Factors associated with postpartum and interval female sterilization at Ramathibodi Hospital

Abstract

The objectives of this analytical observational research were to study the characteristics of women who underwent postpartum and interval female sterilization and the trend of female sterilization at Ramathiboidi hospital. Data was collected from the records of women who underwent sterilization at Ramathiboidi hospital. There were a total of 734 women, 635 who were sterilized during postpartum period and 99 who were sterilized when they were not pregnant nor after delivery (interval sterilization). The descriptive statistics used in this study were frequency, percentage, mean and standard deviation. Student t - test was used for hypothesis testing of association. The results of the study showed that the characteristic of women, who underwent postpartum and interval sterilization were different. There was statistically significant association (p < 0.05) with the age of women , the number of parities, number of living children , number of daughters , and medical diseases. Women of postpartum sterilization were lower in age and history of medical diseases but higher in number of parities, number of living children , number of daughters. Duration of operation was significantly less in cases of postpartum sterilization than in interval sterilization. The number of postpartum sterilizations were rather stable during the years of study. On the contrary, number of interval sterilizations decreased during the past 3 years due to changes in policy of the Department of Obstetric -Gynecology. In conclusion, different characteristics of women who underwent postpartum and interval sterilization indicate factors involved in decision making. Thus promotion of female sterilization should be done whenever possible to women who have enough children. Policy of female sterilization should also be stable with continuity.;"การวิจัยครั้งนี้เป็นการวิจัยแบบสังเกตเชิงวิเคราะห์ โดยมีวัตถุประสงค์ เพื่อศึกษาลักษณะ ทั่วไปของสตรีที่ทำหมันหลังคลอด สตรีทำหมันแห้ง และแนวโน้มของการทำหมันหญิงโดยศึกษา จากแบบบันทึกข้อมูลของผู้มารับบริการทำหมันหลังคลอด และทำหมันแห้ง จำนวนกลุ่มตัวอย่าง ทั้งสิ้น 734 ราย โดยเป็นสตรีที่ทำหมันหลังคลอดจำนวน 635 รายแ"