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Sterilization-attributable deaths in bangladesh.

D A Grimes, H B Peterson, M J Rosenberg

    International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
    |April 1, 1982
    PubMed
    Summary

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    Sterilization procedures in Bangladesh resulted in 20 deaths between 1979-1980. Despite risks like anesthesia overdose, contraceptive sterilization significantly averts maternal deaths, proving highly beneficial.

    Area of Science:

    • Public Health
    • Reproductive Health
    • Medical Safety

    Background:

    • Contraceptive sterilization is a key family planning method.
    • Assessing the safety and mortality associated with sterilization procedures is crucial for public health.
    • Previous data on sterilization-related deaths in developing countries may be limited.

    Purpose of the Study:

    • To determine the number and causes of deaths attributable to sterilization procedures in Bangladesh.
    • To calculate the sterilization-attributable death-to-case rate.
    • To evaluate the overall health impact of contraceptive sterilization by comparing procedure-related deaths to averted maternal deaths.

    Main Methods:

    • Retrospective analysis of sterilization procedures performed in Dacca and Rajshahi Divisions, Bangladesh.
    Keywords:
    AsiaBangladeshCauses Of DeathDemographic FactorsDeveloping CountriesFamily PlanningFemale SterilizationGynecologic SurgeryIncidenceMale SterilizationMeasurementMortalityPomeroy MethodPopulationPopulation DynamicsResearch MethodologyRetrospective StudiesSouthern AsiaSterilization, SexualStudiesTubal Ligation

    Related Experiment Videos

  • Identification and categorization of all deaths causally linked to tubectomy and vasectomy procedures.
  • Calculation of death-to-case rates and comparison with estimated maternal mortality.

    • Main Results:

    • Twenty sterilization-attributable deaths were recorded between January 1979 and March 1980.
    • Leading causes of death were anesthesia overdose for tubectomy and scrotal infection for vasectomy.
    • The overall death-to-case rate was 21.3 deaths per 100,000 procedures.
    • For every 100,000 tubectomies, 19 deaths occurred, but this was offset by approximately 1015 averted maternal deaths.

    Conclusions:

    • Contraceptive sterilization, while carrying some risks, demonstrates a highly favorable health impact.
    • The benefits of sterilization in averting maternal mortality far outweigh the procedure-related mortality.
    • Findings underscore the importance of safe sterilization practices and accessible family planning in reducing overall mortality.