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aria-label="Lisää artikkeleita aiheesta Vanhemmuus" class="aw-l7odld jXfkxq">Vanhemmuus</a></div><h1 class="sc-aXZVg cZXpWU yle__article__heading yle__article__heading--1">Niina Hirvimäki, 29, tiesi jo hiekkalaatikolla, ettei halua lapsia – ilman ehkäisyongelmia laki pakottaisi hänet yhä odottamaan sterilointia</h1><p class="aw-1gybjub aw-5vja16 jxdWmn eeXVLF yle__article__paragraph">Lain mukaan sterilisaatio voidaan tehdä, jos henkilö on 30-vuotias tai hänellä on vähintään kolme alaikäistä lasta. Lakiin on kaivattu muutosta monen vuoden ajan.</p><figure class="aw-u5oz0a clzEhy yle__article__figure"><script type="application/ld+json">{"@id":"74-20018818","@context":"https://web.archive.org/web/20240226055431/https://schema.org","video":{"@type":"VideoObject","description":"Ulvilalainen Niina Hirvimäki tiesi jo varhain, ettei halua omia lapsia. Lähipiiri tukee, mutta ulkopuolisille hän joutuu toisinaan selittämään ratkaisuaan. Kuva ja video: Jari Pelkonen / Yle","name":"\"Äitiys ei ole mun juttu\", sanoo Niina Hirvimäki, 29","thumbnailUrl":"https://web.archive.org/web/20240226055431/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-42973859c268d07fd2f","uploadDate":"2023-02-22T14:52:40+02:00"}}</script><div class="aw-1a00tic ircCun"></div><figcaption class="aw-kr26k0 iEoONW"><span>Ulvilalainen Niina Hirvimäki tiesi jo varhain, ettei halua omia lapsia. Lähipiiri tukee, mutta ulkopuolisille hän joutuu toisinaan selittämään ratkaisuaan. Kuva ja video: Jari Pelkonen / Yle</span></figcaption></figure><div class="aw-1wk2icm iaIVgA"><div class="aw-qww0lc eFtfQt"><div class="aw-x5rn7a iKNQRH"><span class="aw-z7z0zi hEWAhM">Minna Rosvall</span><span class="aw-z7z0zi hEWAhM">, </span></div><div class="aw-x5rn7a iKNQRH"><span class="aw-z7z0zi hEWAhM">Anna-Mari Vuollet</span></div></div></div><div class="aw-1hwlbbb iumvhG"><div class="aw-64d2lh cPAYLb"><div class="aw-kzjed4 dgiUVP yle__article__date"><time class="aw-lsqctp jPSFYl yle__article__date--published" datetime="2023-02-23T05:20:34+02:00">23.2.2023 5:20</time><span aria-hidden="true" class="aw-131q90r bsXkQk">•</span><time class="aw-lsqctp jPSFYl yle__article__date--modified" datetime="2023-02-23T09:10:00+02:00">Päivitetty 23.2.2023 9:10</time></div></div><a href="https://web.archive.org/web/20240226055431/https://yle.onelink.me/46xJ/07zyq6zz?deep_link_sub1=74-20018818" class="aw-pqa0kd GtYAc">Avaa Yle-sovelluksessa<svg width="24" height="24" viewbox="0 0 24 24" fill="none" aria-hidden="true"><path d="M15 2a1 1 0 1 0 0 2h3.586l-9.293 9.293a1 1 0 1 0 1.414 1.414L20 5.414V9a1 1 0 1 0 2 0V3a1 1 0 0 0-1-1h-6ZM5 7a1 1 0 0 0-1 1v11a1 1 0 0 0 1 1h11a1 1 0 0 0 1-1v-6a1 1 0 0 1 2 0v6a3 3 0 0 1-3 3H5a3 3 0 0 1-3-3V8a3 3 0 0 1 3-3h6a1 1 0 1 1 0 2H5Z" fill="currentColor"></path></svg></a><div class="aw-itub5i eehAxh"><div><button aria-label="Jaa artikkeli" aria-disabled="false" id="share-menu-button" aria-haspopup="true" class="Buttonstyles__ButtonBase-sc-17sr1bx-0 Buttonstyles__ButtonText-sc-17sr1bx-3 jrqhnK kvhUhF"><span class="Buttonstyles__iconSize-sc-17sr1bx-4 Buttonstyles__IconWrapper-sc-17sr1bx-6 cazOWd dPcqZv yds-button__icon"><svg width="24" height="24" viewbox="0 0 24 24" fill="none" aria-hidden="true" class="aw-wi5224 fZrvxl"><path fill-rule="evenodd" clip-rule="evenodd" d="M12.43 3.078a1 1 0 0 1 1.087.207l8.182 8a1 1 0 0 1 0 1.43l-8.182 8a1 1 0 0 1-1.7-.715v-3.855h-.008c-1.968.029-3.972.988-5.827 2.417L3.61 20.389a1 1 0 0 1-1.592-.981l.5-2.597.014-.062c.23-.883.58-1.911.986-2.865.4-.94.88-1.876 1.387-2.532.964-1.246 2.07-2.138 3.405-2.709 1.057-.45 2.219-.684 3.508-.76V4a1 1 0 0 1 .612-.922Zm1.388 3.298v3.48h-1c-1.529 0-2.727.202-3.722.627-.984.42-1.826 1.081-2.609 2.093-.351.454-.753 1.206-1.129 2.09a19.46 19.46 0 0 0-.874 2.525l.277-.213c2.023-1.559 4.445-2.798 7.028-2.833h2.029v3.479L19.57 12l-5.752-5.624Z" fill="currentColor"></path></svg></span><span class="Buttonstyles__TextWrapper-sc-17sr1bx-7 WDnuQ yds-button__text">Jaa</span></button></div></div></div></header><section class="yle__article__content"><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Sterilisaation saaminen on Suomessa edelleen vaikeaa. Muun muassa 30 vuoden ikävaatimusta on pidetty liian korkeana <a class="aw-iao6s4 drtaeR yle__article__link" href="https://web.archive.org/web/20240226055431/https://www.kansalaisaloite.fi/fi/aloite/2401" role="link">kansalaisaloitteessa</a>, joka ei kerännyt riittävästi kannatusta.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Monet sterilisaatiosta taistelleet haluavat pitää kiinni siitä, että he päättävät omasta kehostaan.