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Related Experiment Videos

Interval sterilizations. A substitute for postpartum procedures, an example from Southeast Brazil

B Janowitz, D L Covington, M Brown

    Social Science & Medicine (1982)
    |January 1, 1982
    PubMed
    Summary

    Many women desiring postpartum sterilization in Brazil did not receive it, with a significant portion remaining interested a year later. Continued interest highlights unmet needs for postpartum contraception.

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    Area of Science:

    • Reproductive Health
    • Public Health
    • Obstetrics & Gynecology

    Background:

    • Access to postpartum sterilization is crucial for women desiring permanent contraception after childbirth.
    • Understanding barriers and unmet needs is vital for improving reproductive health services.

    Purpose of the Study:

    • To assess the demand for and access to postpartum sterilization among obstetric patients in Campinas, Brazil.
    • To evaluate sterilization rates postpartum and one year later among women who desired the procedure.

    Main Methods:

    • Data collection from obstetric patients at a Brazilian maternity hospital (December 1979-February 1980).
    • Survey of women desiring sterilization but not receiving it postpartum, with follow-up after one year.
    • Analysis of sterilization uptake and continued interest in the procedure.

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    Main Results:

    • Of 827 women wanting no more children, 58% desired sterilization; 47% of these were sterilized postpartum.
    • One year later, only 13% of the remaining women had been sterilized, though 75% were still interested.
    • 18% of women became pregnant again or were currently pregnant since the initial survey.

    Conclusions:

    • A significant gap exists between the desire for and access to postpartum sterilization.
    • Unmet demand for permanent contraception persists, with a high rate of subsequent pregnancies.
    • Improved access to postpartum sterilization services is needed to meet women's reproductive intentions.