Attitudes to voluntary sterilization in Serbia: Women's and gynecologists' points of view

Abstract

Objectives The question if voluntary sterilization is accepted in Serbia has been imposed for research, regardless of the fact that this birth control method is neither accessible nor promoted.

Methods The attitudes of women who decided to terminate pregnancy and of gynecologists from various parts of Serbia were explored by specially designed anonymous questionnaires.

Results More than half of the surveyed women believe that voluntary sterilization should be available in Serbia and almost half would subject themselves to this surgical procedure. Younger women, respondents with secondary education, those who have the desired number of children, as well as those who have a good relationship with partner, who have experienced a large number of abortions, namely those who wish to use contraception, are more open to voluntary sterilization. The majority of gynecologists think that voluntary sterilization should become available in Serbia. Medical and eugenic reasons are, according to their opinion, the main indications for sterilization. The gynecologists lack current knowledge about this contraceptive method, and would not accept to use voluntary sterilization themselves.

Conclusions There is a need for voluntary sterilization as a contraceptive choice in Serbia. Relevant knowledge of women as well as gynecologists about voluntary sterilization should be improved.

Key words:

• Family planning
• Reproductive health
• Contraception
• Voluntary sterilization
• Attitudes
• Serbia