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Her Uterus, Her Medical Decision? Dismantling Spousal Consent for Medically Indicated Hysterectomies in Saudi Arabia

Published online by Cambridge University Press:  30 May 2018

RUAIM MUAYGIL
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Abstract:

Against the background of a recommended hysterectomy, this article examines the current requirement in Saudi Arabia for the husband’s consent for any medical procedure that affects the reproductive ability of his wife. The history and background of this decree is explained, along with the major arguments for its support. Additionally, the legitimacy of the requirement is discussed from the Islamic and legal perspectives. Special attention is given to relevant cultural considerations, such as the family unit, the medical community, and the larger Saudi society. Arguments advocating for discontinuing the requirement are offered along with measures to implement in order to overcome this social artifact.

Keywords

Saudi ArabiahysterectomyIslamic perspectiveSaudi law
Type
Special Section: Bioethics Beyond Borders
Information
Cambridge Quarterly of Healthcare Ethics , Volume 27 , Issue 3 , July 2018 , pp. 397 - 407
Copyright
Copyright © Cambridge University Press 2018 

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References

Notes

1. Saudi Commission for Health Specialties. Code of Ethics for Healthcare Practitioners. Saudi Commission for Health Specialities; updated 2014; available at http://www.scfhs.org.sa/en/registration/ClassAndRegister/Reregister/Documents/Ethics%20for%20Health%20Practitioners.pdf (last accessed 18 Mar 2017).

2. According to Saudi law, every woman regardless age or competence must have a male legal guardian. The guardian must be a close relative, typically a father or a husband, but also sometimes a brother, uncle, or even an adult son. Currently, women must seek their guardian’s written permission for some types of jobs or studies, to start businesses, to marry, or to travel. New legislation to end this practice is currently being debated.

3. Gor H. Hysterectomy. Medscape; updated January 22, 2015; available at http://emedicine.medscape.com/article/267273-overview#a10. (last accessed 18 Mar 2017).

4. See note 3, Gor 2015.

5. EngenderHealth. Law and Policy, in Contraceptive Sterilization: Global Issues and Trends. New York: EngenderHealth; 2002, at 87–106.Google Scholar

6. See note 1, Saudi Commission for Health Specialties 2014, at 18.

7. BBC News. Saudi Women File Petition to End Male Guardianship System; updated September 26, 2016; available at: http://www.bbc.com/news/world-middle-east-37469860. (last accessed 18 Mar 2017).

8. Mobaraki, AEH, Soderfeldt, B. Gender inequality in Saudi Arabia and its role in public health. Eastern Mediterranean Health Journal 2002;16(1):113–8.CrossRefGoogle Scholar

9. See note 7, BBC News 2016.

10. Alarabiya English. Saudi Police Arrest Man Who Shot Doctor for Helping Wife Deliver a Baby; updated May 26, 2016; available at: http://english.alarabiya.net/en/variety/2016/05/26/Saudi-police-arrests-man-who-shot-doctor-for-helping-wife-deliver-a-baby-.html (last accessed 18 Mar 2017).

11. Muaygil, R. The role of physicians in state-sponsored corporal punishment. Cambridge Quarterly of Healthcare Ethics 2016;25(3):479–92.CrossRefGoogle ScholarPubMed

12. Council of Senior Scholars Resolution no. 173. On the Obtainment of Both Spouses Consent in Hysterectomies, Oophorectomies, and Cesarean Sections [in Arabic, author’s translation]; updated 1992; available at http://www.alifta.net/Fatawa/FatawaChapters.aspx?languagename=ar&View=Page&PageID=176&PageNo=1&BookID=16. (last accessed 18 Mar 2017).

13. Sachedina, A. Islamic Biomedical Ethics: Principles and Application. New York: Oxford University Press; 2011.Google Scholar

14. Much discussion can, and should, be had regarding the validity of these positions; however, that is beyond the scope of this article.

15. See note 11, Muaygil 2016.

16. Bureau of Experts at the Council of Ministers. Code of Practicing Healthcare Professions: Article 19 [in Arabic, author’s translation]; updated 2005; available at https://www.boe.gov.sa/ShowPDF.aspx?filename=a7e7ed5a-7191-4ad1-8cce-f63907e9971f&SystemID=164&VersionID=178 (last accessed 18 Mar 2017).

17. See note 1, Saudi Commission for Health Specialties 2014, at 18.

18. Al-Dabbagh, M. Saudi Arabian women and group activism. Journal of Middle East Women’s Studies 2015;11(2):235–7.Google Scholar

19. Al-Amri, AM. Future Saudi doctors and cancer patients agree cancer patients should be informed about their cancer. Asia-Pacific Journal of Clinical Oncology 2013;9(4):342–8.CrossRefGoogle ScholarPubMed

20. Al-Abdi, S, Al-Ali, E, Daheer, M, Al-Saleh, Y, Al-Qurashi, K, Al-Amri, M. Saudi mothers’ preferences about breaking bad news concerning newborns: a structured verbal questionnaire. BMC Medical Ethics 2011;12:15.CrossRefGoogle ScholarPubMed

21. Ahmed, L. Women and Gender in Islam: Historical Roots of a Modern Debate. New Haven and London: Yale University Press; 1992.Google Scholar

22. Al-Rasheed, M. A Most Masculine State: Gender, Politics, and Religion in Saudi Arabia. New York: Cambridge University Press; 2013.CrossRefGoogle Scholar

23. See note 22, Al-Rasheed 2013.

24. The American College of Obstetricians and Gynecologists: The Committee on Healthcare for Underserved Women. Reproductive and Sexual Coercion; updated February 2013; available at http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Health-Care-for-Underserved-Women/Reproductive-and-Sexual-Coercion (last accessed 18 Mar 2017).

25. Bureau of Experts at the Council of Ministers. The Protection from Abuse Act [in Arabic, author’s translation]; updated 2013; available at https://www.boe.gov.sa/ViewSystemDetails.aspx?lang=ar&SystemID=309&VersionID=287#search1 (last accessed 18 Mar 2017).

26. The National Family Safety Program. 2017; available at http://nfsp.org.sa (last accessed 17 Apr 2017).

27. United Nations Convention on the Elimination of all Forms of Discrimination Against Women: Article 12; updated 2009; available at http://www.un.org/womenwatch/daw/cedaw/text/econvention.htm#article12 (last accessed 18 Mar 2017).