Critérios estabelecidos e obstáculos a realização da laqueadura tubária : revisão integrativa

Abstract

Introduction: Reproductive planning must ensure that individuals have access to the various reversible contraceptive methods and voluntary sterilization methods, as well as ensure clarification and information about them, in order to allow the right to free informed choice. However, it’s recognized that there is fault in access and distribution of reversible methods and in the implementation of irreversible methods, in which they find obstacles and controversial criterion for their effectiveness, mostly for tubal ligation. Objective: Analyze the scientific production on the criterion and obstacles for performing tubal ligation. Methodology: This is an integrative literature review, with a sample 15 productions obtained from the databases: CINAHL, LILACS e SCIELO, on October 2022. The descriptors were used: tubal. tubal ligation or tubal sterilization or voluntary female sterilization or compulsory sterilization and reproductive health or family planning or family planning service. Data were systematized in an Excel (headline, authors, year, periodical, goals, methodology and main results) and interpreted in empirical categories and compared to scientifically based studies. Results: It was verified the existence of laws that regulate the performance of tubal ligations and that conflict with adoption of their own criterion by professionals and services, mainly in relation to age and number of children, for “fear” that the woman will regret it. It also showed countless obstacles to guarantee the right to access the procedure, the most exposed being disrespect for laws. The research details and organizes the legal and illegitimate criterion for the authorization of tubal ligation. Irreverence to regulations becomes obstacles to women’s access to reproductive rights and freedom of choice over the irreversible contraceptive method. Conclusion: The study indicates the need for reflections on the neglect of reproductive rights and women’s autonomy, and encourages changes in reproductive planning practices, in order to obtain effective exercise of the criterion established by law, without interference from other convictions.