Arora N, Choudhary S, Raghunandan C
Department of Obstetrics and Gynaecology, Lady Hardinge Medical College, New Delhi, India.
J Obstet Gynaecol. 2010 Feb;30(2):175-8. doi: 10.3109/01443610903486169.
The proportion of the women using tubal sterilisation is increasing, while the age at sterilisation is dropping. This prospective cross-sectional study explores factors that influence the women in rural India to undergo tubal sterilisation at a young age. In this study, 109 married women seeking tubal sterilisation from a community health centre were interviewed. Information included baseline reproductive data, knowledge about different contraceptive methods, prior contraceptive use, and reasons for choosing tubal sterilisation and knowledge regarding its failure rate and complications. The majority (65.1%) of women were below 30 years of age, and 69.7% had > or = 3 children. Approximately one-third (37.6%) had > or = 1 induced abortions. Although 65% of all women were aware of one or more temporary contraceptive methods, 53.2% had never used these because of worries regarding complications. Three-quarters of the women lacked knowledge about failure rate and complications of tubal sterilisation, and only 2.8% thought about future regrets. In rural India, there is lack of information, and/or misinformation about temporary contraception, affecting contraceptive use by women. An unhurried counselling along with unbiased information about alternative contraceptives would help these women for appropriate resolution of their reproductive need.
采用输卵管绝育术的女性比例在上升，而绝育年龄在下降。这项前瞻性横断面研究探讨了影响印度农村女性在年轻时接受输卵管绝育术的因素。在本研究中，对109名从社区卫生中心寻求输卵管绝育术的已婚女性进行了访谈。信息包括基线生殖数据、对不同避孕方法的了解、既往避孕使用情况、选择输卵管绝育术的原因以及对其失败率和并发症的了解。大多数（65.1%）女性年龄在30岁以下，69.7%育有3个或更多子女。约三分之一（37.6%）有过1次或更多次人工流产。尽管所有女性中有65%知晓一种或多种临时避孕方法，但53.2%的女性因担心并发症从未使用过这些方法。四分之三的女性对输卵管绝育术的失败率和并发症缺乏了解，只有2.8%的女性考虑过未来会后悔。在印度农村，缺乏关于临时避孕的信息和/或错误信息，影响了女性的避孕措施使用。进行从容不迫的咨询并提供关于其他避孕方法的客观信息，将有助于这些女性妥善解决她们的生殖需求。
