Risk factors for strong regret and subsequent IVF request after tubal sterilisation

A case control study was done to examine presterilisation characteristics most consistently associated with strong poststerilisation regret and subsequent request for IVF. The case group was made up of 97 previously sterilised women evaluated for IVF treatment at the Fertility Clinic or Royal North Shore Hospital in Sydney during the period 1980-1992. A Control group of 101 women apparently satisfied with their tuballigation was found from the medical records of one gynaecologist at Royal North Shore Hospital. Of the characteristics that could be objectively determined preoperatively only age, number of living children, timing of sterilisation and marital status were significantly associated with IVF request in the univariate analysis. These characteristics were, then, examined multivariately by means of logistic regression. Age at the time of sterilisation had the most pronounced effect on strong regret. Women who were younger than 30 years old at the time of sterilisation had up to 8.7 times the risk of request for IVF treatment as women 30 to 34 years old. A concurrent caesarean section was associated with a threefold risk relative to an interval procedure, but there was no significant effect associated with sterilisation performed after vaginal delivery or abortion. A strong protective effect (OR=0.07) was found for women with more than 2 children compared to childless women. There was no longer a significant effect of marital status in the multivariate analysis. Other factors not significantly associated with the request for IVF included history of abortion, education, race, the principal method of contraception used before sterilisation, and medical indications for sterilisation. The overwhelming reasons stated by women for requesting IVF were change in marital status, either remarriage or the establishment of a new de facto relationship, and the desire to have a child with the new partner

Risk factors for strong regret and subsequent IVF request after tubal sterilisation

A case control study was done to examine presterilisation characteristics most consistently associated with strong poststerilisation regret and subsequent request for IVF. The case group was made up of 97 previously sterilised women evaluated for IVF treatment at the Fertility Clinic or Royal North Shore Hospital in Sydney during the period 1980-1992. A Control group of 101 women apparently satisfied with their tuballigation was found from the medical records of one gynaecologist at Royal North Shore Hospital. Of the characteristics that could be objectively determined preoperatively only age, number of living children, timing of sterilisation and marital status were significantly associated with IVF request in the univariate analysis. These characteristics were, then, examined multivariately by means of logistic regression. Age at the time of sterilisation had the most pronounced effect on strong regret. Women who were younger than 30 years old at the time of sterilisation had up to 8.7 times the risk of request for IVF treatment as women 30 to 34 years old. A concurrent caesarean section was associated with a threefold risk relative to an interval procedure, but there was no significant effect associated with sterilisation performed after vaginal delivery or abortion. A strong protective effect (OR=0.07) was found for women with more than 2 children compared to childless women. There was no longer a significant effect of marital status in the multivariate analysis. Other factors not significantly associated with the request for IVF included history of abortion, education, race, the principal method of contraception used before sterilisation, and medical indications for sterilisation. The overwhelming reasons stated by women for requesting IVF were change in marital status, either remarriage or the establishment of a new de facto relationship, and the desire to have a child with the new partner

The concept and range of charitable institutions up to World War I

The so-called Charitable Institutions of Malta and Gozo were organizations devoted to relieving the poor financially; providing them with food and shelter; nursing and treating them when sick either in their own homes or in hospitals; providing care for the aged and the mentally ill and assisting the helpless in any other way such as protecting unwanted babies and orphans and ransoming slaves. In practice all these activities took the form of three services: 1. Hospital Services 2. District Medical Service 3. Social Welfare.peer-reviewe

Understanding Afghan healthcare providers: a qualitative study of the culture of care in a Kabul maternity hospital.

To analyse the culture of a Kabul maternity hospital to understand the perspectives of healthcare providers on their roles, experiences, values and motivations and the impact of these determinants on the care of perinatal women and their babies

Focal Spot, Summer/Fall 2005

https://digitalcommons.wustl.edu/focal_spot_archives/1100/thumbnail.jp

Focal Spot, Summer/Fall 2005

https://digitalcommons.wustl.edu/focal_spot_archives/1100/thumbnail.jp