Volume 13, Issue 4 (10-2023)                   PCNM 2023, 13(4): 1-12 | Back to browse issues page

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jahanian Sadatmahalleh S, Youseflu S, Ziaie S, Mousavi S S. Negative experiences of Iranian women underwent tubal ligation: A qualitative study. PCNM 2023; 13 (4) :1-12
URL: http://nmcjournal.zums.ac.ir/article-1-879-en.html
Department of Midwifery and Reproductive Health, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran , ziaei_sa@modares.ac.ir
Abstract:   (1092 Views)
Background: Tubal ligation (TL) with more than 99% effectiveness considered an irreversible contraceptive method among many couples.
Objectives: This study was conducted to identify the challenges and problems of women after tubal ligation (TL) and its physical, psychosocial and familial consequences of this method with a qualitative study.
Methods: This descriptive qualitative study was conducted on 14 sterilized women between the ages of 25 and 40 from March to October 2017 in Rasht, Iran. The participants were selected with a purposeful method. Semi-structured interviews were used to collect data. Qualitative data were analyzed using conventional content analysis.
Results: The experiences of sterilized women were classified into six main themes: dissatisfaction with sexual and marital life, regret, feelings of resentment and physical-emotional damage, menstrual disorder, feelings of low self-esteem and changes in female identity, disruption of social interactions.
Conclusion: Sterilized women experienced a wide range of physical, familial, sexual, and social problems after TL. Therefore, it is necessary to provide effective counseling regarding the positive and negative complications of this method when proposing sterilization.

 
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Type of Study: Orginal research | Subject: Midwifery
Received: 2023/06/9 | Accepted: 2023/10/2 | Published: 2023/10/2

