This paper is a comprehensive review of literature concerning the Kenyan experience with female sterilization through minilaparotomy under local anesthesia (ML/LA).
A composite picture from analysis of several studies that include some 12,000 clients since 1979 reveals an average Kenyan user to be 31-34 years old (SD 4.9) with 5.9-6.8 children (SD 1. 7-1.8).
In up to 96% of cases, the indication for choosing sterilization is personal socio-economic considerations.
The majority of clients (97% - 99%) report satisfaction with their choice of sterilization at the first follow-up visit, and 96-99% state that they would recommend the method to others.
The operation takes an average of 14 min (SD 4.5-5.3) « skin-to-skin » through a 2.5-2.8 cm cm incision (SD 0.5).
A mean of 18 cm3 of 1% lignocaine is used (SD 2. 7).
Most clients (76.4%) have no post-operative complaints ; those who do have any complaints report minor transitory problems.
Similarly, most clients (96%) have moderate, little, or no peri-operative pain, but 1.9% - 5% report much pain.
The intra-operative and early complication rate is 0.9%. Some 3.3% of clients suffer at least one complication, some multiple, and the complication rate at 6 weeks is 4.1%, with major complications occurring in 0.7% of cases, and minor complications in 3.4%. The crude failure rate is 0.4% in the first year and 0. (...)
Mots-clés Pascal : Stérilisation femelle, Laparotomie, Microchirurgie, Anesthésie locale, Homme, Femelle, Contrôle naissance, Kenya, Afrique, Epidémiologie, Synthèse bibliographique, Morbidité, Mortalité, Complication, Chirurgie
Mots-clés Pascal anglais : Female sterilization, Laparotomy, Microsurgery, Local anesthesia, Human, Female, Birth control, Kenya, Africa, Epidemiology, Bibliographic survey, Morbidity, Mortality, Complication, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0342077
Code Inist : 002B20A02. Création : 12/09/1997.