Laqueadura intraparto e de intervalo



Document title: Laqueadura intraparto e de intervalo
Journal: Revista da Associacao Medica Brasileira
Database: PERIÓDICA
System number: 000308436
ISSN: 0104-4230
Authors: 1


Institutions: 1Pontificia Universidade Catolica de Campinas, Faculdade de Ciencias Medicas, Campinas, Sao Paulo. Brasil
Year:
Season: Sep-Oct
Volumen: 52
Number: 4
Pages: 323-327
Country: Brasil
Language: Portugués
Document type: Artículo
Approach: Caso clínico, analítico
English abstract BACKGROUND: Brazil is a country with a high prevalence of tubal ligation, which is frequently performed at the time of delivery. In recent years, an increase in tubal reversal has been noticed, primarily among young women. OBJECTIVES: To study characteristics correlated with the procedure, determine frequency of intrapartum tubal ligation, measure patient satisfaction rates and tubal sterilization regret, in a sample of post-tubal patients. METHODS: Three hundred and thirty-five women underwent tubal ligation. The variables studied were related to the procedure: age at tubal ligation, whether ligation was performed intrapartum (vaginal or cesarean section) or after an interval (other than the intrapartum and puerperal period), health service performing the sterilization, medical expenses paid for the procedure, reason stated for choosing the method and causes related to satisfaction/regret: desire to become pregnant after sterilization, search for treatment and performance of tubal ligation reversal. The women were divided into two groups, a group undergoing ligation in the intrapartum period and a second group ligated after an interval, to evaluate the association between variables by using Fisher's exact test and chi-squared calculation with Yates' correction. The study was approved by the Ethics Committee of the institution. RESULTS: There was a predominance of Caucasian women over 35 years of age, married, and with a low level of education of which 43.5% had undergone sterilization before 30 years of age. Two hundred and forty-five women underwent intrapartum tubal ligation, 91.2% of them had cesarean delivery and 44.6% vaginal delivery. In both groups undergoing intrapartum tubal ligation and ligation after an interval, 82.0% and 80.8% reported satisfaction with the method. Although 14.6% expressed a desire to become pregnant at some time after sterilization, consultation regarding sterility occurred in 3.4% and 2.3%, respectively, and one woman underwen
Portuguese abstract O Brasil é um dos países com alta prevalência de laqueadura tubária, sendo freqüente sua realização durante o parto. Nos últimos anos, tem-se notado aumento da busca por reversão, principalmente entre mulheres jovens. OBJETIVOS: Estudar, em amostra de mulheres laqueadas, as características relacionadas ao procedimento, determinar a freqüência de execução intraparto, medir as taxas de satisfação e arrependimento com o método. MÉTODOS: Foram entrevistadas 335 mulheres laqueadas. As variáveis estudadas foram as relacionadas ao procedimento: idade na laqueadura, se intraparto (vaginal ou cesárea) ou de intervalo (fora do período de parto e puerpério), serviço no qual foi realizada, pagamento pelo procedimento, motivo declarado para a opção pelo método, e as relacionadas à satisfação/arrependimento: desejo de gravidez após esterilização, procura por tratamento e realização da cirurgia de reversão. As mulheres foram divididas em dois grupos, laqueadas intraparto e intervalo, avaliando-se associação das variáveis pelo teste Exato de Fisher e Qui-quadrado com correção de Yates. O estudo obteve aprovação do Comitê de Ética. RESULTADOS: Predominaram mulheres brancas, com mais de 35 anos, unidas, com baixa escolaridade e 43,5% esterilizadas antes dos 30 anos. Haviam realizado laqueadura intraparto 245 mulheres, 91,2% daquelas com parto cesárea e 44,6% com parto vaginal. Nos dois grupos, laqueadas intraparto e de intervalo, estavam satisfeitas com o método 82% e 80,8% das mulheres respectivamente. Apesar de 14,6% terem referido desejo de engra
Disciplines: Medicina
Keyword: Ginecología y obstetricia,
Brasil,
Mujeres,
Anticoncepción,
Ligadura tubaria,
Parto,
Cesárea
Keyword: Medicine,
Gynecology and obstetrics,
Brazil,
Women,
Contraception,
Tubal ligation,
Delivery,
Cesarean section
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