This monograph is guided by f

Scrutiny and control of women's sexuality and women's reproductive role by the state are well recognized in the history of societies [Sarkar 1993]. Tribal wars over possession of women were rooted in the struggle for survival of the tribe itself.

In 1991, an article on the Maternity Care Program in Matlab, Bangladesh, reported a substantial decline in direct obstetric deaths in the intervention area, but not in the control area. The decline was attributed primarily to the posting of midwives at the village level.

Hysterectomy is major surgery with a mortality rate of 1-2 per 1000 operations and an even higher complication rate. There is a widespread misconception, even among doctors that removal of the uterus, without removal of the ovaries has little or no long-term health consequences for the woman.

Form for, Medical Ethics sought and obtained opinion and advice from a variety of experts. It also studied some of the publications on the subject in medical and other journals.