Medical conscientious objection in abortion cases

scoping review

Authors

DOI:

https://doi.org/10.15448/1980-6108.2023.1.45000

Keywords:

Conscientious Objection, Abortion, Religion, Teaching Base

Abstract

Introduction: conscientious objection makes it possible to ensure medical rights, but it is an obstacle to public health in Brazil. Aims: to carry out a Brazilian literature review assessing the motivation of health professionals who present conscientious objection in cases of legalized abortion. Methods: to this end, a PICO Brazilian literature review was carried out, with the guiding question: does medical technical teaching versus religiosity interfere with the option for conscientious objection in the face of legalized abortion? The following databases were used: Cochrane Library, Lilacs, PubMed, Scielo and Periodicals CAPES, using the descriptors “(Conscientious Objection)”; “(Conscientious Objection) AND (Religion)”; “(Conscientious Objection) AND (Medical Education)”; “(Conscientious Objection) AND (Religion) AND (Medical Education)” in Portuguese and in English plus the term “abortion”. The search was carried out in January 2023 and limited to the period between 2016 and 2023. Results: initially, the search resulted in 1746 articles, of which only 17 were included. It can be observed that religion is an influence, however, the lack of the subject in medical schools causes doctors to act incorrectly or incompletely when objecting to conscience. Conclusions: this study will serve for future intervention projects with medical students, which minimize obstacles to accessing abortion.

 

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Author Biographies

Letícia Ferruzzi Sacchetin, Universidade do Oeste Paulista (UNOESTE), Presidente Prudente, SP, Brazil.

Master and graduate in Philosophy in the area of Medical Ethics from the Federal University of Minas Gerais (UFMG), in Belo Horizonte, MG, Brazil; graduating in Medicine from the Universidade do Oeste Paulista (UNOESTE), in Presidente Prudente, SP, Brazil.

Andressa Pereira de Souza, Universidade do Oeste Paulista (UNOESTE), Presidente Prudente, SP, Brazil.

Specialist in Developmental and Learning Psychology from the Pontifical Catholic University of Rio Grande do Sul (PUC-RS), in Porto Alegre, RS, Brazil; graduated in Psychology from the Universidade do Oeste Paulista (UNOESTE), in Presidente Prudente, SP, Brazil. PhD student in Education at the Universidade do Oeste Paulista (UNOESTE) in the Postgraduate Program in Education, in Presidente Prudente, SP, Brazil.

Camelia Santina Murgo, Universidade do Oeste Paulista (UNOESTE), Presidente Prudente, SP, Brazil.

PhD in Psychology Science and Profession from the Pontifical Catholic University of Campinas (PUC Campinas), in Campinas, SP, Brazil; master's degree in School Psychology from the same institution; degree and degree in Psychology. Professor of Psychology and Medicine courses at the Universidade do Oeste Paulista (UNOESTE), in Presidente Prudente, SP, Brazil.

References

Uberoi D, Galli B. In pursuit of a balance: the regulation of conscience and access to sexual reproductive health care. Hum Rights Rev. 2017;18(3):283–304. https://link.springer.com/article/10.1007/s12142-017-0462-6 DOI: https://doi.org/10.1007/s12142-017-0462-6

Conselho Federal de Medicina. Código de ética médica. Brasília: Conselho Federal de Medicina; 2019. 108 p.

Brasil. Presidência da República, Casa Civil, Subchefia para Assuntos Jurídicos. Decreto-lei no 2.848, de 07 de dezembro de 1940. Código Penal. Diário Oficial da União. 1940; (seção 1): 23911 [citado 2021 ago 21]. Disponível em: https://www2.camara.leg.br/legin/fed/declei/1940-1949/decreto-lei-2848-7-dezembro-1940-412868-publicacaooriginal-1-pe.html

Madeiro A, Rufino A, Santos P, Bandeira G, Freitas I. Objeção de consciência e aborto legal: atitudes de estudantes de medicina. Rev Bras Educ Med. 2016 Mar;40(1):86–92. https://doi.org/10.1590/1981-52712015v40n1e02382014 DOI: https://doi.org/10.1590/1981-52712015v40n1e02382014

