Factors Promoting Tubal Ligation in Females Presenting to Tertiary Care Centers
AbstractObjective: Despite development of new contraceptive methods, sterilization remained the most widely used method. Our objective was to determine the factors contributing to decision making for tubal ligation in females.Materials and methods: A cross sectional study was conducted in Jinnah Post graduate Medical Centre (JPMC) between March - November 2008. About 505 Females using contraceptive measures were consecutively included. Those having any severe debilitating disease and unfamiliar with “urdu” language were excluded. Three trained co researchers conducted structured interviews to determine the frequency and factors associated with tubal ligation.Results: The final multiple logistic regression showed illiteracy [AOR 2.91 95% CI 1.53-5.53], number of children < 3 [AOR 6.15 95% CI 2.61-14.50], age of women < 30 [AOR 0.12 95% CI 0.06-0.22] years and information gained through health worker [AOR 3.04 95% CI 1.60-5.80] to be statistically significant.Conclusion: This highlights tubal ligation was more common in uneducated women of age > 35 years having <3 children. The most common means of promoting tubal ligation was information gained through health workers.
Chapman L, Magos A. Female sterilization. Expert Rev Med Devices 2008;5:525-37.
von Mering R, Merki GS, Keller PJ. Is there a place for tubal ligation in modern contraception? Gynakol Geburtshilfliche Rundsch 2003; 43:25-30.
Peterson HB. Sterilization. Obstet Gynecol 2008; 111:189-203.
Borrero SB, Reeves MF, Schwarz EB, Bost JE, Creinin MD, Ibrahim SA. Race, insurance status, and desire for tubal sterilization reversal. Fertil Steril 2008 ; 90:272-7.
Biswas A, Mondal A. Evaluation of women undergoing sterilisation reversal and subsequent pregnancy outcome. J Indian Med Assoc 2006 ; 104:182, 184-5.
Curtis KM, Mohllajee AP, Peterson HB. Regret following female sterilization at a young age: a systematic review. Contraception 2006 ; 73:205-10.
Machado KM, Ludermir AB, da Costa AM. Changes in family structure and regret following tubal sterilization. Cad Saude Publica 2005 ; 21:1768-77.
Vieira EM, Fábio SV, Gueleri W, Picado MP, Yoshinaga E, de Souza L Characteristics of candidates for surgical sterilization and factors associated with type of procedure. Cad Saude Publica 2005 ; 21:1785-91.
Bhutta SZ, Zaeem S, Korejo R. Female surgical sterilization at a tertiary care hospital in Karachi. J Ayub Med Coll Abbottabad 2004 ; 16:42-5.
McMahon S, Hansen L, Mann J, Sevigny C, Wong T, Roache M. Contraception. BMC Womens Health 2004;4 Suppl 1:S25.