Changes in family structure and regret following tubal sterilization

Machado, Katia Maria de Melo; Ludermir, Ana Bernarda; Costa, Aurélio Molina da

doi:10.1590/s0102-311x2005000600024

Cited by 16 publications

(19 citation statements)

References 16 publications

(24 reference statements)

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“…The use of two different forms for data collection did not influence the results, as findings were similar for the women who were interviewed in person and those interviewed over the phone 16 . Table 2 Characteristics of women who did or did not request or undergo tubal reversal at a public teaching hospital in relation to tubal ligation.…”

Section: Discussionmentioning

confidence: 87%

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Tubal ligation regret and related risk factors: findings from a case-control study in Pernambuco State, Brazil

et al. 2009

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A case-control study was carried out at a public teaching hospital in Recife, Pernambuco State, Brazil in 1997 to investigate risk factors among women who feel regret after undergoing sterilization through tubal ligation. The study compared sterilized women who had requested or undergone a tubal reversal with women who were also sterilized but had not undergone this surgery, nor had requested to do so. Women showing a significantly greater probability of regret were those sterilized at a young age, those who had not themselves made the decision to undergo surgery , those for whom the sterilization was carried out up to the 45th day after childbirth and those who had acquired knowledge about contraceptive methods after the tubal ligation procedure. Having had a deceased child, a partner with no children prior to the current union or a change of partner after the tubal sterilization procedure were also associated to the request for or submission to tubal sterilization reversal. It is necessary to assess women's psycho-socio-demographic profiles, their reasons for requesting tubal ligation and to advise the patient about family planning in order to reduce rates of post-sterilization regret.

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Section: Discussionmentioning

confidence: 87%

“…A structured, precoded questionnaire was used to obtain information on age, number of years of schooling, paid employment, reasons for requesting or undergoing tubal reversal, characteristics of women in relation to tubal ligation and changes in family structure. Full details of the data collection are reported elsewhere 16 .…”

Section: Data Collectionmentioning

confidence: 99%

Tubal ligation regret and related risk factors: findings from a case-control study in Pernambuco State, Brazil

et al. 2009

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“…Entretanto, uma parcela signifi cativa de mulheres se arrepende dessa decisão, procurando o ginecologista com o desejo de engravidar 2,16 .…”

Section: Discussionunclassified

“…Contudo, alguns autores demonstraram que a principal razão isolada que leva ao desejo de retorno à fertilidade é a mudança de parceiro e o anseio de ter um fi lho com o novo cônjuge 2 . Desta forma, a tranqüilidade que antes existia devido à contracepção defi nitiva agora dá lugar à infertilidade, que prevalece num grupo etário em que as opções de tratamento nem sempre oferecem resultados satisfatórios.…”

Section: Introductionunclassified

Resultados de fertilização in vitro em mulheres submetidas previamente à laqueadura tubária

Reis¹,

Azevedo²,

Navarro³

et al. 2006

Rev. Bras. Ginecol. Obstet.

