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Re Marion (No<br />

2) [1992] 17<br />

FamLR<br />

Australia<br />

See above.<br />

This case<br />

deciding<br />

whether<br />

hysterectomy<br />

in Marion’s<br />

best interests.<br />

In Re<br />

Elizabeth<br />

[1989] 13 Fam<br />

LR 47<br />

Australia<br />

In Re S [1989]<br />

13 Fam LR<br />

660<br />

Australia<br />

Parents Purpose of<br />

hysterectomy;<br />

Preventing pregnancy<br />

and menstruation with<br />

its psychological and<br />

behavioural<br />

consequences;<br />

ovariectomy proposed<br />

to stabilise hormonal<br />

fluxes and eliminate<br />

consequential stress<br />

and behavioural<br />

responses.<br />

Restraining<br />

order sought<br />

against mother<br />

by NSW<br />

council officer<br />

preventing<br />

mother<br />

consenting to<br />

hysterectomy.<br />

Injunction<br />

against parents<br />

to consent to<br />

hysterectomy<br />

on S’s behalf.<br />

14<br />

Epileptic – increased<br />

risk of epileptic fits;<br />

pain, fear,<br />

dysmenhorrea and<br />

dehydration triggering<br />

fits of increasing<br />

severity and frequency.<br />

15<br />

Could not cope with<br />

hygiene aspects of<br />

menstruation and risk<br />

that S would become<br />

pregnant.<br />

12<br />

Allowed<br />

hysterectomy.<br />

Hysterectomy<br />

allowed.<br />

Allowed<br />

hysterectomy.<br />

Prevent pregnancy – although<br />

identified little risk of sexual abuse.<br />

Prevent menstruation and<br />

menstrual bleeding with<br />

consequent psychological and<br />

behavioural problems.<br />

To stabilise and prevent hormonal<br />

fluxes with consequential stress<br />

and behavioural problems.<br />

Fitted pre-menstrually.<br />

Previously tried oral contraception.<br />

Risk of increasing fits during<br />

menstruation. Risk also of pain,<br />

fear dysmenhorea, dehydration and<br />

triggering of fits of increasing<br />

severity and frequency.<br />

“She shows no fear and will<br />

happily go off with any man. She<br />

has to be physically restrained from<br />

chasing after men in public and<br />

throwing her arms around them”.<br />

Problematic masturbation.<br />

Menstruation not yet commenced.<br />

Real risk of pregnancy.<br />

Could not cope with they hygiene<br />

aspects involved in pregnancy.<br />

Employed guidelines from Re<br />

Jane to determine best<br />

interests:<br />

Lists relevant factors which<br />

determine whether procedure<br />

is in the persons best interests,<br />

then applies it.<br />

Brought by the advocacy<br />

officer of the NSW council for<br />

Intellectually Disabled, and<br />

discusses whether these sorts<br />

of groups should be involved.<br />

Considered that legislation<br />

from NSW allowed parents to<br />

consent, and the consent of the<br />

court was not also required.<br />

Re Jane [1988]; the same judge from Re<br />

Jane created the guidelines to be used in<br />

such cases.<br />

Re B [1987]; whether the court can<br />

override the parents wishes.<br />

Re Eve [1986]; consent by the court for<br />

medical procedures.<br />

Re Eve [1986] & Re F [1989] to establish<br />

the distinction between therapeutic and<br />

non-therapeutic hysterectomy or<br />

sterilisation.<br />

Re F [1989]; sterilisation is in a special<br />

category of treatment to be considered by<br />

the court.<br />

Re Jane [1988] the welfare of the child is<br />

paramount to the court.<br />

Re F [1989]<br />

Re a Teenager [1988]<br />

Re Jane [1989]<br />

Re Elizabeth [1989]<br />

233

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