Abstract
We provide an overview of the causes, manifestations, and potential mitigating steps regarding implicit bias in counseling for permanent contraception. The historical context of sterilization abuses and the implications of these on society's notions of fitness for parenthood are reviewed. We present contemporary examples of contraceptive coercion and discuss the impact of implicit bias from health care providers. Finally, we outline steps for ensuring a patient-centered shared decision-making ethical approach to permanent contraceptive counseling.
Highlights
We provide an overview of the causes, manifestations, and potential mitigating steps regarding implicit bias in counseling for permanent contraception
We present contemporary examples of contraceptive coercion and discuss the impact of implicit bias from health care providers
In the United States, conversations surrounding contraceptive choice and permanent contraception are complicated by the historical backdrop of state-sanctioned eugenics programs meant to control the reproduction of women deemed unfit to parent
Summary
In the United States, conversations surrounding contraceptive choice and permanent contraception are complicated by the historical backdrop of state-sanctioned eugenics programs meant to control the reproduction of women deemed unfit to parent. We present contemporary examples of contraceptive coercion and discuss the impact of implicit bias from health care providers.
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