Profile of Post partum Female Sterilization at Tertiary care Government Hospital, Jaipur
Abstract
One of the most important and indirect cause of maternal deaths is multiparity of women and that too from unwanted conception. Female sterilization is one of the adopted contraceptive methods to limit the number of children. So this study was done to find out the profile of females adopting sterilization. A record base analysis was done on records of women who underwent sterilization in Mahila Chikitsalay Jaipur in year 2014 were analysed. Women who underwent sterilization were studied with respect to parity and educational status. Out of 15911 total deliveries were conducted in year 2014, 1002 women got sterilized i.e. 6.30% post partum sterilizations were done. Out of these women who went for sterilization, 10.58% got sterilized in puerperal period after normal delivery, 59.98% were sterilized with LSCS and 16.87% women went for sterilization with MTP. After hysterotomy and ectoic pregnancy women went for sterilization significantly more than normal delivery. Maximum sterilizations were done after 2nd para and more than 4th para. Education and preference of male child was also found to be associated with acceptance of sterilization i.e. as the education increases the acceptance for sterilization also increases.
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Introduction
Population growth is a big challenge for India and the government put a lot of effort in the family welfare program. In 1951, India launched the national family welfare program in order to "reducing the birth rate to the extent necessary to stabilise the population at a level consistent with the requirement of the National economy.” 1 A new plan with new goals to reduce the birth rate is launched every fifth year. The program is financed by the government. In the beginning there was a focus on decreasing the birth rates by direct methods like sterilization and contraceptive pills. Surgical female sterilization is an effective and permanent contraceptive method. Most patients prefer a laparoscopic procedure. Voluntary sterilization is the single most common form of fertility control world wide. 2
Almost half a million women die every year in world from complications during pregnancy and childbirth. About 99% of these women are from developing world with over 90% concentrated in Africa and Asia.3 . India contributes approximately 63,000 maternal deaths each year .National average of MMR is 212/100000 live births.(RGI 2007-2009) 4 So apart from social advantages, family planning also helps to preserve the health of women5 .
Conclusion
Sterilization rate among women came for delivery during study period was 6.3% . Out of these women who went for sterilization more than half were sterlized with LSCS. After hysterotomy and ectoic pregnancy women went for sterilization significantly more than normal delivery. Maximum sterilizations were done after 2nd para and more than 4th para. Preference of male child and education of female also found to be associated with acceptance of sterilization i.e. as the education increases the acceptance for sterilization also increases. Women either get their sterlization done after 2 child otherwise they went on waiting till 4th child or more for male child.