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RESUMOObjetivos: avaliar os efeitos da laqueadura tubária sobre os resultados de fertilização in vitro com transferência de embrião. Métodos: estudo retrospectivo, no qual foram analisadas 98 mulheres submetidas a ciclos consecutivos de fertilização in vitro. Grupo LT, 55 mulheres com antecedente de laqueadura tubária bilateral, sem outros fatores de infertilidade associados, e grupo IM, 43 mulheres com infertilidade devido a fator masculino leve. As variáveis analisadas foram: idade, taxa de suspensão do ciclo de indução da ovulação, resposta à indução da ovulação (dias de indução, unidades de gonadotrofi nas, número de folículos recrutados e oócitos captados), taxas de fertilização e de clivagem, número de embriões transferidos e gravidez clínica por ciclo de transferência. Resultados: não houve diferença entre as taxas de suspensão de ciclo de indução da ovulação, as respostas à indução da ovulação, as taxas de fertilização e de clivagem, o número de embriões transferidos e as taxas de gravidez clínica por ciclo transferido, entre os grupos LT e IM. Considerando-se isoladamente a variável idade no grupo LT, evidenciou-se que pacientes com idade superior a 35 anos utilizaram mais unidades de gonadotrofi nas (2445 versus 2122 UI), tiveram menor número de folículos recrutados (11,3 versus 15,8) e menos oócitos foram captados (6,1 versus 8,5), quando comparadas às mulheres com idade de 34 anos ou menos. Conclusões: a laqueadura tubária não interferiu nos resultados da fertilização in vitro. Observamos uma piora da resposta à indução da ovulação nas pacientes submetidas à laqueadura tubária com idade superior a 35 anos. PALAVRAS-CHAVE: Técnicas reprodutivas assistidas; Fertilização in vitro;Indução da ovulação; Laqueadura tubária; Transferência de embrião ABSTRACT Purpose: to investigate the effects of previous bilateral tubal sterilization on the outcome of in vitro fertilization. Methods: retrospective study of 98 consecutive in vitro fertilization cycles. Fifty-fi ve women with previous tubal sterilization without any other infertility factor (TL group) were compared with 43 women with infertility due only to mild male factor (MI group. Age, cancellation rate per induction cycle, response to ovulation induction (number of days of ovulation induction, total amount of gonadotrophin units used, number of follicles and oocytes retrieved), fertilization and cleavage rates, number of transferred embryos and clinical pregnancy per transfer cycle were the variables considered. Results: the cycle discontinuation rate due to poor response, results of ovulation induction, fertilization and cleavage rates, number of transferred embryos and the occurrence of clinical pregnancy were similar in both groups. Considering solely the variable age in TL group, we observed that patients older than 35 years required higher gonadotrophin doses during ovulation induction (2445 versus 2122 IU), presented lower response with fewer follicular growth (11.3 versus 15.8) and less oocytes retrieved (6.1 versus 8.5) compared to younger women ...

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“…(Cunha et al, 2007;Fernandes et al, 2006;Reis et al, 2006;Machado et al, 2005;Marcolino, 2004;Faúndes et al, 1998). Medical literature points to the difficulties of the tubal ligation procedure.…”

Section: Was Scared Because When I Remembered To Take the Medicatiomentioning

confidence: 99%

O fio cirúrgico da laqueadura é tão pesado!: laqueadura e novas tecnologias reprodutivas

Fontenele

Tanaka

2014

Saude soc.

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Tubal sterilization is a method of female sterilization, consisting of the surgical severance of the fallopian tubes which connect the ovaries to the uterus. This method, the rates for which have doubled in Brazil since 2003, is considered safe and irreversible. This study is a qualitative research project which seeks to describe and analyze the thought process and assessment of sterilization by women who have subsequently sought the help of new reproductive technologies to enable them to conceive. Sixteen sterilized women were interviewed at a hospital within the public health system in São Paulo, southeastern Brazil. As a result, the following themes emerged from the study: women's lack of care regarding their reproductive life; sterilization and (constitution) habitus, and the remorse expressed in the phrase proffered by Rosa: "The surgical thread used in tubal sterilization is so heavy!" The study highlighted the need for women to be better informed about the surgical procedures available to them: whether about tubal ligation or about treatments in the field of new reproductive technology. Access to this information can promote greater understanding of the terms and greater confidence in dealing with the choices involved. Keywords: Tubal Sterilization; New Reproductive Technologies; Women's Health. Claudia Valença Fontenele

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Changes in family structure and regret following tubal sterilization

Cited by 16 publications

References 16 publications

Tubal ligation regret and related risk factors: findings from a case-control study in Pernambuco State, Brazil

Tubal ligation regret and related risk factors: findings from a case-control study in Pernambuco State, Brazil

Resultados de fertilização in vitro em mulheres submetidas previamente à laqueadura tubária

O fio cirúrgico da laqueadura é tão pesado!: laqueadura e novas tecnologias reprodutivas

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