Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
1994-3-29
|
pubmed:abstractText |
Female sterilization is the most effective contraception and has a very high demographic effectiveness. In the past, there have been developments in technological aspects. At present, the minilaparotomy and laparoscopic sterilization have been well developed and widely used, but the number of new acceptors is declining, and there is still a large number of unmet demands. Social action rather than technological action is needed. In the future, steps to increase the number of acceptors, are, proper management of the sterilization services, including adequate monitoring and a good surveillance system.
|
pubmed:keyword |
http://linkedlifedata.com/resource/pubmed/keyword/Acceptors,
http://linkedlifedata.com/resource/pubmed/keyword/Acceptors, New,
http://linkedlifedata.com/resource/pubmed/keyword/Age Factors,
http://linkedlifedata.com/resource/pubmed/keyword/Asia,
http://linkedlifedata.com/resource/pubmed/keyword/Demographic Factors,
http://linkedlifedata.com/resource/pubmed/keyword/Developing Countries,
http://linkedlifedata.com/resource/pubmed/keyword/Family Planning,
http://linkedlifedata.com/resource/pubmed/keyword/Family Planning Programs,
http://linkedlifedata.com/resource/pubmed/keyword/Female Sterilization,
http://linkedlifedata.com/resource/pubmed/keyword/Fertility,
http://linkedlifedata.com/resource/pubmed/keyword/Fertility Measurements,
http://linkedlifedata.com/resource/pubmed/keyword/Measurement,
http://linkedlifedata.com/resource/pubmed/keyword/Parity,
http://linkedlifedata.com/resource/pubmed/keyword/Population,
http://linkedlifedata.com/resource/pubmed/keyword/Population Characteristics,
http://linkedlifedata.com/resource/pubmed/keyword/Population Dynamics,
http://linkedlifedata.com/resource/pubmed/keyword/Pregnancy, Unwanted,
http://linkedlifedata.com/resource/pubmed/keyword/Prevalence,
http://linkedlifedata.com/resource/pubmed/keyword/Reproductive Behavior,
http://linkedlifedata.com/resource/pubmed/keyword/Research Methodology,
http://linkedlifedata.com/resource/pubmed/keyword/Southeastern Asia,
http://linkedlifedata.com/resource/pubmed/keyword/Sterilization, Sexual,
http://linkedlifedata.com/resource/pubmed/keyword/THAILAND,
http://linkedlifedata.com/resource/pubmed/keyword/Time Factors
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:status |
MEDLINE
|
pubmed:month |
Jan
|
pubmed:issn |
0125-2208
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
76 Suppl 1
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
2-10
|
pubmed:dateRevised |
2004-11-17
|
pubmed:otherAbstract |
PIP: In Thailand, female sterilization is a popular method of contraception. The practice has been performed since 1934. Gynecological sterilization was based on the Stevenson technique using proctoscopic procedure beginning in 1970. In 1972, the procedure was performed with anesthesia on an outpatient basis; sterilization was promoted at this time. Minilaparotomy was initiated in 1973 with the use of new instruments, the "Ramathibodi uterine elevator and the Ramathibodi tubal hook." Training procedures for minilaparotomy and with laparoscopy were provided for provincial hospital physicians since 1973. The JHPIEGO program established the training in laparoscopic technique in 1974. The Chula-scope was developed in 1976 for use in proctoscopic sterilization protocols and postpartum sterilization. Female and male sterilization cases numbered 17,400 during 1968-71; the number of female acceptors peaked during 1984 at 164,511 cases, and declined to 134,303 cases in 1990. Hospitals preferred postpartum procedures. The current postpartum procedure is the Pomeroy method. Interval sterilization between 1974 and 1984 was estimated at 21.7% for the nation and 26.8% for Bangkok. Ramathibodi Hospital averaged 57.6% of interval sterilizations between 1969 and 1986. The average age of vasectomy acceptors was 33-34 years after 1974; the average age of female sterilization acceptors declined to 28-29 years in 1989 from 30 years in 1973. Female sterilization acceptors averaged 2.6 children in 1990, which was a decline from 4.2 children in 1973. Failure rates ranged from 0 to 0.4/100 women nationally; the rate was 0.1/100 women at Ramathibodi Hospital. An estimated 1.85 births were averted in 1980 due to female sterilization compared to 0.81 for IUDs and 0.21 for oral contraceptives in 1974. The proportion of sterilization acceptors increased over time from 19% in 1975 to 33-36% in 1984-87. In 1987, about 1,907,000 women wanted no more children, but were not currently using any contraception.
|
pubmed:meshHeading | |
pubmed:year |
1993
|
pubmed:articleTitle |
Female sterilization in Thailand: past, present and future.
|
pubmed:affiliation |
Department of Obstetrics & Gynaecology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
|
pubmed:publicationType |
Journal Article
|