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Contraceptive practice before female sterilization

K B Thike1, K T Wai, N Oo

  • 1Department of Obstetrics and Gynaecology, Institute of Medicine, Yangon, Myanmar.

Asia-Oceania Journal of Obstetrics and Gynaecology
|September 1, 1993
PubMed
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This study on female sterilization found a gap between contraceptive knowledge and practice, with education and employment influencing choices. Most women used sterilization for socioeconomic reasons and desired family size, not child-spacing.

Area of Science:

  • Reproductive Health
  • Family Planning
  • Gynecology

Background:

  • Female sterilization is a common family planning method.
  • Understanding women's reproductive profiles and contraceptive practices is crucial for effective healthcare.
  • Socioeconomic factors significantly influence reproductive choices.

Purpose of the Study:

  • To examine the reproductive profile and contraceptive practices of women undergoing female sterilization.
  • To identify factors influencing contraceptive use and sterilization decisions.
  • To highlight the gap between knowledge and practice of various contraceptive methods.

Main Methods:

  • A study involving 402 women undergoing female sterilization at a Central Women's Hospital.
  • Data collection through interviews focusing on demographics, reproductive history, and contraceptive use.
Keywords:
AsiaBirth SpacingContraceptionContraceptive Usage--womenDeveloping CountriesEconomic FactorsEducational Status--womenEmployment--womenFamily And HouseholdFamily CharacteristicsFamily PlanningFamily SizeFamily Size, DesiredFemale SterilizationMacroeconomic FactorsMyanmarResearch ReportSocioeconomic FactorsSocioeconomic StatusSoutheastern AsiaSterilization, Sexual

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  • Statistical analysis to determine the effect of education and employment on contraceptive practice.

    • Main Results:

    • Most participants were urban housewives with primary education, aged 30-34, with a mean of 4.2 children.
    • 69% were previous contraceptive users, with 29.9% using multiple methods.
    • A significant gap existed between knowledge and practice; education and employment impacted contraceptive use (p < 0.01 and p < 0.5).
    • Combined oral contraceptive pills and injectable progestogens were widely known and used.
    • Rhythm, withdrawal, and barrier methods were less known.
    • Contraceptive use was mainly for child-spacing.
    • Socioeconomic factors and achieving desired family size were primary drivers for sterilization.

    Conclusions:

    • Female sterilization decisions are influenced by socioeconomic factors and desired family size.
    • There is a notable discrepancy between contraceptive knowledge and actual practice among women.
    • Educational level and employment status play a significant role in contraceptive choices and utilization.