SÃO PAULO – A refusal by a Catholic hospital in Brazil to implant a contraceptive intrauterine device in a 41-year-old woman has sparked a wide debate in the world’s largest Catholic country, both inside and outside the confines of the Church.

The controversy erupted when a São Paulo-based content provider named Leonor Macedo took to her account on X, the social medial platform formerly known as Twitter, on 23 January to reveal that she had wanted to implant an IUD (as an intrauterine device is more commonly referred to) but her request was turned down by the hospital where she’d gone for treatment.