June 12, 2024 | Society of Obstetricians and Gynaecologists of Canada
OTTAWA, ON: The Society of Obstetricians and Gynaecologists of Canada (SOGC) unequivocally condemns the practice of coerced sterilization. We believe that all physicians must ensure that free, prior and informed consent is obtained for any medical procedure, particularly those involving permanent contraception. A woman’s choice of contraception should be made by the woman herself based on information regarding safety, effectiveness and accessibility. Her personal beliefs, culture, preferences and ability to use her chosen method must be respected.
In 2019, the SOGC issued an opinion with clear recommendations for obstetricians and gynecologists on non-coercive contraceptive care. This was in response to the systemic racism revealed in the tragic treatment of Joyce Echaquan and the subsequent truth and reconciliation process. We acknowledge ongoing systemic barriers and racism in Canada’s health care system and recognize our responsibility to address these issues.
The SOGC has taken steps to educate and facilitate dialogue with health care providers who provide sexual and reproductive health services in Canada and abroad. Our clinical education programming now includes discussions on the enduring impacts of historic harms against Indigenous Peoples and on fostering an inclusive and equitable health care environment. We have also engaged in international dialogue on reproductive health consent among First Nations, Inuit, and Métis patients, including at a conference hosted by the International Federation of Gynecology and Obstetrics (FIGO).
Through our SOGC Women’s Health Podcast, we promote coercion-free contraceptive care and the benefits of safe, voluntary family planning. We also testified at the Senate Standing Senate Committee On Legal And Constitutional Affairs on Bill S-250, which proposes to amend the Criminal Code regarding coerced sterilization.
The SOGC firmly believes that all women, regardless of education level, socioeconomic status or ethnic origin must have autonomy in making the decision to undergo permanent contraception. Physicians have an ethical obligation to embody the principle of “first, do no harm.” This involves creating a health care environment that feels safe and inclusive for all. It also means approaching conversations about all contraception options with cultural humility, cultural sensitivity and compassion. Respecting a woman’s autonomy regarding her decisions about the form of birth control she wants or needs requires non-directive, non-judgmental counselling that places the patient's wishes at the center of care.
The SOGC remains committed to promoting contraception care care that respects the dignity, autonomy and rights of all women, ensuring their decisions are truly informed and respected.
For media inquiries:
Kelsey MacDonald
Director of Communications and Public Affairs
Society of Obstetricians and Gynaecologists of Canada
[email protected]
613-730-4192 x 228