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腹腔鏡不姙術의 術後 結果調査

Effects of Laparoscopic Sterilization on the Health Conditions

공중보건잡지 1977년 14권 1호 p.85 ~ 92
김은현,
소속 상세정보
김은현 (  ) - 서울대학교 보건대학원

Abstract


This study was undertaken to investigate the effects of laparoscopic sterilization on the health conditions of the clients. The mailed questionnaire were returned with responses from 316 women among 1,118 women who had had laparoscopic sterilization at Ewha University Hospital from April, 1973 to the end of February, 1976.
These questionnaires and hospital records of the respondents were analysed in terms of general background, the motive of selection laparoscopic sterilization, the status changed following sterilization, and attitudes about it.
The findings from this study were summarized as follows:
1. As the initial sources of information on laparoscopic sterilization, 34.7 percent of the respondents mentioned their neighbors or friends who had been sterilized by this method. These neighbors or friends recommended the respondents to make a decision for selecting the laparoscopic sterilization as a birth control measure.
2. All of the respondents reported having had a discussion about the sterilization with their spouses and the discussion were initiated by wives themselves in 86.4 percent.
3. There were some time lag between the decision making and actual adoption of the sterilization. About 14.5 percent of the respondents delayed the actual adoption of the sterilization for more than 6 months after making decision in mind.
4. Among 316 respondents, 2 cases (0.6 percent) of pregnancy were occurred by incomplete fallotomy and 2.6 percent reported mild complications such as local infection, abdominal fullness and headache etc.
5. Normal sexual life was recovered within 1 month after the sterilization in about 80 percent. The frequency of coition was not changed in 48.1 percent and increased in 41.5 percent.
6. The changes after the sterilization in general health, body weight, sleeping, fatigue, digestion, appetite and the amount of menstrual flow were not found in the majority of the respondents.
7. The unfavorable changes after the sterilization in the affection between spouses and concern about their children were found in only 3.5 percent and 1.6 percent of the respondents, respectively.
The rest of them felt no change or favorable changes after the sterilization.
But more than 10 percent of the respondents reported to have a experience of regretting having had sterilization with various reasons.
8. More than 60 percent of the respondents and their husbands were satisfied with the sterilization and already 93.7 percent had recommended the laparcscopic sterilization to their friends or neighbors. And 81.7 percent responded that they would adopt laparoscopic sterilization again of they had not been sterilized. But about 8 percent answered that they wanted to be recovered fertility, if possible.

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