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Ulvilassa asuva <strong class="aw-ak79eh hgoSon yle__article__strong">Niina Hirvimäki</strong>, 29, sai lopulta itselleen sterilisaation ollessaan 28-vuotias. Hän oli tiennyt jo hiekkalaatikolla, ettei halua omia lapsia.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Hirvimäki korostaa olevansa lapsirakas, hänellä on maailman rakkain ja ihanin tytärpuoli sekä kummityttö. Erittäin empaattisena ihmisenä hän myös ymmärtää niiden tuskan, jotka eivät haluistaan huolimatta saa lapsia.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Aluksi selittelin lapsettomuuttani paljon, en enää. Äitiys ei ole mun juttu. Lapsettomuus on oma valintani ja muiden on tultava sen kanssa toimeen.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Omalta perheeltään hän on aina saanut täyden tuen, eivätkä läheiset ole painostaneet häntä lapsien tekoon.</p><h2 class="sc-gEvEer kGTkjt yle__article__heading yle__article__heading--2">Omaehtoinen lapsettomuus on tabu</h2><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Niina Hirvimäen mielestä omaehtoinen lapsettomuus ja sterilisaatio ovat asioita, joista ei puhuta. Hänen mielestään kannattaisi puhua.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Hirvimäki näkeekin, että ihminen voi valita lapsettomuuden, vaikka olisi parisuhteessa elävä, lapsirakas heteronainen.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Loukkaavinta on ollut lapsettomuuteni kyseenalaistaminen tyyliin: kyllä haluat lapsia, kun löydät oikean miehen ja kasvat aikuiseksi, kertoo Hirvimäki.</p><figure class="aw-u5oz0a crkERF yle__article__figure"><script type="application/ld+json">{"@id":"74-20018818","@context":"https://web.archive.org/web/20240226055431/https://schema.org","video":{"@type":"VideoObject","description":"Aihetta käsiteltiin tänään myös Ylen aamussa.","name":"Alle 30-vuotiaan voi olla vaikeaa saada sterilisaatiota","thumbnailUrl":"https://web.archive.org/web/20240226055431/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-42973859c268d07fd2f","uploadDate":"2023-02-23T08:45:00+02:00"}}</script><div class="aw-1a00tic ircCun"></div><figcaption class="aw-kr26k0 iEoONW"><span>Aihetta käsiteltiin tänään myös Ylen aamussa.</span></figcaption></figure><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Sterilisaatiota Hirvimäki mietti jo alle kaksikymppisenä, mutta hankki sen alle kolmikymppisenä. Hän sai sen helposti, koska taustalla olivat ehkäisyvaikeudet.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Haluaisin sanoa omaehtoisesti lapsettomille naisille, että olkaa rohkeasti oman mielipiteenne puolella. Tämäkin asia tulee kyllä muuttumaan, kun siitä puhutaan. Ei tämän pitäisi olla mitenkään erikoista enää.</p><figure class="aw-u5oz0a crkERF yle__article__figure"><script type="application/ld+json">{"@id":"74-20018818","@context":"https://web.archive.org/web/20240226055431/https://schema.org","image":{"@type":"ImageObject","copyrightHolder":"Venla Tirkkonen / Yle","url":"https://web.archive.org/web/20240226055431/https://images.cdn.yle.fi/image/upload/ar_1.0190217391304348,c_fill,g_faces,h_752,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-107363963edfcd03b416","keywords":"sterilisaatio,Naisten sterilisaatio,Sterilointi"}}</script><div class="aw-1a00tic jvbQDA"><div class="aw-1qvmjke bKIcxT"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240226055431im_/https://images.cdn.yle.fi/image/upload/ar_1.0190217391304348,c_fill,g_faces,h_752,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1676543912/39-107363963edfcd03b416 2x, https://web.archive.org/web/20240226055431im_/https://images.cdn.yle.fi/image/upload/ar_1.0190217391304348,c_fill,g_faces,h_752,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1676543912/39-107363963edfcd03b416 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240226055431im_/https://images.cdn.yle.fi/image/upload/ar_1.0190217391304348,c_fill,g_faces,h_624,w_636/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1676543912/39-107363963edfcd03b416 2x, https://web.archive.org/web/20240226055431im_/https://images.cdn.yle.fi/image/upload/ar_1.0190217391304348,c_fill,g_faces,h_624,w_636/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1676543912/39-107363963edfcd03b416 1x"/><img alt="Graafi kuvaa sterilointien määrää sukupuoittain tuhatta 25-54-vuotiasta kohden vuodesta 1951 vuoteen 2021 asti. Eniten sterilointeja tehtiin 1990-luvulla. " src="https://web.archive.org/web/20240226055431im_/https://images.cdn.yle.fi/image/upload/c_crop,h_630,w_1121,x_0,y_67/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1676543912/39-107363963edfcd03b416" class="aw-1l9m598 bTKagC"/></picture></div><div class="aw-45s348 glxCAO"><button aria-disabled="false" class="Buttonstyles__ButtonBase-sc-17sr1bx-0 Buttonstyles__ButtonSecondary-sc-17sr1bx-2 blJlbw iLYbQX"><span class="Buttonstyles__TextWrapper-sc-17sr1bx-7 kWJvkV yds-button__content">Avaa kuvien katselu</span></button></div></div></div><figcaption class="aw-kr26k0 iEoONW"><span> Kuva: Venla Tirkkonen / Yle</span></figcaption></figure><h2 class="sc-gEvEer kGTkjt yle__article__heading yle__article__heading--2">Muutoksia lakiin ehkä tulossa</h2><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Sterilisaatioiden määrä on ollut laskusuunnassa viime vuosikymmeninä. Syynä tähän on tehokkaiden ehkäisymenetelmien laaja tarjonta.