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Titre du document / Document title

Poststerilization regret : Findings from the United States Collaborative Review of Sterilization

Auteur(s) / Author(s)

U.S. Collaborative Review of Sterilization Working Group, ETATS-UNIS
HILLIS S. D. (1) ; MARCHBANKS P. A. (1) ; TYLOR L. R. (1) ; PETERSON H. B. (1) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, ETATS-UNIS

Résumé / Abstract

Objective: To evaluate the cumulative probability of regret after tubal sterilization, and to identify risk factors for regret that are identifiable before sterilization. Methods: We used a prospective, multicenter cohort study to evaluate the cumulative probability of regret within 14 years after tubal sterilization. Participants included 11,232 women aged 18-44 years who had tubal sterilizations between 1978 and 1987. Actuarial life tables and Cox proportional hazards models were used to identify those groups at greatest risk of experiencing regret. Results: The cumulative probability of expressing regret during a follow-up interview within 14 years after tubal sterilization was 20.3% for women aged 30 or younger at the time of sterilization and 5.9% for women over age 30 at sterilization (adjusted relative risk [RR] 1.9; 95% confidence interval [Cl] 1.6, 2.3). For the former group, the cumulative probability of regret was similar for women sterilized during the postpartum period (after cesarean, 20.3%, 95% Cl 14.5, 26.0; after vaginal delivery, 23.7%, 95% Cl 17.6, 29.8) and for women sterilized within 1 year after the birth of their youngest child (22.3%, 95% Cl 16.4, 28.2). For women aged 30 or younger at sterilization, the cumulative probability of regret decreased as time since the birth of the youngest child increased (2-3 years, 16.2%, 95% Cl 11.4, 21.0; 4-7 years, 11.3%, 95% Cl 7.8, 14.8; 8 or more years, 8.3%, 95% Cl 5.1, 11.4) and was lowest among women who had no previous births (6.3%, 95% Cl 3.1, 9.4). Conclusion: Although most women expressed no regret after tubal sterilization, women 30 years of age and younger at the time of sterilization had an increased probability of expressing regret during follow-up interviews within 14 years after the procedure.

Revue / Journal Title

Obstetrics and gynecology    ISSN  0029-7844   CODEN OBGNAS 

Source / Source

1999, vol. 93, no6, pp. 889-895 (22 ref.)

Langue / Language

Anglais

Editeur / Publisher

Lippincott Williams & Wilkins, Hagerstown, MD, ETATS-UNIS  (1953) (Revue)

Mots-clés anglais / English Keywords

Female sterilization

;

Ligature

;

Fallopian tube

;

Psychological counseling

;

Questionnaire

;

Human

;

Female

;

United States

;

North America

;

America

;

Surgery

;

Mots-clés français / French Keywords

Stérilisation femelle

;

Ligature

;

Trompe Fallope

;

Conseil psychologique

;

Questionnaire

;

Homme

;

Femelle

;

Etats Unis

;

Regret

;

Amérique du Nord

;

Amérique

;

Chirurgie

;

Mots-clés espagnols / Spanish Keywords

Esterilización femenina

;

Ligadura

;

Trompa Falopio

;

Consejo psicológico

;

Cuestionario

;

Hombre

;

Hembra

;

Estados Unidos

;

America del norte

;

America

;

Cirugía

;

Localisation / Location

INIST-CNRS, Cote INIST : 7207, 35400008477821.0010

Nº notice refdoc (ud4) : 1803526



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