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Forced and Coerced Sterilization of Indigenous Peoples: Considerations for Health Care Providers

Published:April 28, 2021DOI:https://doi.org/10.1016/j.jogc.2021.04.006

      ABSTRACT

      Forced and coerced sterilization refers to the provision of permanent contraception without true informed consent. In Canada, this topic is particularly relevant to Indigenous Peoples because of this country's history of racialized eugenics programs. In this commentary, we briefly review the history of forced and coerced sterilization in Canada, describe the clinical considerations for health care providers who work with Indigenous patients in this context, and outline calls to action for health care providers and organizations to support the provision of culturally appropriate reproductive health care to Indigenous people.

      RÉSUMÉ

      La stérilisation forcée et sous contrainte réfère à la prestation d'une méthode de contraception permanente sans véritable consentement éclairé. Au Canada, ce sujet est particulièrement pertinent pour les Autochtones à cause de l'histoire des programmes eugéniques racisés de ce pays. Dans ce commentaire, nous examinons brièvement l'histoire de la stérilisation forcée et sous contrainte au Canada. Nous décrivons les considérations cliniques pour les fournisseurs de soins de santé qui travaillent avec les populations autochtones dans ce contexte et nous énonçons les actions que les fournisseurs de soins de santé et les organisations doivent prendre pour assurer la prestation de soins de santé reproductive adaptée à la culture des Autochtones.

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      REFERENCES

        • The Society of Obstetricians and Gynaecologists of Canada
        SOGC statement on coercive contraception provision and patient autonomy in family planning decisions.
        SOGC, Ottawa, ON2020 (Available at:)
        • Buller M
        • Audette M
        • Eyolfson B
        • Robinson Q
        • National Inquiry into Missing and Murdered Indigenous Women and Girls (Canada)
        Reclaiming power and place: the final report of the National Inquiry into Missing and Murdered Indigenous Women and Girls.
        2019 (Available at:) (Accessed on June 29, 2020)
        • Stote K
        An act of genocide.
        Fernwood Publishing, Black Point, NS and Winnipeg, MB2015
        • Casey B
        House of Commons Canada: Standing Committee on Health.
        2019: 1-16 (Report No. 154. Available at: https://www.ourcommons.ca/DocumentViewer/en/42-1/HESA/meeting-154/evidence. Accessed May 20, 2021)
        • Boyer Y
        • Bartlett J
        External review: tubal ligation in the Saskatoon health region: the lived experience of Aboriginal women.
        2017: 1-56 (Saskatoon Health Region. Available at:) (Saskatoon, Saskatchewan)
        • Neufeld HT
        • Cidro J
        Indigenous experiences of pregnancy and birth.
        Demeter Press, Bradford, ON2017
        • Boivin L
        • MacLachlan J
        Reflecting on Indigenous access to informed consent.
        Occup Ther Now. 2019; 21: 11-12
        • Tilburt JC
        The role of worldviews in health disparities education.
        J Gen Intern Med. 2010; 25: 178-181
        • Truth and Reconciliation Commission of Canada
        Calls to action.
        Truth and Reconciliation Commission of Canada, Winnipeg, MB2015: 2-3
      1. Canadian contraception consensus chapter 2 contraceptive care and access.
        J Obstet Gynaecol Can. 2015; 37: S13-S19