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Erikoislääkäri, gynekologian ja naistentautien vastuualuejohtaja <strong class="aw-ak79eh hgoSon yle__article__strong">Pia Heinonen</strong> Turun yliopistollisesta keskussairaalasta kertoo, että lähes 70 prosenttia Suomessa tehtävistä sterilisaatioista tehdään miehille.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Se on paikallispuudutuksessa tehtävä toimenpide, jossa on huomattavasti vähemmän riskejä kuin naisten toimenpiteessä, joka vaatii leikkauksen.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Heinonen ymmärtää, että sterilisaatiota toivovat ovat tuskastuneita <a class="aw-iao6s4 drtaeR yle__article__link" href="https://web.archive.org/web/20240226055431/https://www.finlex.fi/fi/laki/ajantasa/1970/19700283" role="link">lain vaatimuksiin</a>. Sen mukaan henkilön pitää esimerkiksi olla 30-vuotias, tai hänellä pitää olla kolme alaikäistä lasta.</p><figure class="aw-u5oz0a crkERF yle__article__figure"><script type="application/ld+json">{"@id":"74-20018818","@context":"https://web.archive.org/web/20240226055431/https://schema.org","image":{"@type":"ImageObject","description":"Erikoislääkäri Pia Heinonen kertoo, että naisen sterilisaation purkua ei tehdä julkisessa terveydenhuollossa eikä lapsettomuushoitoja saa sterilisaation jälkeen.","copyrightHolder":"Minna Rosvall / Yle","url":"https://web.archive.org/web/20240226055431/https://images.cdn.yle.fi/image/upload/ar_1.3333333333333333,c_fill,g_faces,h_575,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-107566863f4a98973f1c","keywords":"gynekologia,Turun yliopistollinen keskussairaala (TYKS),Turku,Varsinais-Suomi,naistentaudit"}}</script><div class="aw-1a00tic khcfKr"><div class="aw-1qvmjke bKIcxT"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240226055431im_/https://images.cdn.yle.fi/image/upload/ar_1.3333333333333333,c_fill,g_faces,h_575,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1676978665/39-107566863f4a98973f1c 2x, https://web.archive.org/web/20240226055431im_/https://images.cdn.yle.fi/image/upload/ar_1.3333333333333333,c_fill,g_faces,h_575,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1676978665/39-107566863f4a98973f1c 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240226055431im_/https://images.cdn.yle.fi/image/upload/ar_1.3333333333333333,c_fill,g_faces,h_477,w_636/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1676978665/39-107566863f4a98973f1c 2x, https://web.archive.org/web/20240226055431im_/https://images.cdn.yle.fi/image/upload/ar_1.3333333333333333,c_fill,g_faces,h_477,w_636/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1676978665/39-107566863f4a98973f1c 1x"/><img alt="Gynekologian ja naistentautien vastuualuejohtaja Pia Heinonen seisoo TYKSin leikkaussalissa." src="https://web.archive.org/web/20240226055431im_/https://images.cdn.yle.fi/image/upload/c_crop,h_2265,w_4028,x_0,y_285/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1676978665/39-107566863f4a98973f1c" class="aw-1l9m598 bTKagC"/></picture></div><div class="aw-45s348 glxCAO"><button aria-disabled="false" class="Buttonstyles__ButtonBase-sc-17sr1bx-0 Buttonstyles__ButtonSecondary-sc-17sr1bx-2 blJlbw iLYbQX"><span class="Buttonstyles__TextWrapper-sc-17sr1bx-7 kWJvkV yds-button__content">Avaa kuvien katselu</span></button></div></div></div><figcaption class="aw-kr26k0 iEoONW"><span>Erikoislääkäri Pia Heinonen kertoo, että naisen sterilisaation purkua ei tehdä julkisessa terveydenhuollossa eikä lapsettomuushoitoja saa sterilisaation jälkeen.</span><span> Kuva: Minna Rosvall / Yle</span></figcaption></figure><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Nykyinen laki on 1970-luvulta, ja 1980-luvun puolivälissä sitä muutettiin, jotta sterilisaatio oli mahdollista saada aiempaa helpommin.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Voi olla, että näihin rajoihin tulisi ehkä paneutua uudestaan tässä kohtaa. Euroopassa on hyvin erilaista lainsäädäntöä, ja joka paikassa ei julkisella puolella sterilisaatiota edes toteuteta, kertoo Pia Heinonen.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Lääkäri pohtii asioita tarkasti vastaanotolla potilaan kanssa ja varmistaa, että potilas ymmärtää toimenpiteen lopullisuuden.