References
1. 1. Nations U. Contraceptive Use by Method 2019: United Nations; 2019.
2. Bahat PY, Özgör BY, Turan G, Selçuki NFT, Nazlıkul H. The Effect of Neural Therapy on Long-Term Postoperative Discomforts after Bilateral Tubal Ligation. Complementary medicine research.1-5. Doi: https://doi.org/10.1159/000507108 [Crossref]
3. Williams EL, Jones HE, Merrill RE. The subsequent course of patients sterilized by tubal ligation: a consideration of hysterectomy for sterilization. American journal of obstetrics and gynecology. 1951;61(2):423-6. Doi: https://doi.org/10.1016/0002-9378(51)90262-1 [Crossref]
4. Kelekçi S, Erdemoglu E, Kutluk S, Yılmaz B, Savan K. Risk factors for tubal ligation: regret and psychological effects impact of Beck Depression Inventory. Contraception. 2005;71(6):417-20. Doi: https://doi.org/10.1016/j.contraception.2004.12.020 [Crossref]
5. Youseflu S, Jahanian Sadatmahalleh S. Psycho-sexual influence of sterilization on women's quality of life: a path model. Health and Quality of Life Outcomes. 2021;19(1):89. Doi: https://doi.org/10.1186/s12955-021-01733-9 [Crossref]
6. Sadatmahalleh SJ, Ziaei S, Kazemnejad A, Mohamadi E. Evaluation of sexual function and quality of life in Iranian women with tubal ligation: a historical cohort study. International journal of impotence research. 2015;27(5):173-7. Doi: https://doi.org/10.1038/ijir.2015.11 [Crossref]
7. Vaismoradi M, Snelgrove S, editors. Theme in qualitative content analysis and thematic analysis. Forum Qualitative Sozialforschung/Forum: Qualitative Social Research; 2019. DOI: [Crossref]
8. Neuendorf KA, Kumar A. Content analysis. The international encyclopedia of political communication. 2015:1-10. DOI: https://doi.org/10.47191/ijmscrs/v3-i1-24 [Crossref]
9. Lincoln YS, Guba EG. But is it rigorous? Trustworthiness and authenticity in naturalistic evaluation. New directions for program evaluation. 1986;1986(30):73-84. Doi: https://doi.org/10.1002/ev.1427 [Crossref]
10. Taşkömür AT, Erten Ö. The effect of tubal ligation surgery during cesarean operation on dysmenorrhoea, dyspareunia and menstrual cycle. Journal of Gynecology Obstetrics and Human Reproduction. 2021;50(6):102054. Doi: https://doi.org/10.1016/j.jogoh.2020.102054 [Crossref]
11. Shy KK, Stergachis A, Grothaus LG, Wagner EH, Hecht J, Anderson G. Tubal sterilization and risk of subsequent hospital admission for menstrual disorders. American journal of obstetrics and gynecology. 1992;166(6):1698-706. Doi: https://doi.org/10.1016/0002-9378(92)91559-S [Crossref]
12. Kalra R, Phadnis S, Joshi A. Perceptual analysis of women on tubectomy and other family planning services: a qualitative study. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2015;4(1):94-9. DOI: 10.5455/2320-1770.ijrcog20150218. [Crossref]
13. Lutala PM, Hugo JF, Luhiriri LN. Psychosocial implications of tubal ligation in a rural health district: A phenomenological study. Reproductive Health. 2011;8(1):38. Doi: [Crossref]
14. Becner A, Turkanović AB, But I. Regret following female sterilization in Slovenia. International Journal of Gynecology & Obstetrics. 2015;130(1):45-8. Doi: https://doi.org/10.1016/j.ijgo.2015.02.024 [Crossref]
15. Schlaff WD. Restoring fertility after tubal ligation in women 40 years of age and older: How do we counsel our patients? Fertility and sterility. 2020;113(4):733-4. DOI: https://doi.org/10.1016/j.fertnstert.2020.01.040 [Crossref]
16. DÖNMEZ S, GÜÜMÜŞSOY S, KOÇAK SH. Views of Turkish and Syrian refugee women who are from two different cultures on tubal ligation. Ankara Medical Journal. 2020;20(2):298-314. [Crossref]
17. Kunkeri SP, Rao TS, Andrade C. Study of sexual functioning and disorder in women before and after tubal sterilization (tubectomy). Indian journal of psychiatry. 2017;59(1):63. doi: 10.4103/0019-5545.204433 [Crossref]
18. Hentschel H, Alberton DL, Sawdy RJ, Capp E, Goldim JR, Passos EP. Sexual function in women from infertile couples and in women seeking surgical sterilization. Journal of sex & marital therapy. 2008;34(2):107-14. Doi: [Crossref]
19. Li RH, Lo SS, Teh DK, Tong N-C, Tsui MH, Cheung K-B, et al. Impact of common contraceptive methods on quality of life and sexual function in Hong Kong Chinese women. Contraception. 2004;70(6):474-82. Doi: https://doi.org/10.1016/j.contraception.2004.06.010 [Crossref]
20. Costello C, Hillis SD, Marchbanks PA, Jamieson DJ, Peterson HB, Group UCRoSW. The effect of interval tubal sterilization on sexual interest and pleasure. Obstetrics & Gynecology. 2002;100(3):511-7. Doi: https://doi.org/10.1016/S0029-7844(02)02042-2 [Crossref]
21. Indrayani DM, Tjandra O, Judistiani TD, editors. Comparison of quality of life between tubectomised and non-tubectomised women in district of Kiarapedes Purwakarta Regency. Australian Nursing and Midwifery Conference.
22. Alyahya MS, Hijazi HH, Alshraideh HA, Al-Sheyab NA, Alomari D, Malkawi S, et al. Do modern family planning methods impact women's quality of life? Jordanian women's perspective. Health and quality of life outcomes. 2019;17(1):1-16. Doi: https://doi.org/10.1186/s12955-019-1226-6 [Crossref]
23. Miller WB, Shain RN, Pasta DJ. The Nature and Dynamics of Post‐Sterilization Regret in Married Women 1. Journal of Applied Social Psychology. 1990 Apr;20(6):506-30. Doi: https://doi.org/10.1111/j.1559-1816.1990.tb00425.x [Crossref]
24. Bertrand JT, Kashwantale C, Balowa D, Baughman NC, Chirwisa C. Social and psychological aspects of tubal ligation in Zaire: a follow-up study of acceptors. International Family Planning Perspectives. 1991 Sep 1:100-7. Doi: https://doi.org/10.2307/2133294 [Crossref]

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