Tubal ligation regret and related risk factors: findings from a case-control study in Pernambuco State, Brazil.
A case-control study was carried out at a public teaching hospital in Recife, Pernambuco State, Brazil in 1997 to investigate risk factors among women who feel regret after undergoing sterilization through tubal ligation. The study compared sterilized women who had requested or undergone a tubal reversal with women who were also sterilized but had not undergone this surgery, nor had requested to do so. Women showing a significantly greater probability of regret were those sterilized at a young age, those who had not themselves made the decision to undergo surgery , those for whom the sterilization was carried out up to the 45th day after childbirth and those who had acquired knowledge about contraceptive methods after the tubal ligation procedure. Having had a deceased child, a partner with no children prior to the current union or a change of partner after the tubal sterilization procedure were also associated to the request for or submission to tubal sterilization reversal. It is necessary to assess women's psycho-socio-demographic profiles, their reasons for requesting tubal ligation and to advise the patient about family planning in order to reduce rates of post-sterilization regret.
Ludermir
Ana Bernarda
AB
Departamento de Medicina Social, Universidade Federal de Pernambuco, Recife, Brasil. abl@ufpe.br
Machado
Kátia Maria de Melo
KM
Costa
Aurélio Molina da
AM
Alves
Sandra Valongueiro
SV
Araújo
Thália Velho Barreto de
TV
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001938:Brazil; D016022:Case-Control Studies; D003268:Contraception Behavior / Q000523:psychology; D003657:Decision Making; D004644:Emotions; D005193:Family Planning Services; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000523:psychology; D007258:Informed Consent; D008875:Middle Aged; D016017:Odds Ratio; D012959:Socioeconomic Factors; D013243:Sterilization Reversal / Q000523:psychology*; D013246:Sterilization, Tubal / Q000523:psychology*; D055815:Young Adult