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PEDIATRICS Vol. 104 No. 2 August 1999, pp. 337-340

AMERICAN ACADEMY OF PEDIATRICS:
Sterilization of Minors With Developmental Disabilities

Committee on Bioethics

Sterilization of persons with developmental disabilities has often been performed without appropriate regard for their decision-making capacities, abilities to care for children, feelings, or interests. In addition, sterilization sometimes has been performed with the mistaken belief that it will prevent expressions of sexuality, diminish the chances of sexual exploitation, or reduce the likelihood of acquiring sexually transmitted diseases. A decision to pursue sterilization of someone with developmental disabilities requires a careful assessment of the individual's capacity to make decisions, the consequences of reproduction for the person and any child that might be born, the alternative means available to address the consequences of sexual maturation, and the applicable local, state, and federal laws. Pediatricians can facilitate good decision-making by raising these issues at the onset of puberty.

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Statements of reaffirmation:

AAP Publications Retired or Reaffirmed, October 2006

Pediatrics 119: 405-405. [Full Text]

Policy Statement--AAP Publications Retired and Reaffirmed
Pediatrics 124: 845-845. [Full Text]

The following policy statement has been revised:

Sterilization of Women Who Are Mentally Handicapped

Pediatrics 85: 868-871.



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