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Study of biosocial factors affecting laparoscopic tubal ligation in rural Maharashtra, India

Swati N. Nagapurkar, Anjanadevi S. Santpure, Purushottam A. Giri, Prasad L. Bhanap.

Abstract
Background: As compared to vasectomy, Indian women prefer female sterilization as the best mode sterilization. Many socio-demographic factors and gender of living children affects women in deciding laparoscopic tubal ligation.
Objective of the study was to assess the biosocial factors affecting of laparoscopic tubal ligation patients in rural area and also to asses average family size and preference for male child before laparoscopic tubal ligation.
Methods: A cross-sectional study was done during January to June 2016 in Indian Institute of Medical Science and Research medical College, Badnapur, Jalna, Maharashtra. A total of 549 patients from rural area, underwent laparoscopic tubal ligation were enrolled for the study. Data was analyzed by using percentage and proportion whenever necessary.
Results: In this study, mean age of patients undergoing tubal ligation was 26.37±3.82 year. Maximum patients were from 25-29 years age group and among them 45.54% were illiterates. Average family size was 2.61±0.66. In 51.73% cases, couple themselves motivated for their sterilization. Education of both participant and their husband was significantly related to the total no. of living children. Only 9 patients under went tubal ligation with only 1 male child, while all other couples had at least one male child in the family.
Conclusions: The study reveals that all couple had at least one male child. Education of both participant and their husband was an important factor in deciding the size of family.

Key words: Biosocial factors, Laparoscopic tubal ligation, Rural India


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