</p><figure class="aw-u5oz0a crkERF yle__article__figure"><script type="application/ld+json">{"@id":"74-20018818","@context":"https://web.archive.org/web/20240226055431/https://schema.org","image":{"@type":"ImageObject","copyrightHolder":"Venla Tirkkonen / Yle","url":"https://web.archive.org/web/20240226055431/https://images.cdn.yle.fi/image/upload/ar_0.5341880341880342,c_fill,g_faces,h_1435,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-107364063edfcd05f09d","keywords":"sterilisaatio,Naisten sterilisaatio,Sterilointi"}}</script><div class="aw-1a00tic lluMBN"><div class="aw-1qvmjke bKIcxT"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240226055431im_/https://images.cdn.yle.fi/image/upload/ar_0.5341880341880342,c_fill,g_faces,h_1435,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1676543907/39-107364063edfcd05f09d 2x, https://web.archive.org/web/20240226055431im_/https://images.cdn.yle.fi/image/upload/ar_0.5341880341880342,c_fill,g_faces,h_1435,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1676543907/39-107364063edfcd05f09d 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240226055431im_/https://images.cdn.yle.fi/image/upload/ar_0.5341880341880342,c_fill,g_faces,h_1190,w_636/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1676543907/39-107364063edfcd05f09d 2x, https://web.archive.org/web/20240226055431im_/https://images.cdn.yle.fi/image/upload/ar_0.5341880341880342,c_fill,g_faces,h_1190,w_636/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1676543907/39-107364063edfcd05f09d 1x"/><img alt="Grafiikka kuvaa sterilointeja sairaanhoitopiireittäin ja sukupuolittain tuhatta 25-54-vuotiasta kohden vuonna 2021. Eniten sterilointeja tehtiin vuonna 2021 Pohjois-Pohjanmaan sairaanhoitopiirissä ja vähiten Päijät-Hämeen sairaanhoitopiirissä. " src="https://web.archive.org/web/20240226055431im_/https://images.cdn.yle.fi/image/upload/c_crop,h_632,w_1125,x_0,y_348/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1676543907/39-107364063edfcd05f09d" class="aw-1l9m598 bTKagC"/></picture></div><div class="aw-45s348 glxCAO"><button aria-disabled="false" class="Buttonstyles__ButtonBase-sc-17sr1bx-0 Buttonstyles__ButtonSecondary-sc-17sr1bx-2 blJlbw iLYbQX"><span class="Buttonstyles__TextWrapper-sc-17sr1bx-7 kWJvkV yds-button__content">Avaa kuvien katselu</span></button></div></div></div><figcaption class="aw-kr26k0 iEoONW"><span> Kuva: Venla Tirkkonen / Yle</span></figcaption></figure><h2 class="sc-gEvEer kGTkjt yle__article__heading yle__article__heading--2">”Laki ei kunnioita itsemääräämisoikeutta”</h2><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Yle <a class="aw-iao6s4 drtaeR yle__article__link" href="https://web.archive.org/web/20240226055431/https://yle.fi/a/3-9519574" role="link">käsitteli aihetta myös vuonna 2017</a>, kun kansalaisaloite lain muuttamiseksi jätettiin.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Lääketieteen etiikan professori <strong class="aw-ak79eh hgoSon yle__article__strong">Veikko Launis</strong> Turun yliopistosta ihmetteli, että ihmisiä holhotaan omaa tekemistä koskevilla päätöksillä. Hän totesi tuolloin, että sterilisaatio on eettiseltä kannalta ajatellen jokaisen oma asia.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph"><strong class="aw-ak79eh hgoSon yle__article__strong">Riikka Jääskä</strong> on <em class="aw-18vh2pl bZqHKZ yle__article__emphasis">Vapaaehtoisesti Lapsettomat</em> ry:n hallituksen jäsen. Hän kertoo, että yhdistyksen toive on sterilisaatiota koskevan lain uudistaminen.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Laki on auttamattomasti vanhentunut, koska se ei kunnioita muun muassa itsemääräämisoikeutta. 30 vuotta on korkein alaikäraja, joka meillä laissa yleensä millekään asialle on. Ilmeisesti sterilisaatio on vaarallisin asia, mitä ihminen voi itselleen tehdä, kertoo Jääskä.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Kun lakia säädettiin 1970-luvulla, ei hänen mielestään ajateltu vapaaehtoista lapsettomuutta tai lapsettomaksi jäämistä merkittävänä asiana.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Perustuslain mukaan ihmiset ovat yhdenvertaisia lain edessä. Nykyisessä laissa he eivät ole yhdenvertaisia. Henkilöt, joilla on tietty lukumäärä lapsia ovat eri asemassa kuin he, joilla ei ole näin montaa lasta.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Riikka Jääskän mielipide on, että täysi-ikäisyys voisi Islannin tapaan riittää uudessa laissa sterilisaation saamiseksi.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Mahdollisesti mukaan voitaisiin ottaa psykologisia testejä ja harkinta-aikaa, jos halutaan varmistua siitä, että nuori ihminen tietää, mitä hän haluaa, pohtii Jääskä.