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In re B (A<br />
Minor)<br />
Wardship:<br />
Sterilisation)<br />
[House Of<br />
Lords]<br />
[1988] AC 199<br />
England<br />
Re M (A<br />
Minor)<br />
(Wardship:<br />
Sterilisation)<br />
[1988] 2 FLR<br />
497<br />
England<br />
T vT and<br />
another<br />
[1988] 1 ALL<br />
ER 613<br />
England<br />
Council; B live<br />
in a residential<br />
institution.<br />
Local<br />
Authority<br />
Beginning to show<br />
signs of sexual<br />
awareness, could not<br />
be placed on effective<br />
contraceptive regime.<br />
17<br />
Sexually aware, danger<br />
of sexual intercourse<br />
becoming pregnant. No<br />
understanding of<br />
pregnancy or childbirth<br />
might harm mental<br />
health.<br />
17<br />
Mother Looked after by mother<br />
and local authority.<br />
Became pregnant –<br />
requested abortion and<br />
sterilisation.<br />
19<br />
Sterilisation<br />
allowed.<br />
Sterilisation<br />
allowed.<br />
Sterilisation and<br />
termination<br />
allowed.<br />
No viable contraceptive alternative.<br />
Not capable of knowing causal<br />
connection between intercourse and<br />
childbirth. Panic and require heavy<br />
sedation during a normal delivery<br />
and in the case of caesarean would<br />
be likely to open up the wounds.<br />
Accepted evidence that sterilisation<br />
is reversible.<br />
50% chance of fragile x syndrome<br />
being passed onto baby – would<br />
need tests and possible termination<br />
which would distress M.<br />
Despite above denied eugenics<br />
consideration in allowing<br />
sterilisation.<br />
Would not be able to ‘exercise the<br />
actual mothering function’.<br />
Termination as T would be unable<br />
to be monitored in pregnancy or<br />
look after the child when born.<br />
Sterilisation to prevent further<br />
pregnancies. Possible risk of<br />
passing condition to fetus. Other<br />
forms of contraception not suitable.<br />
Case mainly concerned with<br />
finding law to make declaration of<br />
lawfulness and to allow the<br />
procedures without incurring<br />
charges of trespass or battery.<br />
Eugenics; denied this aspect,<br />
but appeared to have clear<br />
eugenic component.<br />
No discussion of pregnancy –<br />
who, where, why, how etc.etc.<br />
Re Eve; rejected finding in Eve that courts<br />
should never authorise non-therapeutic<br />
sterilisation.<br />
Rejected Re D [1975] as precedent due to<br />
‘extreme and quite different facts of the<br />
present case’.<br />
Judge 5 rejecting Re D [1975] as precedent<br />
‘a case very different from the instant case,<br />
where… the ward was of an intellectual<br />
capacity to marry and would in the future<br />
be able to make her own choice.’<br />
Re B [1987] proceeded on the basis that<br />
sterilisation was irreversible. Evidence<br />
given in this case that 50-75% of cases are<br />
reversible.<br />
Re B [1987] noted B 17, T 19. Agreed with<br />
sterilisation in both cases cited ‘I find it<br />
difficult to understand how anybody<br />
examining the facts humanely,<br />
compassionately and objectively could<br />
reach any other conclusion.’<br />
Re Eve [1986] for court’s parens patriae<br />
jurisdiction.<br />
Looks to other cases for precedent to make<br />
a declaration of lawfulness.<br />
229