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印度女性绝育后的遗憾。

Post-sterilization regrets in Indian women.

作者信息

Malhotra Neena, Chanana Charu, Garg Pradeep

机构信息

Department of Gynecology and Obstetrics, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Indian J Med Sci. 2007 Apr;61(4):186-91.

PMID:17401255
Abstract

BACKGROUND

Tubal ligation is the most common form of contraception in India. We conducted this study to assess the factors associated with post-sterilization regrets.

AIMS

This study was designed to assess risk factors that are likely to cause regret following female sterilization in Indian women.

SETTINGS AND DESIGN

Questionnaire-based study.

MATERIALS AND METHODS

This was a questionnaire-based study to assess the level of satisfaction after tubal ligation in women attending family planning clinic at the hospital over a period of 1 year. Evaluation of data obtained through questionnaire from 236 women who had undergone tubal ligation was done.

STATISTICAL ANALYSIS

Univariate analysis to determine crude odds ratio was carried out. Subsequently, multiple regression analysis was used to find the adjusted odds ratio (and 95% confidence intervals) for each variable.

RESULTS

We found a strong co-relation between regrets and young age (less than 30 years), fewer number of children, few or no male children and lack of partner motivation prior to sterilization. Menstrual irregularities and dysmenorrhoea did not influence regret to a large extent.

CONCLUSION

Fertility-related factors, namely, age at sterilization, family size, number of male offspring, timing of sterilization and non-involvement of partner in decision making played a greater role in post-sterilization regrets than menstrual factors (menstrual irregularities and dysmenorrhoea).

摘要

背景

输卵管结扎是印度最常见的避孕方式。我们开展这项研究以评估与绝育后后悔相关的因素。

目的

本研究旨在评估印度女性绝育后可能导致后悔的风险因素。

研究背景与设计

基于问卷调查的研究。

材料与方法

这是一项基于问卷调查的研究,旨在评估在一年时间里到医院计划生育门诊就诊的女性输卵管结扎后的满意度水平。对通过问卷调查从236名接受输卵管结扎的女性获得的数据进行了评估。

统计分析

进行单因素分析以确定粗比值比。随后,使用多元回归分析来确定每个变量的调整后比值比(及95%置信区间)。

结果

我们发现后悔与年轻(小于30岁)、子女数量少、几乎没有或没有儿子以及绝育前伴侣缺乏支持之间存在很强的相关性。月经不调和痛经在很大程度上并未影响后悔情绪。

结论

与生育相关的因素,即绝育时的年龄、家庭规模、男性后代数量、绝育时机以及伴侣未参与决策,在绝育后后悔方面比月经因素(月经不调和痛经)发挥了更大作用。

相似文献

1
Post-sterilization regrets in Indian women.印度女性绝育后的遗憾。
Indian J Med Sci. 2007 Apr;61(4):186-91.
2
Tubal ligation regret and related risk factors: findings from a case-control study in Pernambuco State, Brazil.输卵管结扎术后悔和相关风险因素:巴西伯南布哥州病例对照研究的结果。
Cad Saude Publica. 2009 Jun;25(6):1361-8. doi: 10.1590/s0102-311x2009000600018.
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[Intrapartum and interval tubal sterilization].[分娩期及间隔期输卵管绝育术]
Rev Assoc Med Bras (1992). 2006 Sep-Oct;52(5):323-7. doi: 10.1590/s0104-42302006000500019.
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Regrets after tubal sterilization.输卵管绝育术后的遗憾。
Med J Aust. 1986 Jul 7;145(1):2-3. doi: 10.5694/j.1326-5377.1986.tb113728.x.
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The pre- and poststerilization predictors of poststerilization regret in husbands and wives.夫妻绝育后后悔的绝育前后预测因素。
J Nerv Ment Dis. 1991 Oct;179(10):602-8. doi: 10.1097/00005053-199110000-00003.
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Changes in family structure and regret following tubal sterilization.输卵管绝育术后的家庭结构变化与遗憾
Cad Saude Publica. 2005 Nov-Dec;21(6):1768-77. doi: 10.1590/s0102-311x2005000600024. Epub 2006 Jan 9.
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[Ideal number of children and regret after tubal ligation in a cohort of women].[一组女性输卵管结扎术后的理想子女数与遗憾]
Rev Assoc Med Bras (1992). 2006 Sep-Oct;52(5):293-7. doi: 10.1590/s0104-42302006000500013.
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Sterilization regret among Puerto Rican women.波多黎各女性的绝育后悔问题。
Fertil Steril. 1988 Jun;49(6):973-81.
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[Regret following hysteroscopic tubal sterilization].[宫腔镜输卵管绝育术后的遗憾]
J Gynecol Obstet Biol Reprod (Paris). 2014 May;43(5):387-92. doi: 10.1016/j.jgyn.2013.10.010. Epub 2013 Nov 25.
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Regret after decision to have a tubal sterilization.决定进行输卵管绝育术后的后悔情绪。
Fertil Steril. 1985 Aug;44(2):248-53. doi: 10.1016/s0015-0282(16)48746-7.

引用本文的文献

1
Revisiting Post-Sterilization Regret in India.重新审视印度绝育后的遗憾。
J Obstet Gynaecol India. 2020 Aug;70(4):295-303. doi: 10.1007/s13224-020-01309-5. Epub 2020 May 16.
2
Evaluation of Influencing Factors on Tubal Sterilization Regret: A Cross-Sectional Study.输卵管绝育术后后悔的影响因素评估:一项横断面研究。
Int J Fertil Steril. 2018 Jun;12(3):200-206. doi: 10.22074/ijfs.2018.5272. Epub 2018 Jun 20.
3
Permanent Sterilisation to Long-Acting Reversible Contraception: Is a Paradigm Shift Necessary?从永久性绝育到长效可逆避孕:是否需要范式转变?
J Obstet Gynaecol India. 2016 Jun;66(3):149-53. doi: 10.1007/s13224-016-0866-2. Epub 2016 Apr 1.
4
[Determinants of regret after tubal ligation].[输卵管结扎术后后悔的决定因素]
Pan Afr Med J. 2014 Apr 1;17:244. doi: 10.11604/pamj.2014.17.244.4157. eCollection 2014.
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Is Previous Tubal Ligation a Risk Factor for Hysterectomy because of Abnormal Uterine Bleeding?既往输卵管结扎术会成为因子宫异常出血而行子宫切除术的危险因素吗?
Oman Med J. 2012 Jul;27(4):326-8. doi: 10.5001/omj.2012.81.