</p><figure class="aw-d7wn69 dMVdkR yle__article__figure"><script type="application/ld+json">{"@id":"74-20018818","@context":"https://web.archive.org/web/20240226055431/https://schema.org","audio":{"@type":"AudioObject","description":"Vapaaehtoisesti Lapsettomat ry:n Riikka Jääskä kertoo toiveistaan steriloimislain uudistamiseksi."}}</script><div class="aw-1fe49d7 gMIksm"><div class="aw-1io1lyd kPRuwh"><div class="aw-1txqavw hPwGAI"><strong class="aw-1bgq5a3 cIiQSU">Vapaaehtoisesti Lapsettomat ry:n Riikka Jääskä kertoo toiveistaan steriloimislain uudistamiseksi</strong></div></div><div class="aw-1wtbyt7 fGbgLq"><div></div></div></div><figcaption class="aw-kr26k0 dGzWNq"><span>Vapaaehtoisesti Lapsettomat ry:n Riikka Jääskä kertoo toiveistaan steriloimislain uudistamiseksi.</span></figcaption></figure><h2 class="sc-gEvEer kGTkjt yle__article__heading yle__article__heading--2">Sterilisaatiota toivovien naisten keski-ikä noin 40 vuotta</h2><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Alle 30-vuotiaiden sterilisaatio on kuitenkin erikoislääkäri Pia Heinosen mukaan melko vähäinen keskustelunaihe sairaalaympäristössä.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Vastaanotoilla on satunnaista, että alle kolmekymmentävuotias toivoo sterilisaatiota. Sterilisaation keski-ikä naisilla on lähemmäksi 40 meillä Suomessa. Se liittyy todennäköisesti siihen, että synnyttäjien keski-ikä on noussut. Lapset tehdään vähän myöhemmin.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Heinonen painottaa vielä, että ehkäisystä huolehtiminen on pariskunnan yhteinen asia. Sterilisaatioon liittyy yhä väärinkäsityksiä.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Miehen tai naisen sterilisaatio ei vaikuta hänen seksuaalitoimintoihinsa eikä hormonituotantoon millään tavalla, kertoo Heinonen.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph"><em class="aw-18vh2pl bZqHKZ yle__article__emphasis">Voit keskustella aiheesta perjantaihin 24. helmikuuta kello 23 saakka.</em></p></section><footer class="yle__article__footer"><h2 class="aw-zh6d69 dMYkJU">Aiheesta enemmän: Paketissa 3 linkkiä</h2><h2 class="sc-eqUAAy ctFUoD yle__article__heading yle__article__heading--3" aria-hidden="true">Aiheesta enemmän</h2><div class="yle__article__links" role="list" aria-label="Aiheesta enemmän"><div role="listitem" class="aw-124ec9l cFgRwb"><div class="aw-yq4wj5 hkKela"><div class="aw-fou4nx hULxUh"><div class="aw-aqrehu kskGQO"><div class="aw-ej1jxx Vjwex"><a href="/web/20240226055431/https://yle.fi/t/18-17727/fi" 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Espanjassa, kunnes kaikki romahti – päätyi kadulle suomalaisten suosikkikohteessa</a></h3></div></li><li class="MinimalHeadlines__Item-sc-50e5ed09-1 gqBDHz"><div class="MinimalHeadlines__BulletContainer-sc-50e5ed09-7 jplnXj"><div class="MinimalHeadlines__BulletCell-sc-50e5ed09-8 fXnPjX"><time class="DateTime___StyledTime-sc-be5c43e0-0 vtYzC MinimalHeadlines__Date-sc-50e5ed09-6 hHEFoe" datetime="2024-02-25T18:05:34+0200">25.2.</time></div></div><div class="MinimalHeadlines__Texts-sc-50e5ed09-2 ekLqlj"><a href="/web/20240226055431/https://yle.fi/t/18-219772/fi" class="Tag__Label-sc-10f4ee8e-0 dpErSM MinimalHeadlines__StyledTag-sc-50e5ed09-3 jYHdjA">Hiihto</a><h3 class="Typography-sc-8c75a913-0 dpUGfc link-accent"><a href="/web/20240226055431/https://yle.fi/a/74-20076338" class="MinimalHeadlines__Link-sc-50e5ed09-9 gQOvyQ visitable-link">Suomeen uusi huipputason hiihtokisa? 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Lakiin on kaivattu muutosta monen vuoden ajan.","type":"text"},{"text":"Sterilisaation saaminen on Suomessa edelleen vaikeaa. Muun muassa 30 vuoden ikävaatimusta on pidetty liian korkeana [kansalaisaloitteessa](https:\u002F\u002Fwww.kansalaisaloite.fi\u002Ffi\u002Faloite\u002F2401), joka ei kerännyt riittävästi kannatusta.","type":"text"},{"text":"Monet sterilisaatiosta taistelleet haluavat pitää kiinni siitä, että he päättävät omasta kehostaan.","type":"text"},{"text":"Ulvilassa asuva **Niina Hirvimäki**, 29, sai lopulta itselleen sterilisaation ollessaan 28-vuotias. Hän oli tiennyt jo hiekkalaatikolla, ettei halua omia lapsia.","type":"text"},{"text":"Hirvimäki korostaa olevansa lapsirakas, hänellä on maailman rakkain ja ihanin tytärpuoli sekä kummityttö. Erittäin empaattisena ihmisenä hän myös ymmärtää niiden tuskan, jotka eivät haluistaan huolimatta saa lapsia.","type":"text"},{"text":"– Aluksi selittelin lapsettomuuttani paljon, en enää. Äitiys ei ole mun juttu. 