A systematic search for data from quantitative, qualitative and ethnographic studies in the last 15 years was done. Objection varied enormously with some objectors being absolute and others making exceptions. The overall impression is that objection is widespread and increasing globally. Because of lack of empirical data on the impact of …