A/HRC/32/44 antiretroviral therapy and gender transition, and take all necessary measures to protect them from violence; (v) Allow non-custodial sentences for pregnant women and women with dependent children in accordance with the United Nations Rules for the Treatment of Women Prisoners and Non-custodial Measures for Women Offenders (the Bangkok Rules). C. Instrumentalization of women’s bodies 106. The Working Group recommends that States: (a) Take measures to combat and eliminate, in legislation and policies, cultural practices and social stereotypes, all forms of instrumentalization of women’s bodies and biological functions; (b) Eliminate harmful gender stereotypes, which could lead to anorexia and bulimia and invasive cosmetic procedures; (c) Prevent exclusion from the public space during menstruation or breastfeeding and prevent discrimination in relation to menopause in the workplace; (d) Take and implement strong and efficient measures to prevent female genital mutilation and other harmful practices; (e) Decriminalize sexual and reproductive behaviours that are attributed exclusively or mainly to women, including adultery and prostitution, and termination of pregnancy; (f) Combat stereotyping and empower girls to take care of their own health and safety from a young age, both at school and at home, and inform and empower women regarding their own bodies at all stages of their lives; (g) Regulate birthing facilities to ensure respect for women’s autonomy and privacy and human dignity, including respect for women’s choice regarding home deliveries provided there are no specific medical contraindications; (h) Prevent instrumentalization of women in the birthing process and ensure that penalties are incurred for gynaecological or obstetrical violence, including performing abusive caesarean sections, refusing to give women pain relief during birth or surgical termination of pregnancy and performing unnecessary episiotomies; (i) Use educational and social work alternatives instead of custodial or punitive measures to prevent injury to the fetus as a result of drug or alcohol consumption by addicted pregnant women; (j) Monitor and prevent the use of mental health to institutionalize women unnecessarily as a social control mechanism. 107. In relation to reproductive and sexual health care, the Working Group recommends that States: (a) Abolish bans on contraception, including emergency contraceptives, and provide access to affordable modern contraceptives; (b) Repeal restrictive laws and policies in relation to termination of pregnancy, especially in cases of risk to the life or health, including the mental health, of the pregnant woman, rape, incest and fatal impairment of the fetus, recognizing that such laws and policies in any case primarily affect women living in poverty in a highly discriminatory way; 21

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