Faúndes A, Miranda L. “Ethics surrounding the provision of abortion care.” Best Pract Res Clin Obstet Gynaecol. 2017. 43:50–7. https://doi.org/10.1016/j.bpobgyn.2016.12.005 DOI: https://doi.org/10.1016/j.bpobgyn.2016.12.005

Darzé OISP, Barroso Júnior U. Prevalence, attitudes, and factors motivating conscientious objection toward reproductive health among medical students. Rev Bras Ginecol e Obstet. 2018;40(10):599–605. https://doi.org/10.1055/s-0038-1673367 DOI: https://doi.org/10.1055/s-0038-1673367

Smalling R, Schuklenk U. Against the accommodation of subjective healthcare provider beliefs in medicine: counteracting supporters of conscientious objector accommodation arguments. J Med Ethics. 2017;43(4):253–6. https://doi.org/10.1136/medethics-2016-103883 DOI: https://doi.org/10.1136/medethics-2016-103883

Amaral DM. Dr. Olímpio Moraes Filho: aborto, ódio e luta [Internet]. Revista Trip. 2020 [citado 2023 Feb 1]. Disponível em: https://revistatrip.uol.com.br/tpm/drolimpio-moraes-filho-aborto-odio-e-luta

Adesse L, Jannotti CB, Silva KS, Fonseca VM. Aborto e estigma: uma análise da produção científica sobre a temática. Cienc e Saude Coletiva. 2016;21(12):3819–32. https://doi.org/10.1590/1413-812320152112.07282015 DOI: https://doi.org/10.1590/1413-812320152112.07282015

Costa M. Ditos e interditos: violência sexual, aborto e estigma em uma instituição de saúde pública. Revista Espaço Acadêmico. 2018;17(200):1-12.

Lopes SDN, Oliveira MHB. Meu corpo, minhas regras: mulheres na luta pelo acesso ao serviço público de saúde para a realização do aborto seguro. Saúde em Debate. 2019;43(spe4):20–33. https://doi.org/10.1590/0103-11042019S403 DOI: https://doi.org/10.1590/0103-11042019s403

Madeiro AP, Diniz D. Serviços de aborto legal no Brasil – um estudo nacional. Cienc Saude Coletiva. 2016;21(2):563–72. https://doi.org/10.1590/1413-81232015212.10352015 DOI: https://doi.org/10.1590/1413-81232015212.10352015

Deslandes SF, Vieira LJES, Cavalcanti LF, Silva RM. Atendimento à saúde de crianças e adolescentes em situação de violência sexual, em quatro capitais brasileiras. Interface Commun Heal Educ. 2016;20(59):865–77. https://doi.org/10.1590/1807-57622015.0405 DOI: https://doi.org/10.1590/1807-57622015.0405

Ruschel AE, Machado FV, Giugliani C, Knauth DR. Mulheres vítimas de violência sexual: rotas críticas na busca do direito ao aborto legal. Cad Saude Publica. 2022;38(10):e00105022. https://doi.org/10.1590/0102-311XPT105022 DOI: https://doi.org/10.1590/0102-311xpt105022

Kuhnen TA. A ética do cuidado como alternativa à ética de princípios: divergências entre Carol Gilligan e Nel Noddings. ethic@ - An Int J Moral Philos. 2012;9(3):155- 68. https://doi.org/10.5007/1677-2954.2010v9n3p155 DOI: https://doi.org/10.5007/1677-2954.2010v9n3p155

Gilligan C. In a different voice: women’s conceptions of self and morality. Harvard Educ Rev. 1977;47(4):481- 517. DOI: https://doi.org/10.17763/haer.47.4.g6167429416hg5l0

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Published

2023-12-22

How to Cite

Ferruzzi Sacchetin, L., Pereira de Souza, A., & Santina Murgo, C. (2023). Medical conscientious objection in abortion cases: scoping review. Scientia Medica, 33(1), e45000. https://doi.org/10.15448/1980-6108.2023.1.45000

Issue

Vol. 33 No. 1 (2023): Single Volume - Continuous Flow of Publication

Section

Ethics in Health Care

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