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Hänen mielestään kannattaisi puhua.","type":"text"},{"text":"Hirvimäki näkeekin, että ihminen voi valita lapsettomuuden, vaikka olisi parisuhteessa elävä, lapsirakas heteronainen.","type":"text"},{"text":"– Loukkaavinta on ollut lapsettomuuteni kyseenalaistaminen tyyliin: kyllä haluat lapsia, kun löydät oikean miehen ja kasvat aikuiseksi, kertoo Hirvimäki.","type":"text"},{"caption":"Aihetta käsiteltiin tänään myös Ylen aamussa.","type":"video","id":"1-65181666","programResponse":{"series":{"title":{"main":{"swe":"Yles morgon","fin":"Ylen aamu"},"promotion":{"fin":"Ensimmäisenä hereillä"}},"image":{"main":{"fin":{"type":"Image","id":"13-1-3251484-1687258134021","version":1708924505}}}},"publications":[{"service":{"type":"Service","id":"yle-areena"},"publisher":{"type":"Service","id":"yle-tv1"},"startTime":"2023-02-23T08:45:00+02:00","geoRestriction":"None","type":"Publication","id":"4-65181667","kind":"Ondemand","protectionLevel":{"key":"none","type":"ContentProtectionPolicy","id":"22-0"},"media":{"videoTrack":{"aspectRatio":"16:9","type":"VideoTrack","duration":"PT269S"},"downloadable":true,"type":"Video","duration":"PT269S","audioTracks":[{"format":"stereo","type":"AudioTrack","duration":"PT269S","language":"fin"}],"id":"67-5ae990a70894445ba533ccce9e2588ac","available":true}}],"title":{"main":{"fin":"Alle 30-vuotiaan voi olla vaikeaa saada sterilisaatiota"}},"id":"1-65181666","image":{"main":{"fin":{"type":"Image","id":"13-1-65181666-1677136677881","version":1677136681}}}}},{"text":"Sterilisaatiota Hirvimäki mietti jo alle kaksikymppisenä, mutta hankki sen alle kolmikymppisenä. Hän sai sen helposti, koska taustalla olivat ehkäisyvaikeudet.","type":"text"},{"text":"– Haluaisin sanoa omaehtoisesti lapsettomille naisille, että olkaa rohkeasti oman mielipiteenne puolella. Tämäkin asia tulee kyllä muuttumaan, kun siitä puhutaan. Ei tämän pitäisi olla mitenkään erikoista enää.","type":"text"},{"alt":"Graafi kuvaa sterilointien määrää sukupuoittain tuhatta 25-54-vuotiasta kohden vuodesta 1951 vuoteen 2021 asti. Eniten sterilointeja tehtiin 1990-luvulla. ","source":"Venla Tirkkonen \u002F Yle","aspect":1.0190217391304348,"type":"image","id":"39-107363963edfcd03b416","alts":[{"language":"fin","value":"Graafi kuvaa sterilointien määrää sukupuoittain tuhatta 25-54-vuotiasta kohden vuodesta 1951 vuoteen 2021 asti. Eniten sterilointeja tehtiin 1990-luvulla. 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Syynä tähän on tehokkaiden ehkäisymenetelmien laaja tarjonta.","type":"text"},{"text":"Erikoislääkäri, gynekologian ja naistentautien vastuualuejohtaja **Pia Heinonen** Turun yliopistollisesta keskussairaalasta kertoo, että lähes 70 prosenttia Suomessa tehtävistä sterilisaatioista tehdään miehille.","type":"text"},{"text":"Se on paikallispuudutuksessa tehtävä toimenpide, jossa on huomattavasti vähemmän riskejä kuin naisten toimenpiteessä, joka vaatii leikkauksen.","type":"text"},{"text":"Heinonen ymmärtää, että sterilisaatiota toivovat ovat tuskastuneita [lain vaatimuksiin](https:\u002F\u002Fwww.finlex.fi\u002Ffi\u002Flaki\u002Fajantasa\u002F1970\u002F19700283). Sen mukaan henkilön pitää esimerkiksi olla 30-vuotias, tai hänellä pitää olla kolme alaikäistä lasta.","type":"text"},{"alt":"Gynekologian ja naistentautien vastuualuejohtaja Pia Heinonen seisoo TYKSin leikkaussalissa.","source":"Minna Rosvall \u002F Yle","aspect":1.3333333333333333,"caption":"Erikoislääkäri Pia Heinonen kertoo, että naisen sterilisaation purkua ei tehdä julkisessa terveydenhuollossa eikä lapsettomuushoitoja saa sterilisaation jälkeen.","type":"image","id":"39-107566863f4a98973f1c","alts":[{"language":"fin","value":"Gynekologian ja naistentautien vastuualuejohtaja Pia Heinonen seisoo TYKSin leikkaussalissa."}],"blurhash":"LAJas04-4.^OD$xa%2rq_NwIaJTd","tags":[{"label":[{"language":"fin","value":"gynekologia"},{"language":"swe","value":"gynekologi"}],"extId":"18-206307"},{"label":[{"language":"eng","value":"Turku University Central Hospital"},{"language":"fin","value":"Turun yliopistollinen keskussairaala (TYKS)"},{"language":"swe","value":"Åbo universitetscentralsjukhus"}],"extId":"18-186608"},{"label":[{"language":"eng","value":"Turku"},{"language":"fin","value":"Turku"},{"language":"swe","value":"Åbo"}],"extId":"18-176134"},{"label":[{"language":"fin","value":"Varsinais-Suomi"},{"language":"swe","value":"Egentliga Finland"}],"extId":"18-198259"},{"label":[{"language":"fin","value":"naistentaudit"},{"language":"swe","value":"kvinnosjukdomar"}],"extId":"18-76944"}],"copyright":[{"language":"und","value":"Minna Rosvall \u002F