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Titre du Document
Poststerilization regret : Findings from the United States Collaborative Review of Sterilization
Auteur(s)
HILLIS S. D. ; MARCHBANKS P. A. ; TYLOR L. R. ; ...
Corporation(s) du ou des auteurs
U.S. Collaborative Review of Sterilization Working Group USA
Résumé
Objective: To evaluate the cumulative probability of regret after tubal sterilization, and to identify risk factors for regret that are identifiable before sterilization. Methods: We used a prospective, multicenter cohort study to evaluate the cumulative probability of regret within 14 years after tubal sterilization. Participants included 11,232 women aged 18-44 years who had tubal sterilizations between 1978 and 1987. Actuarial life tables and Cox proportional hazards models were used to identify those groups at greatest risk of experiencing regret. Results: The cumulative probability of expressing regret during a follow-up interview within 14 years after tubal sterilization was 20.3% for women aged 30 or younger at the time of sterilization and 5.9% for women over age 30 at sterilization (adjusted relative risk [RR] 1.9; 95% confidence interval [Cl] 1.6, 2.3). For the former group, the cumulative probability of regret was similar for women sterilized during the postpartum period (after cesarean, 20.3%, 95% Cl 14.5, 26.0; after vaginal delivery, 23.7%, 95% Cl 17.6, 29.8) and for women sterilized within 1 year after the birth of their youngest child (22.3%, 95% Cl 16.4, 28.2). For women aged 30 or younger at sterilization, the cumulative probability of regret decreased as time since the birth of the youngest child increased (2-3 years, 16.2%, 95% Cl 11.4, 21.0; 4-7 years, 11.3%, 95% Cl 7.8, 14.8; 8 or more years, 8.3%, 95% Cl 5.1, 11.4) and was lowest among women who had no
Editeur
Elsevier Science
Identifiant
PMID : 10362150 ISSN : 0029-7844 CODEN : OBGNAS
Source
Obstetrics and gynecology (New York. 1953) A. 1999, vol. 93, n° 6, pp. 889-895 [bibl. : 22 ref.]
Langue
Anglais
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