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Número ideal de filhos e arrependimento pós-laqueadura Ideal number of children and regret after tubal ligation in a cohort of women

By Luiz Eduardo Campos de Carvalho, José Guilherme Cecatti, Maria José Duarte Osis and Maria Helena de Sousa

Abstract

OBJETIVOS: Avaliar a correlação entre o número ideal de filhos (NIF) e o arrependimento pós-laqueadura. MÉTODOS: Foi realizado um estudo de caso-controle aninhado a uma coorte. De um total de 3878 mulheres entrevistadas na coorte, 1012 estavam laqueadas no momento da entrevista do estudo original e constituíram a amostra deste estudo. Consideraram-se como arrependidas e se constituíram nos casos as mulheres que referiram que, nas mesmas circunstâncias, não voltariam a fazer a laqueadura (103 - 10,8%). O NIF foi categorizado de acordo com sua relação com o número de filhos vivos (NV): NIF > NV e NIF < NV. Calculou-se a proporção de mulheres arrependidas e estimou-se o risco de arrependimento conforme a relação NIF/NV por meio de odds ratio com os respectivos intervalos de confiança (IC) de 95%. Posteriormente, estratificou-se a análise pelas variáveis de controle. Realizaram-se dois modelos de regressão logística múltipla para identificar os possíveis fatores de risco para o arrependimento pós-laqueadura entre as mulheres com NIF > NV. RESULTADOS: Evidenciaram-se como fatores de risco independentes para o arrependimento pós-laqueadura o NIF > NV (OR 12,7), fazer a laqueadura com a intenção de esperar um tempo para ter mais filhos (OR 8,0) e ter tido mais de dois partos (OR 2,4). CONCLUSÃO: Os dados do presente artigo sugerem que a avaliação prévia do NIF poderia auxiliar na identificação de um grupo de mulheres com maior risco para o arrependimento pós-laqueadura.<br>OBJECTIVES: The purpose of this paper was to evaluate the relationship between the ideal number of children (INC) and post tubal ligation regret. METHODS: A nested case-control study was carried out with a total of 3878 women interviewed. Of these 1012 had been surgically sterilized at the time of the interview of the original study and as such comprise the sample of this study. These are constituted by women who stated that they would not undergo tubal ligation again and who regretted the procedure (103 - 10.8%) if they were to face the same circumstances. The Ideal Number of Children INC- was divided into two groups according to the relationship with the number of live births (LB): INC > LB and INC < LB. The proportion of women who regretted was calculated and the risk of regret estimated according to the relation INC/LB by means of Odds Ratios with the respective 95% confidence interval. Then the analysis was stratified according to control variables. Two multiple logistic regression models were developed in order to identify the independent risk factors associated with regret among women with INC>LB. RESULTS: The independent risk factors identified for post tubal ligation regret are INC > LB (OR=12.7), for performance of tubal ligation with the intention of just waiting some time before having more children (OR=8.0) and for having had more than two deliveries at the time of sterilization (OR=2.,4). CONCLUSION: Results suggest that a previous evaluation of the INC could help identify women with a higher risk for post ligation regret

Topics: Número ideal de filhos, Arrependimento pós-laqueadura, Planejamento familiar, Ideal Number of Children, Surgical sterilization regret, Family planning, Medicine (General), R5-920, Medicine, R, DOAJ:Medicine (General), DOAJ:Health Sciences
Publisher: Associação Médica Brasileira
Year: 2006
DOI identifier: 10.1590/S0104-42302006000500013
OAI identifier: oai:doaj.org/article:fb823e6d5ce6416c8ca9da3e93aacb5f
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