Yle"}],"crops":[{"name":"16:9","aspect":1.78,"coordinates":{"x":0,"y":285,"width":4028,"height":2265}},{"name":"2:3","aspect":0.67,"coordinates":{"x":1700,"y":0,"width":2015,"height":3024}},{"name":"1:1","aspect":1,"coordinates":{"x":1007,"y":0,"width":3024,"height":3024}},{"name":"5:2","aspect":2.5,"coordinates":{"x":3,"y":343,"width":4028,"height":1611}}],"height":3024,"licence":{"id":"6","name":[{"language":"und","value":"Yle"}],"properties":[]},"version":"1676978665","width":4032,"recommendedFormat":"jpg"},{"text":"Nykyinen laki on 1970-luvulta, ja 1980-luvun puolivälissä sitä muutettiin, jotta sterilisaatio oli mahdollista saada aiempaa helpommin.","type":"text"},{"text":"– Voi olla, että näihin rajoihin tulisi ehkä paneutua uudestaan tässä kohtaa. Euroopassa on hyvin erilaista lainsäädäntöä, ja joka paikassa ei julkisella puolella sterilisaatiota edes toteuteta, kertoo Pia Heinonen.","type":"text"},{"text":"Lääkäri pohtii asioita tarkasti vastaanotolla potilaan kanssa ja varmistaa, että potilas ymmärtää toimenpiteen lopullisuuden.","type":"text"},{"alt":"Grafiikka kuvaa sterilointeja sairaanhoitopiireittäin ja sukupuolittain tuhatta 25-54-vuotiasta kohden vuonna 2021. Eniten sterilointeja tehtiin vuonna 2021 Pohjois-Pohjanmaan sairaanhoitopiirissä ja vähiten Päijät-Hämeen sairaanhoitopiirissä. ","source":"Venla Tirkkonen \u002F Yle","aspect":0.5341880341880342,"type":"image","id":"39-107364063edfcd05f09d","alts":[{"language":"fin","value":"Grafiikka kuvaa sterilointeja sairaanhoitopiireittäin ja sukupuolittain tuhatta 25-54-vuotiasta kohden vuonna 2021. Eniten sterilointeja tehtiin vuonna 2021 Pohjois-Pohjanmaan sairaanhoitopiirissä ja vähiten Päijät-Hämeen sairaanhoitopiirissä. "}],"blurhash":"L47U#o?b004.~Vbbxvi_?GM{tm%N","tags":[{"label":[{"language":"eng","value":"Sterilization (Surgical Procedure)"},{"language":"fin","value":"sterilisaatio"},{"language":"swe","value":"sterilisering (medicinska åtgärder)"}],"extId":"18-17727"},{"label":[{"language":"eng","value":"Sterilization of Women"},{"language":"fin","value":"Naisten sterilisaatio"},{"language":"swe","value":"Sterilization of women"}],"extId":"18-73978"},{"label":[{"language":"fin","value":"Sterilointi"},{"language":"swe","value":"Sterilisering"}],"extId":"18-268963"}],"copyright":[{"language":"und","value":"Venla Tirkkonen \u002F Yle"}],"crops":[{"name":"16:9","aspect":1.78,"coordinates":{"x":0,"y":348,"width":1125,"height":632}},{"name":"2:3","aspect":0.67,"coordinates":{"x":3,"y":53,"width":1122,"height":1683}}],"height":2106,"licence":{"id":"6","name":[{"language":"und","value":"Yle"}],"properties":[]},"version":"1676543907","width":1125,"recommendedFormat":"png"},{"text":"”Laki ei kunnioita itsemääräämisoikeutta”","level":2,"type":"heading"},{"text":"Yle [käsitteli aihetta myös vuonna 2017](https:\u002F\u002Fyle.fi\u002Fa\u002F3-9519574), kun kansalaisaloite lain muuttamiseksi jätettiin.","type":"text"},{"text":"Lääketieteen etiikan professori **Veikko Launis** Turun yliopistosta ihmetteli, että ihmisiä holhotaan omaa tekemistä koskevilla päätöksillä. Hän totesi tuolloin, että sterilisaatio on eettiseltä kannalta ajatellen jokaisen oma asia.","type":"text"},{"text":"**Riikka Jääskä** on *Vapaaehtoisesti Lapsettomat* ry:n hallituksen jäsen. Hän kertoo, että yhdistyksen toive on sterilisaatiota koskevan lain uudistaminen.","type":"text"},{"text":"– Laki on auttamattomasti vanhentunut, koska se ei kunnioita muun muassa itsemääräämisoikeutta. 30 vuotta on korkein alaikäraja, joka meillä laissa yleensä millekään asialle on. Ilmeisesti sterilisaatio on vaarallisin asia, mitä ihminen voi itselleen tehdä, kertoo Jääskä.","type":"text"},{"text":"Kun lakia säädettiin 1970-luvulla, ei hänen mielestään ajateltu vapaaehtoista lapsettomuutta tai lapsettomaksi jäämistä merkittävänä asiana.","type":"text"},{"text":"– Perustuslain mukaan ihmiset ovat yhdenvertaisia lain edessä. Nykyisessä laissa he eivät ole yhdenvertaisia. Henkilöt, joilla on tietty lukumäärä lapsia ovat eri asemassa kuin he, joilla ei ole näin montaa lasta.","type":"text"},{"text":"Riikka Jääskän mielipide on, että täysi-ikäisyys voisi Islannin tapaan riittää uudessa laissa sterilisaation saamiseksi.","type":"text"},{"text":"– Mahdollisesti mukaan voitaisiin ottaa psykologisia testejä ja harkinta-aikaa, jos halutaan varmistua siitä, että nuori ihminen tietää, mitä hän haluaa, pohtii Jääskä.","type":"text"},{"caption":"Vapaaehtoisesti Lapsettomat ry:n Riikka Jääskä kertoo toiveistaan steriloimislain uudistamiseksi.","type":"audio","id":"1-65179698","programResponse":{"publications":[{"service":{"type":"Service","id":"yle-areena"},"publisher":{"type":"Service","id":"yle-areena"},"startTime":"2023-02-22T14:19:00+02:00","geoRestriction":"None","type":"Publication","id":"4-65179699","kind":"Ondemand","protectionLevel":{"key":"none","type":"ContentProtectionPolicy","id":"22-0"},"media":{"downloadable":false,"type":"Audio","duration":"PT322S","id":"85-f83e8c8dab7c41909992a8c53bfdd48f","available":true}}],"title":{"main":{"fin":"Vapaaehtoisesti