State
support is vital to family life. Women, especially, know this. Without access
to reliable, affordable childcare, women can’t work. Without access to
contraception and abortion women, can’t plan to have the number of children they
want, or when to have them. Without access to good schools, women can’t ensure
that their children will get the education they need. We all need social
resources to draw on, and the more impoverished, excluded and disadvantaged we
are, the more support we may need. But our need for resources does not confer a
right or an obligation to meddle in the personal decisions
we choose to make for ourselves and our families.
Today,
some politicians and policy makers seem to assume that people, especially those from
disadvantaged backgrounds, can’t be trusted to do what is right. And so
increasingly policies are introduced that ‘nudge’ people towards what
appropriate professionals decide are the ‘right’ choices, and away from the
‘wrong’ ones. This causes problems: what seems to be a quick-fix policy to
influence behaviour can turn into a short-cut to calamity for individuals.
British
Pregnancy Advisory Service (bpas) runs clinics and advisory centres that
provide counselling and care for more than 60,000 women each trying to avoid or
manage problem pregnancies. We see the impact of playing politics with people’s
personal decision-making when it impacts on their sexual and reproductive
health.
We see
young women pregnant because their doctors, encouraged by targets intended to
increase uptake of long-acting (super-effective) methods of contraception, have
persuaded them to accept an implant which they didn’t really want and, having had
it removed, are reluctant to go back for the (less effective, but good enough)
pills they preferred.
We see
new mothers pregnant because healthcare workers have exaggerated the
contraceptive effects of breastfeeding in the drive to encourage women to resist
formula feeding.
We see
women pregnant unintentionally having become convinced they are infertile
after being subjected to exaggerated
accounts of the risks posed by common infections, such as chlamydia, by
campaigns trying to scare them into ‘sexual
responsibility’
We see
the fallout of initiatives to deter heavy drinking in pregnancy that advise
pregnant women to avoid alcohol altogether in the belief that women are unable
to gauge their own alcohol consumption: women so terrified they have harmed
their fetus they consider abortion.
We
suffer interference from a few politicians convinced that women are incapable of
making informed, personally-intelligent choices about whether to continue their
pregnancy without the involvement of an ‘independent’ outsider to counsel them.
Women
need evidence-based information on which to base their choices. Our message
this year to politicians of all parties is this: tell people the naked truth and trust them to make decisions for themselves. When it comes to reproductive
choices women are the ones best placed to make their own decisions, from what
contraception she uses to prevent unwanted pregnancy to how she gives birth to
a much wanted baby. Trusting women is the right choice for all of us.
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