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[The value of irreversible contraception].

O Havemann, G Seidenschnur, K Meyer

    Zentralblatt Fur Gynakologie
    |January 1, 1979
    PubMed
    Summary

    Female sterilization, a method of contraception, was implemented differently across GDR regions. This study recommends sterilization for women who have completed childbearing due to its low complication rate.

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    Area of Science:

    • Reproductive Health
    • Gynecology
    • Public Health Policy

    Context:

    • This study examines the implementation and outcomes of female sterilization in the German Democratic Republic (GDR) eight years after its legalization.
    • Highlights regional variations in sterilization procedures and patient demographics within the GDR.
    • Focuses on the Rostock region, which accounted for 56.6% of procedures.

    Purpose:

    • To evaluate the performance and effectiveness of female sterilization as a method of contraception in the GDR.
    • To analyze the characteristics of women undergoing sterilization, including age and history of legal abortions.
    • To assess the medical indications and complication rates associated with female sterilization.

    Summary:

    • Female sterilization was performed with significant regional disparities in the GDR, with Rostock showing a high rate.
    Keywords:
    BehaviorBleedingClinical ResearchContraception FailureDiseasesEndoscopyEvaluationExaminations And DiagnosesFamily PlanningFemale SterilizationGynecologic SurgeryLaparoscopyPainPhysical Examinations And DiagnosesPomeroy MethodPsychological FactorsResearch MethodologySex Behavior--side effectsSigns And SymptomsSterilization, SexualSurgerySurgical ErrorTreatmentTubal LigationTubal Occlusion

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  • The majority of women undergoing sterilization were over 30 years old (85.3%), and 60% had a history of legal abortions.
  • Medical indications supported 66.8% of sterilization procedures, with a low complication and failure rate of 0.3%.

    • Impact:

    • The findings support the consideration of female sterilization as a safe and adequate contraceptive method for women who have finished reproduction.
    • Provides insights into the historical context of reproductive health services in the GDR.
    • Contributes to the understanding of long-term contraceptive choices and their associated risks.