Sterilization by Minilaparotomy in South-Eastern Nigeria

Eric E Nwogu-Ikojo, Hyginus U Ezegwui, Sylvester O Nweze

Abstract

The study aimed to assess the trend in acceptance and characteristics of acceptors of female sterilization between January 1999 and December 2006 at the University of Nigeria Teaching Hospital, Enugu, South-Eastern Nigeria. There were a total of 20,485 new clients, with 212 (1.0%) accepting sterilization between January 1999 and December 2006. There was an initial rise in acceptance from 0.4% in 1999 to 3.0% in 2004, then a decline. 108 (50.9%) were between 35-39 years. 169(79.7%) had more than five living children. 69 (32.5%) and 76 (35.9%) had secondary and higher education respectively. Health workers were the main source of information. Completed family size was the reason for choosing sterilization in 185 clients (87.3%). 120 (56.6%) were in occupational social class 3. 106 (50.0%) did not practice any form of family planning prior to the procedure. 184 (86.8%) had interval sterilization and the rest (13.2%) postpartum. Acceptance of tubal sterilization is still low in our community (Afr J Reprod Health 2009; 13[4]:105-111).

 

RĖSUMĖ

 

Stérilisation à travers la minilaparotomie au sud-est du Nigéria. L’étude avait pour objectif d’évaluer la tendance de l’acceptation et les caractéristiques des accepteuses de la stérilisation féminine entre janvier 1999 et décembre 2006 au Centre Hospitalier Universitaire d’Enugu, au sud-est du Nigéria.  Il y avait au total 20,485 nouvelles clientes dont 212 (1,0%) ont accepté la stérilisation entre janvier 1999 et décembre 2006.  il y avait une hausse initiale dans l’acceptation de 0,4% en 1999 jusqu'à 3,0% en 2004, puis un déclin.  108 (50,9%) étaient âgés d’entre 35 et 39 ans.  169 (79,7%) avaient plus de cinq enfants encore vivants.  69 (32,5%) et 76 (35,9%) ont fait des études secondaires et supérieures respectivement.  Les membres du personnel soignant ont été la source principale d’information.  Ayant eu le nombre d’enfants désiré constituait la raison pour laquelle 185 clients (87,3%) ont choisi la stérilisation.  120 (56,6%) appartenaient à la classe sociale professionnelle 3, 106 (50,0%) n’avaient pratique aucune forme de la planification familiale avant la procédure. 184 (86,8) ont eu une stérilisation par intervalles et le reste (13,2%) avaient le post-partum.  L’acceptation de la stérilisation tubaire est encore faible dans notre communauté (Afr J Reprod Health 2009; 13[4]: 105-111).

 

 

KEYWORDS: Female sterilization, Minilaparotomy, Tubal ligation

 

Full Text:

PDF

References

Church CA, Geller JS. Voluntary female sterilization: number one and growing. Population Reports 1990; Series C: No10.

Zlidar V, Gardner R, Rutstein SO, Morris L, Goldberg H. New survey findings: The reproductive revolution continues.

Population Reports 2003; Series M: No17.

Lalasz R. In the news: the Nigerian census. Washington, D.C., Population Reference Bureau [PRB], 2006 Apr.

National Population Commission; ORC Macro. MEASURE DHS+. Nigeria Demographic and Health Survey 2003.

Preliminary report. Abuja, Nigeria, National Population Commission, 2003.

Tessema BT, GegreKidan TA, Reniers G, Kebebew T. The prevalence of covert use of contraceptives in Nazareth/Adama Town. Eur J Contracept Reprod Health Care 2008;13 Suppl 2:P063.

Ozumba BC, Ibekwe PC. Contraceptive use at the family planning clinic of the University of Nigeria Teaching Hospital, Enugu, Nigeria. Public Health 2001;115:51-3.

Udigwe GO, Udigwe BI, Ikechebelu JI. Contraceptive practice in a teaching hospital

in south-east Nigeria. J Obstet Gynaecol 2002;22:308-11.

Leite IC, Gupta N, Rodrigues RN. Female sterilisation in Latin America: cross-national perspectives. J Biosoc Sci 2004; 36:683-98.

Ekwenpu CC. The realities of VCS services at Zaria: management, sociocultural and medical issues. Trop J Obstet Gynaecol 1990; 2(Special Edition):35-6.

Fakeye O. Reproductive characteristics and contraceptive method choices of Nigerian women requesting terminal fertility control. Int J Fertil 1992; 37:19-23.

Jack KE, Chao CR. Female voluntary surgical contraception via minilaparotomy under local anaesthesia. Int J Gynaecol Obstet 1992; 39:111-6.

Omu AE, Akagbosu F. VSC: attitude, knowledge, and practice. Trop J Obstet Gynaecol 1990;2(Special Edition):22-6.

Otolorin EO, Falase EAO, Olayinka IA, Oladipo OIA. Attitude of Nigeria to voluntary surgical contraception: a survey of an urban population. Trop J Obstet Gynaecol 1990; 2(Special Edition):18-21.

Odu OO, Ijadunola KT, Komolafe JO, Adebimpe WT. Men,s knowledge of and attitude with respect to family planning in a suburban Nigerian community. Niger J Med 2006; 15:260-5.

Aisien O, Ujah IA, Mutihir JT, Guful F. Fourteen year’s experience in voluntary female sterilisation through minilaparotomy in Jos Nigeria. Contraception 1999; 60:24952.

Adesiyun AG. Female sterilisation by tubal ligation: a re-appraisal of factors influencing decision making in a tropical setting. Arch Gynecol Obstet 2007; 275:241-4.

Mattinson A, Mansour D. Female sterilisation: is it what women really want or are alternative methods acceptable? J Fam Plann Reprod Health Care 2006; 32:181-3.

Refbacks

  • There are currently no refbacks.