Family planning in Brazil: why not tubal sterilisation during childbirth?

J Med Ethics. 2013 Nov;39(11):710-2. doi: 10.1136/medethics-2012-101142. Epub 2013 Jan 29.

Abstract

Sterilisation is the most desired method of contraception worldwide. In 1996, the Brazilian Congress approved a family planning law that legitimised female and male sterilisation, but forbade sterilisation during childbirth. As a result of this law, procedures currently occur in a clandestine nature upon payment. Despite the law, sterilisations continue to be performed during caesarean sections. The permanence of the method is an important consideration; therefore, information about other methods must be made available. Tubal sterilisation must not be the only choice. We argue that review of this restriction will not contribute to the increase in caesarean sections but will allow for greater sterilisation choice for men and women.

Keywords: Autonomy; Availability of Contraceptives to Minors; Behaviour Modification; Family.

MeSH terms

  • Brazil
  • Cesarean Section / methods
  • Choice Behavior*
  • Family Planning Services / ethics*
  • Female
  • Humans
  • Male
  • Pregnancy
  • Sterilization, Tubal / ethics*
  • Sterilization, Tubal / legislation & jurisprudence
  • Sterilization, Tubal / methods*