A/HRC/14/37 prohibiting therapeutic abortion had been challenged on constitutionality grounds in 2008, but the remedy was still pending at the Supreme Court. A draft amendment of law 641, which allowed for exceptions in exceptional circumstances, enjoyed the support of all political parties, except for the Sandinista Front. It stated that the protocol for assistance in cases of obstetric emergencies was not an adequate solution, since it was not a law but only an administrative regulation, so medical personnel still feared reprisals of being punished. It requested the Council to maintain the recommendations regarding therapeutic abortion until the law was amended. 271. The European Region of the International Lesbian and Gay Federation requested that all universal periodic review recommendations be implemented and that new and independent machinery be established by law to tackle discrimination based on sexual orientation and gender identity. It urged the Government to ratify the Optional Protocol to the Convention on the Elimination of Discrimination against Women, the San Salvador Protocol and the Rome Statute, and to adopt the Yogyakarta Principles and relevant resolutions of the Organization of American States as guidelines of its public policies. It also encouraged Nicaragua to include civil society in the implementation of recommendations. 4. Concluding remarks of the State under review 272. Nicaragua appreciated the opportunity to engage in a sincere, genuine and transparent dialogue, and all recommendations made. It would continue to cooperate with the Council, and reiterated its willingness to overcome human rights obstacles and challenges, highlighting the fact that its commitment to human rights was permanent. Italy 273. The review of Italy was held on 9 February 2010 in conformity with all the relevant provisions contained in Human Rights Council resolution 5/1, and was based on the following documents: (a) The national report submitted by Italy in accordance with the annex to Council resolution 5/1, paragraph 15 (a) (A/HRC/WG.6/7/ITA/1); (b) The compilation prepared by OHCHR in accordance with paragraph 15 (b) (A/HRC/WG.6/7/ITA/2); (c) The summary prepared by OHCHR in accordance with paragraph 15 (c) (A/HRC/WG.6/7/ITA/3). 274. At its 20th meeting, on 9 June 2010, the Human Rights Council considered and adopted the outcome of the review on Italy (see section C below). 275. The outcome of the review on Italy comprises the report of the Working Group on the Universal Periodic Review (A/HRC/14/4), the views of Italy concerning the recommendations and/or conclusions, and its voluntary commitments and replies presented before the adoption of the outcome by the plenary to questions or issues that were not sufficiently addressed during the interactive dialogue in the Working Group (see also A/HRC/14/4/Add.1). 1. Views expressed by the State under review on the recommendations and/or conclusions, its voluntary commitments and the outcome 276. Italy noted that the universal periodic review had contributed significantly to an assessment of its domestic situation in the field of human rights. In presenting its national report, Italy had focused on priority areas, such as the fight against racism and racial discrimination, the situation of migrants and asylum seekers, the presence of Roma and GE.12-17781 89