CHARACTERISTICS OF COUPLES WHO SEEK STERILIZATION REVERSAL AT A PUBLIC INFERTILITY CLINIC AND THEIR REGRETING
Keywords:
sterilization, tubal, infertility, Contraception, family planningAbstract
Objective
To determine the characteristics of couples who sought reversal of tubal ligation in public services and the reason for regret.
Method
The medical records of 150 women with tubal ligations seen at the Marital Sterility Outpatient Clinic between 1985 and 2000 were retrospectively studied. The variables studied were the age of the woman and man at the first consultation, the woman's age at the time of tubal ligation, time of sterility, number of living children of both and reason for seeking treatment for reversal. Data analysis was descriptive.
Results
150 women and their partners were included. The average age of women at the first consultation for sterility was 31.9 years and at the time of tubal ligation it was 24.1 years. The average time of sterility was 7.8 years (SD±3.9). The majority of women (82.7%) had a history of 1 to 4 living children. The decision to seek treatment for 92.7% of them was made after starting a new relationship. Among the 139 new partners, the average age was 31.4 years, 72.0% did not have any living children and 12.0% had an only child.
Conclusion
Most women with regretted tubal ligations who seek infertility treatment are in a new relationship and their current partner either does not have children or wants one to form a new family. Tubal ligation recommended for young women increases the chance of regret.
Downloads
References
Pesquisa Nacional de Demografia e Saúde. Rio de Janeiro: BEMFAN; 1996. p.52-61.
Faundes A, Costa RG, Pádua KS, Perdigão AM. Associação entre a prevalência da laqueadura tubária e características sócio-demográficas de mulheres e seus companheiros no Estado de São Paulo,Brasil.Cad SaúdePúbl 1998; v.14(Supl 1): p.49-57.
Hardy E, Bahamondes L, Osis MJ, Costa RG, Faundes A. Risk factors for tuba[ sterilization regret, detectable before surgery. Contraceptio 1996; 54:159-62.
Vieira EM. O arrependimento após a esterilização feminina. Cad SaúdePúbl 1998; 14(Supl 1):59-68.
Reggiani CPD, Murata MK, Beck RT, Francisco JF, Schimarelli. Laqueadura e reversão. Análise de 21 casos. JBM 2000; 79:44-50.
Grubb GS, Peterson HB, Layde PM, Rubin GL. Regret after decision to have a tuba! sterilization. Fertil Steril 1985; 44:248-53.
Bahamondes L, Petta CA, Faundes, Bedone A. Significado do recente aumento do número de solicitantes de reversão de laqueadura em um Serviço de Esterilidade. Femina 1992; 20:360-62.
Petta CA, Dantas C, Hidalgo MM, Bahamondes L. Solicitações de reversão da laqueadura em um serviço de Esterilidade: o problema continua. Reprod Clim 2000; 15( 4); 214-17.
Osis MJ,FaundesA, SouzaMH, BaileyP. Impact of contraceptive methods on women's lives: the case of tuba! ligation. Cad Saúde Públ 1999; 15(3):521-32.
Minella LS. Aspectos positivos e negativos da esterilização tubária do ponto de vista das mulheres esterilizadas. Cad Saúde Públ 1998;l4(Supl):69-79.
Quinlan DK. A profile of 125 women requesting reversai of sterilization. S Afr Med J 1985; 68:243-4.
Ferriani RA. A lei da esterilização cirúrgica. (Editorial).ReprodClim 1997; 12:161.
