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Published on: January 22, 2022
[Intrapartum and interval tubal sterilization]
Arlete Maria Dos Santos Fernandes1, Aloísio José Bedone, Larissa Capochin Paes Leme
1Area de Tocoginecologia, Faculdade de Ciências Médicas, Pontifícia Universidade Católica de Campinas. arlete@fcm.unicamp.br
Revista Da Associacao Medica Brasileira (1992)
|December 13, 2006
Summary
Tubal ligation during childbirth is common in Brazil, particularly after cesarean sections. Patient satisfaction with sterilization remains high, with low rates of regret or reversal regardless of timing.
Area of Science:
- Reproductive Health
- Gynecology
- Public Health
Context:
- Brazil has a high prevalence of tubal ligation, often performed during delivery.
- Recent trends show an increase in tubal reversal procedures, especially among younger women.
Purpose:
- To analyze characteristics associated with tubal ligation.
- To determine the frequency of intrapartum tubal ligation.
- To assess patient satisfaction and regret following sterilization.
Summary:
- A study of 335 women revealed tubal ligation is frequent in women over 35, with 43.5% sterilized before age 30.
- Intrapartum tubal ligation occurred in 245 women, predominantly after cesarean delivery (91.2%).
- Satisfaction rates were high (82.0% intrapartum, 80.8% interval ligation), with low desire for reversal (3.4% intrapartum, 2.3% interval).
Impact:
- Intrapartum tubal ligation rates correlate with cesarean section delivery.
- Sterilization satisfaction and regret levels are consistent between intrapartum and interval ligation groups.
- Findings inform reproductive health strategies and patient counseling regarding permanent sterilization.
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