Lapsettomat ry:n Riikka Jääskä kertoo toiveistaan steriloimislain uudistamiseksi"}},"id":"1-65179698"}},{"text":"Sterilisaatiota toivovien naisten keski-ikä noin 40 vuotta","level":2,"type":"heading"},{"text":"Alle 30-vuotiaiden sterilisaatio on kuitenkin erikoislääkäri Pia Heinosen mukaan melko vähäinen keskustelunaihe sairaalaympäristössä.","type":"text"},{"text":"– Vastaanotoilla on satunnaista, että alle kolmekymmentävuotias toivoo sterilisaatiota. Sterilisaation keski-ikä naisilla on lähemmäksi 40 meillä Suomessa. Se liittyy todennäköisesti siihen, että synnyttäjien keski-ikä on noussut. Lapset tehdään vähän myöhemmin.","type":"text"},{"text":"Heinonen painottaa vielä, että ehkäisystä huolehtiminen on pariskunnan yhteinen asia. Sterilisaatioon liittyy yhä väärinkäsityksiä.","type":"text"},{"text":"– Miehen tai naisen sterilisaatio ei vaikuta hänen seksuaalitoimintoihinsa eikä hormonituotantoon millään tavalla, kertoo Heinonen.","type":"text"},{"text":"*Voit keskustella aiheesta perjantaihin 24. helmikuuta kello 23 saakka.*","type":"text"},{"type":"links","links":[{"external":{"url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20240226055431\u002Fhttps:\u002F\u002Fyle.fi\u002Fa\u002F3-12576390"},"internal":{"id":"3-12576390"},"title":"\"Mitä jos vielä rakastut mieheen, joka haluaa lapsia?\" kysyi lääkäri – moni on törmännyt sterilisaatiota hakiessaan asiattomiin kommentteihin","datePublished":"2022-08-26T05:15:00+0300","subject":{"description":{"fi":"sterilointi kirurgisena, lääketieteellisenä toimenpiteenä (KOKO: sterilointi (lääketieteellinen toimenpide))","sv":"medicinska åtgärder","en":null,"ru":null,"se":null},"exactMatch":["finto:http:\u002F\u002Fwww.yso.fi\u002Fonto\u002Fkoko\u002Fp71437","wikidata:Q324503","leiki:focus100k_na_324281","leiki:focus100k_na_531822","freebase:\u002Fm\u002F0j420"],"updated":"2017-04-13T15:56:26+03:00","alternativeIds":["18-52788","18-249726","18-89119"],"title":{"fi":"sterilisaatio","sv":"sterilisering (medicinska åtgärder)","en":"Sterilization (Surgical Procedure)","ru":null,"se":null},"types":["Concept"],"id":"18-17727","contentHits":100},"headline":{"history":["mita_jos_viela_rakastut_mieheen_joka_haluaa_lapsia_kysyi_laakari__moni_on_tormannyt_sterilisaatiota_hakiessaan_asiattomiin_kommentteihin"],"video":{"type":"video","playbackBehaviour":"default","id":"1-63221551","image":{"recommendedFormat":"jpg","type":"image","aspect":1.3542117,"id":"39-99662662ff58cb0431a","alt":"Alavutelainen Niina Laitio katselee järvelle.","source":"Mirva Ekman \u002F Yle"},"caption":"Jonossa voi vierähtää parikin vuotta, mutta jo sinne päästäkseen voi joutua kuulemaan kysymyksiä, joita moni pitää loukkaavina.","alt":"Alavutelainen Niina Laitio katselee järvelle.","source":"Kuvaus: Mirva Ekman, leikkaus: Juha Kemppainen"},"full":"\"Mitä jos vielä rakastut mieheen, joka haluaa lapsia?\" kysyi lääkäri – moni on törmännyt sterilisaatiota hakiessaan asiattomiin kommentteihin"}},{"external":{"url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20240226055431\u002Fhttps:\u002F\u002Fyle.fi\u002Fa\u002F3-10598649"},"internal":{"id":"3-10598649"},"title":"Lastenhoito on raskasta työtä, haluan tehdä elämässä muita asioita - vapaaehtoisesti lapsettomilla on monta syytä valintaansa","datePublished":"2019-01-18T17:00:00+0200","subject":{"description":{"fi":"lapsettomuus","sv":"barnlöshet","en":null,"ru":null,"se":null},"exactMatch":["leiki:focus100k_na_559222","finto:http:\u002F\u002Fwww.yso.fi\u002Fonto\u002Fkoko\u002Fp62999"],"updated":"2020-05-07T19:02:04+03:00","alternativeIds":["18-52787"],"title":{"fi":"vapaaehtoinen lapsettomuus","sv":"frivillig barnlöshet","en":"Voluntary Childlessness","ru":null,"se":null},"types":["Concept"],"id":"18-89330","contentHits":96},"headline":{"image":{"recommendedFormat":"png","aspect":1.7777777910232544,"alt":"Anna-Sofia Nieminen, Niku Hooli ja Antero Säämäki.","caption":"Lapset pitävät kovasti meteliä ja vaativat paljon hoitoa. Kauhistelin, miten jaksaisi kuunnella meteliä tai miten jaksaisi yövalvomisia, sanoo Antero Säämäki (oik.). 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","id":"13-3-9519909","source":"Antti Seppälä \u002F Yle ","type":"image"},"history":["maria_tiesi_jo_10-vuotiaana_ettei_halua_lapsia__joutui_odottamaan_sterilisaatiota_20_vuotta_ja_pitaa_siksi_suomea_takapajulana"],"full":"Maria tiesi jo 10-vuotiaana, ettei halua lapsia – joutui odottamaan sterilisaatiota 20 vuotta ja pitää siksi Suomea takapajulana "}}]}],"subjects":[{"description":{"fi":"biologinen vanhemmuus, isyys tai äiteys; sosiaalinen vanhemmuus, esim. sijaisvanhemmuus. 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