I have a friend in a very similar situation to this one and over the years this discussion has come up frequently between us.
My friend's main worry wasnt the fact that she would have to clean her daughter more often or even the fact she may be in pain due to her period.
Her main concern was that as her daughter grew up she would spend more time away from the family home in day centres and in respite care facilities where my friend would not be able to watch her 24/7 as she has done over the years. Her questions were 'what if's'. What if, for example,since the child cannot speak and give consent, one of the older kids decided to sexually abuse her daughter on an overnight/weekend stay in the respite facility and she became pregnant? Yet another problem to add to the long list of problems already there.
'Nonsense' some of you may say but it could and does happen. The same as it could happen that she could be abused by anyone, when in the care of others who cannot, due to staffing, or any other problem that may be regarded as an excuse by some, not to give the constant care and attention these children/young adults need 24/7. Staff cannot physically watch one particular child 100% of their time in the centre. In an ideal world they could but we dont live in an ideal of these centres suffer severley from under staffing and funding problems.
Hysterectomy was discussed, the pill was discussed all matters of avoiding unwanted pregnancy and periods were discussed and eventually it was decided by all the professionals, along with my friend that her daughter should have an implant in her arm. This takes care of unwanted pregnancy and the period problem, it hasnt and never will, take away the fear of the Mother should her daughter be abused.
My friend and myself have discussed this since this story has hit the headlines and she always disagreed with the suggestion of hysterectomy as far as her own daughter was concerned but as Im sure anyone in this position would agree, its down to the individual needs of each particular child and its family/carers and since a child in this situation cannot make a decision then it will be left to Parents and professionals. I dont think there will ever be a right or wrong way to deal with things like this.
Personally speaking, I dont think a hysterectomy would be approved just for the sake of hygiene issues. I think for it to be even discussed, there are more issues involved in this case.
yes freckle & lyns i would say it was medically nessisary but even if it just improves this girls and her mothers life a little isnt that a plus?