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Psychosocial implications of tubal ligation in a rural health district: A phenomenological study

Identifieur interne : 001547 ( Ncbi/Checkpoint ); précédent : 001546; suivant : 001548

Psychosocial implications of tubal ligation in a rural health district: A phenomenological study

Auteurs : Prosper M. Lutala ; Jannie F. Hugo [Afrique du Sud] ; Levi N. Luhiriri

Source :

Reproductive Health [ 1742-4755 ] ; 2011.

RBID : PMC:3269980

Abstract

Background

Tubal ligation is the most popular family planning method worldwide. While its benefits, such as effectiveness in protecting against pregnancies, minimal need for long-term follow-up and low side-effects profile are well documented, it has many reported complications. However, to date, these complications have not been described by residents in Congo. Therefore, the study aimed at exploring the experience of women who had undergone tubal ligation, focusing on perceptions of physical, psychological and contextual experiences of participants.

Methods

This qualitative study used a semi-structured questionnaire in a phenomenological paradigm to collect data. Fifteen participants were purposefully selected among sterilized women who had a ligation procedure performed, were aged between 30 and 40 years, and were living within the catchment area of the district hospital. Data were collected by two registered nurses, tape-recorded, and transcribed verbatim. Reading and re-reading cut and paste techniques, and integration were used to establish codes, categories, themes, and description.

Results

Diverse and sometimes opposite changes in somatic symptoms, psychological symptoms, productivity, ecological relationships, doctor-client relationships, ethical issues, and change of life style were the major problem domains.

Conclusions

Clients reported conflicting experiences in several areas of their lives after tubal sterilization. Management, including awareness of the particular features of the client, is needed to decrease the likelihood of psychosocial morbidity and/or to select clients in need of sterilization.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3269980

DOI: 10.1186/1742-4755-8-38
PubMed: 22176816
PubMed Central: 3269980

Affiliations:

Afrique du Sud

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PMC:3269980

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<affiliation><nlm:aff id="I1">Department of Family Médecine, Université de Goma, Goma, 2 Avenue Himbi, Congo P.O. Box 204 Goma, Congo</nlm:aff>
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<author><name sortKey="Hugo, Jannie F" sort="Hugo, Jannie F" uniqKey="Hugo J" first="Jannie F" last="Hugo">Jannie F. Hugo</name>
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<p>Tubal ligation is the most popular family planning method worldwide. While its benefits, such as effectiveness in protecting against pregnancies, minimal need for long-term follow-up and low side-effects profile are well documented, it has many reported complications. However, to date, these complications have not been described by residents in Congo. Therefore, the study aimed at exploring the experience of women who had undergone tubal ligation, focusing on perceptions of physical, psychological and contextual experiences of participants.</p>
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<p>This qualitative study used a semi-structured questionnaire in a phenomenological paradigm to collect data. Fifteen participants were purposefully selected among sterilized women who had a ligation procedure performed, were aged between 30 and 40 years, and were living within the catchment area of the district hospital. Data were collected by two registered nurses, tape-recorded, and transcribed verbatim. Reading and re-reading cut and paste techniques, and integration were used to establish codes, categories, themes, and description.</p>
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<p>Diverse and sometimes opposite changes in somatic symptoms, psychological symptoms, productivity, ecological relationships, doctor-client relationships, ethical issues, and change of life style were the major problem domains.</p>
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<p>Clients reported conflicting experiences in several areas of their lives after tubal sterilization. Management, including awareness of the particular features of the client, is needed to decrease the likelihood of psychosocial morbidity and/or to select clients in need of sterilization.</p>
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	Le SIDA en Afrique subsaharienne (serveur d'exploration)
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Psychosocial implications of tubal ligation in a rural health district: A phenomenological study

Psychosocial implications of tubal ligation in a rural health district: A phenomenological study

Source :

Abstract

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