Sterilization by Minilaparotomy in South-Eastern Nigeria

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


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).




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


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