Trends of Sterilisation Amongst Rural Women

Aim: To analyse trends of tubal sterilisations performed over a period of 30 years at the rural institute of eastern Maharashtra, in relation to age, parity or abortion. To analyse the change in the trend, if any and suggest any plan of action if necessary.

Methods: At our institute, women presenting for birth or abortion with previous one or more live children are advised and offered sterilisation. Records of women who had undergone sterilisation were analysed.

Results: The percentage of sterilisation in relation to over all births has decreased. It was 16.55% between 2002 - 2007 compared to 32.12% between 1977 - 1982. Proportion of sterilisation with caesarean section (C.S) has increased from 14.28% between 1977 - 1982 to 49.38% between 2002 - 2007. The rural urban ratio between 1977-1982 was 62:38 and between 2002 - 2007 also it was 62:38. Proportion of cases of less than 25 yrs of age has risen from 19.06% to 30.01% (p value < 0.005). Proportion of women undergoing sterilisation after 2 children has increased from 30% to 50% (p value < 0.05).

Summary and Conclusion: Positive sign is women with lower parity are getting sterilised at younger age. Cases of sterilisation along with Caesarean Section have increased and cases with abortions have decreased.