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Mental health and female sterilization: a follow-up

Published online by Cambridge University Press:  31 July 2008

Summary

In a WHO-co-ordinated prospective multi-centre study in Agra and Chandigarh (India), Cali (Colombia), Ibadan (Nigeria), Manila (Philippines) and Nottingham (UK), 926 women undergoing elective sterilization for fertility control and 924 controls using other methods of contraception, were examined before the operation and at entry into the study, respectively. Of the initial sample, 81·6% were re-examined at a 6-month follow-up and 77·4% at a 12-month follow-up. At initial examination, the prevalence of clinically significant emotional disorder ranged from 1·6% to 14·6% in four of the six centres; it was higher in Cali (25·5%) and nil in Ibadan. In all centres except Agra, women applying for sterilization had a somewhat higher rate of mental health problems than control subjects at initial examination. At the 6-month follow-up, the prevalence was within the range 1·6–15·4% for the sterilization group and 0–14·5% for the control group in all centres except Cali which continued to have a higher rate. At the 12-month follow-up the prevalence of mental ill-health ranged from 0% in Manila to 29·2% in Chandigarh; if the latter centre were removed, the range would be 0–13·6%. There were no significant differences in the frequency of mental ill-health between sterilization cases and control subjects in any of the centres. Further, there were no significant differences in the prevalence of mental ill-health in relation to the timing of sterilization, i.e. interval, post-partum or post-abortion. Chandigarh was the only centre which showed a consistent increase of the rates of psychological disorder over time; in all other centres the rates showed some fluctuations but no clear tendency either to increase or decrease. The data do not support a notion of a significant impact of sterilization on mental health of women.

Type
Research Article
Copyright
Copyright © 1985, Cambridge University Press

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References

Cooper, P., Gath, D., Rose, N. & Fieldsend, R. (1982) Psychological sequelae to elective sterilization: a prospective study. Br. med. J. 1, 461.CrossRefGoogle Scholar
Khorana, A.B. & Vyas, A.A. (1975) Psychological complications in women undergoing voluntary sterilization by salpingectomy. Br. J. Psychiat. 127, 67.CrossRefGoogle ScholarPubMed
Schwyhart, W.R. & Kutner, S.J. (1973) A re-analysis of female reactions to contraceptive sterilization. J. nerv. merit. Dis. 156, 354.CrossRefGoogle Scholar
Smith, A.H.W. (1979) Psychiatric aspects of sterilization: a prospective study. Br. J. Psychiat. 135, 304.CrossRefGoogle Scholar
Wig, N.N., Gupta, A.N., Khatri, R. & Verma, S.K. (1977) A prospective study of psychiatric and menstrual disturbances following tubal ligation. Ind. J. med. Res. 66, 581.Google ScholarPubMed
Wing, J.K. (1976) A technique for studying psychiatric morbidity in in-patient and out-patient series and in general population samples. Psychol. Med. 6, 665.CrossRefGoogle ScholarPubMed
Wing, J.K.Cooper, J.E. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms. Cambridge University Press, Cambridge.Google Scholar
World Health Organization (1984) Mental health and female sterilization. Report of a WHO collaborative prospective study. J. biosoc. Sci. 16, 1.CrossRefGoogle Scholar