Provision of female sterilization in Ribeirão Preto, São Paulo, Brazil

Cadernos de Saúde Pública

Elisabeth Meloni Vieira¹  Nicholas John Ford² 

[1] ,Universidade de São Paulo Faculdade de Medicina de Ribeirão Preto Departamento de Medicina SocialRibeirão Preto,Brazil

关键词: Family Planning;    Sterilization;    Contraception;    Planejamento Familiar;    Esterilização;    Anticoncepção;   

DOI  :  10.1590/S0102-311X2004000500013

来源: SciELO

【 摘 要 】

Forty percent of Brazilian married women from 15 to 49 years of age have undergone surgical sterilization. The 1988 Brazilian Constitution states that all scientifically proven contraceptive methods should be available to all citizens, but it was only in 1997 that specific family planning legislation was approved. This study examines physicians' perceptions and attitudes towards the current provision of female sterilization and its legal implications, as well as women's experience with obtaining and undergoing sterilization. The study design included: (1) an investigation of the hospitals and health professionals and (2) a survey of women sterilized in combination with cesarean delivery in 1998. The survey showed they had a median of 3 living children, 60.0% had been sterilized between 30 and 39 years of age, and 61.0% had paid for the procedure. Many women reported previous method failure and adverse effects with hormonal contraceptives. Women with less schooling and lower socioeconomic status had more children and had begun childbearing and had been sterilized at younger ages than women with more schooling and higher socioeconomic status. Inequalities related to reproduction were strongly associated with teenage pregnancy and inadequate knowledge about contraceptives.

【 授权许可】

CC BY   
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