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Multilevel Perspectives on Female Sterilization in Low-Income Communities in Mumbai, India

机译：印度孟买低收入社区女性绝育的多层次观点

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摘要

Surgical sterilization is the primary method of contraception among low-income women in India. This article, using qualitative analysis of key informant, in-depth interviews, and quantitative analyses, examines the antecedents, process, and outcomes of sterilization for women in a low-income area in Mumbai, India. Family planning policies, socioeconomic factors, and gender roles constrain women's reproductive choices. Procedures for sterilization rarely follow protocol, particularly during pre-procedure counseling and consent. Women who choose sterilization often marry early, begin conceiving soon after marriage, and reach or exceed ideal family size early due to problems in accessing reversible contraceptives. Despite these constraints, this study indicates that from the perspective of women, the decision to undergo sterilization is empowering, as they have fulfilled their reproductive duties and can effectively exercise control over their fertility and sexuality. This empowerment results in little post-sterilization regret, improved emotional health, and improved sexual relationships following sterilization.
机译：手术绝育是印度低收入妇女避孕的主要方法。本文通过对关键信息提供者的定性分析，深入的访谈和定量分析，研究了印度孟买低收入地区妇女绝育的前因，过程和结果。计划生育政策，社会经济因素和性别角色限制了妇女的生殖选择。绝育程序很少遵循规程，尤其是在术前咨询和同意期间。选择绝育措施的妇女通常会提早结婚，结婚后不久就开始受孕，并且由于获得可逆避孕药的问题，会提早达到或超过理想的家庭规模。尽管存在这些限制，但这项研究表明，从妇女的角度出发，进行绝育的决定是有力的，因为她们已经履行了生殖职责并可以有效地控制自己的生育能力和性行为。这种授权导致很少的消毒后悔，改善了情绪健康，并改善了消毒后的性关系。

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