Quinlan D K
S Afr Med J. 1985 Aug 17;68(4):243-4.
A series of 125 consecutive requests from patients in a private practice for reversal of sterilization has been analysed. Most of the women (65,6%) had changed their marital status since the sterilization, 93,9% of these having been divorced (most of whom remarried--73,1% of the new husbands being younger than their wives and 89,6% marrying for the first time) and 6,1% widowed. In the 34,4% in whom there had been no change in marital status, a reappraisal and the wish to have another baby, sometimes consequent upon the death of a child (16,3%) or an improvement in health (7,0%) led to the request for reversal of sterilization. At the time of sterilization 64,8% of the women had been under the age of 30 years, and 82 (65,6%) had not had a stable marriage. This indicates that very careful counselling should be carried out before sterilizing patients, and also before considering reversal of the operation.
对一家私人诊所中125例连续来自患者要求绝育复通的病例进行了分析。大多数女性(65.6%)自绝育后改变了婚姻状况,其中93.9%已离婚(她们中的大多数再婚——73.1%的新丈夫比妻子年轻,89.6%是初婚),6.1%丧偶。在婚姻状况未改变的34.4%的女性中,重新评估以及想要再要一个孩子,有时是因孩子死亡(16.3%)或健康状况改善(7.0%)导致了要求绝育复通。绝育时,64.8%的女性年龄在30岁以下,82例(65.6%)没有稳定的婚姻。这表明在对患者进行绝育之前,以及在考虑手术复通之前,都应进行非常谨慎的咨询。