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http://cnews.canoe.ca/CNEWS/Canada/2009/...6-sun.html


BRAMPTON -- Tarrah Seymour and her husband, Adam Sylvester, met at Mohawk College and it was practically love at first sight.

"She was actually the first person I met, I met her on orientation day," recalls Sylvester, his face creasing into a shy smile as they sit together at their kitchen table. "I was actually nervous to talk to her."

But two years later, they were a couple graduating together from police foundations training, a step closer to their mutual dream of becoming police officers, and about to welcome their precious son, Princeton.

The adorable toddler recently celebrated his first birthday with family and friends and the bubbly little boy is now happily motoring around the kitchen, climbing into whatever lap is available, while his parents look on with pride.

They are decidedly young -- she's just 21, he's 23 -- but it is obvious that they are focused and determined to create a good life for themselves and their growing family. Seymour is five months pregnant with their second baby, and while her family wasn't thrilled with her early parenthood, she always knew she wanted to have her children early and Sylvester agreed. "I want to be young with them," he says. "I want to run in the park with them, stuff like that."

They also knew that with two children, their family would be complete. "I'd like one boy and one girl," Sylvester smiles, "but whatever I'm given I'll be happy with."


Limiting themselves to two kids would allow them to shower both with the advantages they hope to give them -- from outings to the zoo to one day, college educations.

"I'd like him to go to his namesake one day," Seymour says with a laugh, as Princeton toddles away with one of his favourite books. "That would be very nice."

With so many dreams and plans, they seem an incredibly smart and maturely responsible couple who have thought carefully about their future.

They just never imagined their obstetrician would stand in their way.

They live with his mother while he works in loss prevention at a grocery store and she lifeguards, saving their money to buy their own home one day.

Their plan is this: After the baby is born, Seymour will begin her career in law enforcement while her husband stays home with the kids. Once they're old enough for daycare, Sylvester will rejoin the workforce, hopefully with York or Peel police.

'I WON'T DO IT'

To ensure things unfold as they should, they asked her obstetrician to tie her tubes during her planned Caesarean section in October so they won't have any more kids.

"No, I won't do it," Dr. Kayode Ayodele told her unequivocally. "You're too young."

A tubal ligation was simply not even open for discussion. He told her that she might get involved with someone else down the road and regret her decision. He told her it's a permanent sterilization method and he's had so many patients wanting it reversed, that he won't even consider performing one now on any woman under 25.

Seymour and Sylvester were shocked.

"I don't really understand," her husband says. "I thought it would be our decision to make, not somebody else's, about what we can and cannot do."

Seymour resented being treated as if she weren't old enough to know what she was doing. She's a married college graduate and mother; she's weighed the ramifications and decided, with her husband, that this is what she wants.

Surely women should have the right to a tubal ligation if they choose. How can a doctor refuse?

"We were mad, we were mad, definitely," she explains. "We know what we want in life: we want two kids and then we want to start our careers. We had logical reasons behind it. He should have listened and respected that."

Reached in his waiting room filled with pregnant patients, Ayodele said he wouldn't comment on his decision.

Seymour's family doctor was not surprised by the obstetrician's refusal. He warned her that while he would keep looking, he doubted he would be able to find any ob/gyn willing to perform the procedure.

There are no age guidelines for tubal ligations, according to the Society of Obstetricians and Gynaecologists of Canada, but their Canadian Conception Consensus does note that 14 years later, 20% of women sterilized before age 30 expressed regret in a survey, compared to 6% of those who were over 30.

Seymour, though, insists she knows what she is doing.

"I thought we could make our own decision, with some guidance, not have the decision made for us," she says. They've been told to use birth control -- but that's not a 100% solution. Her husband is less than keen on a vasectomy.

To them, it just made sense to have her tubes tied while she was already on the table for her c-section.

But it seems no one will do it.

"I don't believe in abortion, I never have," Seymour insists. "If something were to happen, I'd be forced to do something I don't believe in. It doesn't make any sense."

None at all.

READ MANDEL EVERY THURSDAY, FRIDAY AND SUNDAY. MICHELE.MANDEL@SUNMEDIA.CA OR 416-947-2231
The thing that makes me mad - when someone that young wants to be a parent, no one questions that. No one says what if you regret it, etc. You are old enough to make the decision to BECOME a parent, but not old enough to say you are done? That's backwards in so many ways.

When having 14 kids you can't take care of like Octomom is approved and this isn't, something about this society is very very wrong!
I agree with you Dana. I really get angry at the fact that if a 14 year old gets pregnant and wants to keep the baby nobody will really challenge that fact even though her pregnancy affects three lives; the baby, the father, and herself. I won't get into the issue of her being eligible for welfare which affects the taxpayers.

