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Psychiatric Aspects of Sterilization: A Prospective Survey

Published online by Cambridge University Press:  29 January 2018

Anne H. W. Smith*
Affiliation:
University Department of Psychiatry, Ninewells Hospital and Medical School, Dundee

Summary

Patients consecutively referred for sterilization were examined at the time of referral, two months and one year after operation.

Twenty-five per cent of the sample were identified as psychiatric cases at the time of referral, and rates of disturbance were even higher in some subgroups of women. The rate of disturbance fell in all these groups by one year after operation.

New psychiatric disturbance following sterilization was similar in amount to that found in the community and was not related to any groups of women said in the literature to be at risk apart from those divorced or separated at the time of referral.

Many experienced improvement in their marital and sexual relationships and only 3 per cent expressed feelings of regret.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1979 

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References

Adams, T. W. (1964) Female sterilization. American Journal of Obstetrics and Gynaecology, 89, 395401.Google Scholar
Barglow, P. (1964) Pseudocyesis and psychiatric sequelae of Sterilization. Archives of General Psychiatry, 11, 571–80.Google Scholar
Barnes, A. C. & Zusman, F. P. (1958) Surgical sterilization. American Journal of Obstetrics and Gynaecology, 75, 6571.Google Scholar
Black, W. P. & Sclare, A. B. (1968) Sterilization by tubal ligation—a follow-up study. Journal of Obstetrics and Gynaecology of the British Commonwealth, 75, 219–24.Google Scholar
Ekblad, M. (1961) The prognosis after sterilization on social-psychiatric grounds. A follow-up study of 225 women. Acta Psychiatrica Scandinavica, Suppl. 161, Vol. 37.Google Scholar
Goldberg, D. P. (1972) The Detection of Psychiatric Illness by Questionnaire. Maudsley Monograph No, 21. London: Oxford University Press.Google Scholar
Goldberg, D. P., Kay, C. & Thompson, L. (1976) Psychiatric morbidity in general practice and the community. Psychological Medicine, 6, 565–9.Google Scholar
Goldberg, D. P., Cooper, B., Eastwood, M. R., Kedward, H. B. & Shepherd, M. (1970) A standardized psychiatric interview suitable for use in community surveys. British Journal of Preventive and Social Medicine, 24, 1823.Google Scholar
Mathis, J. L. (1969) The emotional impact of surgical sterilization of the female. Journal of the Oklahoma State Medical Society, 62, 141–5.Google Scholar
Norris, A. S. (1964) An examination of the effects of tubal ligation. Their implications for prediction. American Journal of Obstetrics and Gynaecology, 90, 431–6.Google Scholar
Panigua, M. E., Tayback, M., Janer, J. L. & Vazquez, J. P. (1964) Medical and psychological sequelae of surgical sterilization of women. American Journal of Obstetrics and Gynaecology, 90, 421–30.Google Scholar
Parker, J. B. (1967) Psychiatric aspects of sterilization. International Psychiatric Clinic, 4, 105–13.Google ScholarPubMed
Schwyhart, W. R. & Kutner, S. J. (1973) A reanalysis of female reactions to contraceptive sterilization. Journal of Nervous and Mental Disease, 156, 5, 354–70.Google Scholar
Sim, M., Emens, J. M. & Jordan, J. A. (1973) Psychiatric aspects of female sterilization. British Medical Journal, iii, 220–2.Google Scholar
Winston, M. L. (1977) Why 103 women asked for reversal of sterilization. British Medical Journal, ii, 305–7.Google Scholar
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