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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

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