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[Sterilization--where are we and what do we want?].

L Andolsek1

  • 1Univerzitetna ginekoloska klinika, Ljubljana.

Jugoslavenska Ginekologija I Perinatologija
|May 1, 1991
PubMed
Summary

Female and male sterilization became legal in Slovenia and Croatia in the late 1970s. Sterilization procedures were common, with minimal complications and few requests for reversal.

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Area of Science:

  • Reproductive Health
  • Public Health Policy

Context:

  • Sterilization was legalized in Slovenia in 1977 and Croatia in 1978.
  • Yugoslavia was among the last countries to adopt contraceptive methods.
  • Global sterilization estimates from the mid-1980s indicated 135 million procedures performed worldwide.

Purpose:

  • To document the adoption and implementation of sterilization as a contraceptive method in Slovenia and Croatia.
  • To analyze the methods used for female and male sterilization during the specified period.
  • To assess the perceived safety and reversibility of sterilization procedures.

Summary:

  • Between 1978 and 1989, Slovenia recorded 4,503 female and 654 male sterilizations.
  • Female sterilizations predominantly occurred postpartum or interval procedures, utilizing laparoscopy, mini-laparotomy (Pomeroy technique), or the Madlener technique.
  • Vasectomies were performed using standard surgical methods; complication data is limited but presumed minimal, with rare requests for reconstruction.

Impact:

  • Increased sterilization rates could potentially reduce induced abortions in women over 35.
  • Widespread adoption of sterilization may correlate with increased overall contraceptive use.
  • The study highlights the historical context of reproductive health choices in former Yugoslavia.

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