Document Detail


Sequelae of postpartum sterilization.
MedLine Citation:
PMID:  9789648     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study was designed to investigate the menstrual, psychosexual, psychological and somatic sequelae in a group of women who may be more prone to express regret following postpartum sterilization. The follow-up was conducted by questionnaire at six months and five years following the procedure. Data were available from 242 patient; 76.8% were below the age of 30. Of all patients, 21.9% expressed regrets. About one third had various menstrual disturbances. Patients rated their sex life as generally more enjoyable in many aspects. The most common psychological symptoms were irritability, nervousness and depression; while the common somatic symptoms were pelvic/abdominal pain and backache and tiredness.
This study evaluated the impact of sterilization on the menstrual cycle, sex life, and psychological and somatic symptoms among postpartum women undergoing this procedure. The follow-up evaluation was conducted by questionnaire among 242 women at 6 months and 5 years following sterilization. Results revealed that 21.9% of patients claimed dissatisfaction with the procedure, with women under 30 years old (78%) demonstrating higher regret and dissatisfaction compared to older women. Increased menstrual bleeding or pelvic pain had been noted among one-third of the respondents, although none of the patients required dilation and curettage or diagnostic laparoscopy. On the other hand, decreased ratings for various aspects of sex life ranged from 9.0% to 21.5%, while increased ratings ranged from 13.2% to 31.8%. Reports of women enjoying their sex life were more frequent compared to those claiming dissatisfaction. Variables affecting the psychological reactions to sterilization include cultural background, stability of marriage, importance of childbearing, attitudes toward medical care and surgical procedures, fear of body mutilation and preoperative personality. In addition, several psychological symptoms have been observed which include irritability, depression and somatic symptoms. This study recommends pre-sterilization counseling among younger women, as well as assessment of the psychosocial and marital status of the couple, to decrease negative sequelae of postpartum sterilization.
Authors:
B L Rosenfeld; O Taskin; A Kafkashli; M L Rosenfeld; C J Chuong
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of gynecology and obstetrics     Volume:  261     ISSN:  0932-0067     ISO Abbreviation:  Arch. Gynecol. Obstet.     Publication Date:  1998  
Date Detail:
Created Date:  1999-01-26     Completed Date:  1999-01-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8710213     Medline TA:  Arch Gynecol Obstet     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  183-7     Citation Subset:  IM; J    
Affiliation:
Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas, USA.
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological
Adolescent
Adult
Female
Follow-Up Studies
Humans
Menstruation Disturbances / psychology
Patient Satisfaction
Postoperative Complications / psychology*
Postpartum Period / psychology*
Somatoform Disorders / psychology*
Sterilization, Tubal / psychology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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