Oddly, a woman who says that she wants a tubal ligation is too young to make that decision but god knows if she wants a baby there is no problem. I mean honestly, do people think that women wake up one morning and say "oh, I'm going to get some milk, then maybe shop for a new dress, and well since I'm already out I'll just go and have a major medical procedure performed on me since I have nothing better to do?
This is so messed up. She even has made the comment that she is obviously old enough to be responsible as a parent and she and her husband are both working on being productive members of society. As well as looking toward the future for their children and wanting to provide and knowing the limits of what can be provided if you have more children. (Damn! They sound like one of those rare PARENTS NOT BREEDERS)

And the stats tick me off. 20% regretted having the surgery? Ummm. That would mean that 80% were just ducky about it. Idiots.
I read this yesterday and got angry. I'll agree with Dana, that woman is old enough to have kids but yet she's told that she`s too young to have a tubal. I'll never understand that. Some doctors don`t want to do a tubal on young women because it`s permanent and might change their minds. Yet the woman in the story already has kids, what is more permanent than that. They are even more permanent than a tubal. There`s a possibility to reverse a tubal, but you cannot send the kids back if you decide you don`t want them anymore.
This pissed me off too:
Quote:A tubal ligation was simply not even open for discussion. He told her that she might get involved with someone else down the road and regret her decision. He told her it's a permanent sterilization method and he's had so many patients wanting it reversed, that he won't even consider performing one now on any woman under 25.

So, not only is she too young to know she doesn't want more kids, apparently this doctor knows something she doesn't about her marriage as well. Apparently it must be doomed if he is assuming she will likely get involved with someone else in the future.

Ugh! This whole article just made me SO angry! Angryfire

Vanessa
Quote:When having 14 kids you can't take care of like Octomom is approved and this isn't, something about this society is very very wrong!

Word! It's a sad statement about our society. This young couple could have five kids that they are unable to support and everyone would croon on about how cyyyyyyyyyyyyyote it is. Ugh!
The doctor is :
Ayodele Kayode Dr - Obstetrician & Gynecologist
Contact :(905) 451-9486
Address :
164 Queen St E
Brampton, ON , L6V1B4

MICHELE.MANDEL@SUNMEDIA.CA is the reporter and may be able to forward mail to the couple involved. There are too many Sylvester's in Brampton to be sure of a correct address.
I think that doctors who refuse to perform tubal ligations should be reported to their state/country agencies (whoever manages it) and terminated from work.

It reminds me of pharmacists who won't dispense birth control, it's really the same thing- the Dr. is deciding who does and who doesn't get it based on their *personal* beliefs. A patient can sign a waiver saying they understand the procedure is not reversible and the Dr and hospital will not be held liable for future changes in reproductive decisions. Then the Dr performs the operation (gets paid) and the patient is happy.

How is that NOT a win-win!?

I feel very fortunate I got my tubal at 28. I had other factors which made the tubal not just a good decision, but a necessary one, and a caring doctor. I really lucked out and wish all doctors put the best interests of the PATIENT ahead of their own.
I had my tubal at 27, when I was on active duty, single and child-free That was in 1980. The ob-gyn on base was LDS and refused to do it, so they sent me downtown to a Deaconess hospital. My boss, a Catholic, had to okay it (as in any elective surgery) and he reluctantly did so, realizing I'd have to go to his boss if he didn't. Talk about irony. Deaconess is Lutheran, and they didn't bat an eyelash.

Anyway, I remember him saying to me, "What if your [future] husband wants children?" and I said to him, "I don't want them. If he wants them, he'd better have them with somebody else." To this
he replied I was cold-hearted,, and I said. "That's right. Sign here, please."
How depressing that adult women are perceived as not knowing their own minds. Equally depressing that 20% of women supposedly regret their choice. I wonder if they really regret it or if they buckle to the pressure of a future partner and pretend to regret it. ?
Why is the decision NOT to have children any more regrettable than the decision to have them? Seems to me it should be the other way around.
I agree with the sentiment about doctors refusing a tubal and pharmacists refusing to dispense medications. If you want your job to be about morality then become a religious leader. A physician is required to do no harm thanks to the Hippocratic Oath.
My LTTE was published today in The Sun:


Condescending to women

Re "Fit to be tied" (Michele Mandel, June 11): Doctors deny mom's tubal ligation? Wow! Why is it a 21-year-old woman is not too young to have children but it seems she can be too young not to have them? Why is making the decision not to have children any more regrettable than the decision to have them? Why is a seemingly responsible young couple being denied a basic surgical procedure? I had my tubes tied at the age of 30 with no children and no questions asked. After reading so many articles just like this one, I was afraid it was going to be difficult to convince my doctor that I wanted permanent sterilization at such a young age and with no children. Luckily, he didn't bat an eye and realized that as a woman, I had the right to make my own decisions. And no, I have never regretted it. Shame on these doctors for not allowing a grown woman to make her own decisions. It seems that in 2009, women are still treated as second-class citizens who don't know what's right for them.

(Sounds like doctors overstepping their duties a little to us)
Princeton? Seriously? What are they going to name the second one? Harvard? Yale?
You know what irks me the most about this? If, at 21, she had gone in and said that she was unable to have children, would she be able to have IVF treatments? Of course!
NKBurlington Wrote:You know what irks me the most about this? If, at 21, she had gone in and said that she was unable to have children, would she be able to have IVF treatments? Of course!

Exactly! Insurance would most likely cover it as well.

I liked your letter to the editor as well.
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