Conscientious objection as a barrier for implementing voluntary termination of pregnancy in Uruguay: Gynecologists' attitudes and behavior

Int J Gynaecol Obstet. 2016 Aug:134 Suppl 1:S16-9. doi: 10.1016/j.ijgo.2016.06.005.

Abstract

Objective: To analyze the attitudes and behavior of gynecologists in Uruguay with respect to the right to conscientious objection that is included in the law concerning voluntary termination of pregnancy.

Methods: The relevant laws and decrees, academic articles, legal or administrative claims, and the positions published by the institutions representing physicians or by groups of gynecologists were analyzed.

Results: In general, the institutions positioned themselves in favor of correct application of conscientious objection and the immense majority of gynecologists followed this conduct. Small groups mounted a strong opposition and in one department (province) all gynecologists declared themselves to be objectors.

Conclusion: Most gynecologists, whether or not they are objectors, proved to have a "loyalty to duty," fulfilling their primary obligation to abide by the ethical duty to give treatment to the persons who need it. A small group used conscientious objection to impede the provision of care to the women who needed the service, some group members being genuine objectors and others pseudo-objectors.

Keywords: Conscientious objection; Gynecologists’ attitudes; Legal termination of pregnancy; Uruguay.

MeSH terms

  • Abortion, Legal / ethics
  • Abortion, Legal / legislation & jurisprudence
  • Abortion, Legal / psychology*
  • Female
  • Gynecology / ethics*
  • Gynecology / legislation & jurisprudence
  • Health Plan Implementation / ethics*
  • Health Plan Implementation / legislation & jurisprudence
  • Humans
  • Male
  • Moral Obligations*
  • Pregnancy
  • Refusal to Treat*
  • Uruguay