Published: 2020-03-25

Perception and acceptability of bilateral tubal ligation among women attending antenatal clinic at Usmanu Danfodiyo university teaching hospital Sokoto

Ahmed Yakubu, Tukur Dabo Sagir, Abubakar Panti, Garba Jamila A., Isah Usman Mani, Anas Rabiu Funtua, Aliyu Muhammed Chappa, Mbakwe Markus


Background: Contraception can be defined as all temporary or permanent measures designed to prevent pregnancy. Bilateral tubal ligation is a surgical and permanent form of contraception offered to women who completed their family size or for limitation of family size due to medical condition. The practices of bilateral tubal ligation is limited in Sub-Saharan African countries, Nigeria inclusive because of great desire for a large family size, cultural and religious factors, misunderstanding and fear of the procedure. The aim of the study was to determine the perception and acceptability of bilateral tubal ligation as a form of contraception among women attending Antenatal clinic at Usmanu Danfodiyo University Teaching Hospital Sokoto.

Methods: This was a cross sectional study conducted among women attending antenatal clinic between 1st of May to 31st of July, 2018. The information was obtained using a structured questionnaire to obtain the respondent’s socio-demographic characteristics, questions on perception and acceptability of bilateral tubal ligation. Data analysis was done with statistical package for social sciences version 22 (SPSS Inc, Chicago, IL, USA).

Results: The study revealed that 73% of the respondents were aware of bilateral tubal ligation, but only 44% of them have good perception towards it. Majority of the respondents (63.8%) reject BTL for contraception. Most of their reasons were cultural believe (33.3%), regret (31.6%), religious believe (26.6%) and fear of surgery (8.5%).

Conclusions: There was poor perception and low acceptability toward bilateral tubal ligation among the study population, mostly due to cultural and religious believes, as well as fear of regret, despite awareness of BTL among majority of the respondents.


Complete family, Nigeria, Tubal ligation

Full Text:



Gordon Maclean C, Rodriguez MI. The safety, efficacy and acceptability of task sharing tubal sterilization to midlevel providers: a systematic review. Contracept. 2014;89(6):504-11.

Hiralal K. Contraception In: Dutta DC ed. Textbook of Gynecology Revised 6th Ed. Jaypee Brothers Medical Publishers(p) Ltd (New Delhi, London); 2013:P475.

Adeleye JA. Female sterilization by laparotomy and tubal ligation (Ibadan experience). Trop J Obstet Gynaecol. 1991;2(1):91-4.

Salaudeen G, Jimoh A, Panti A, Sa’idu R, Balogun R. Female surgical sterilization at university of Ilorin Teaching Hospital, Ilorin: a 10 year review. Orient J Med. 2012;24:1-2 .

Schmidt E, Diedrich J, Eisenberg L. Surgical procedures for Tubal Sterilization Glob. Libr. Women’s Med. (ISSN: 1756-2228) 2014; DOI 10.3843/GLOWM.10400. 2014.

World Health Organization. Female sterilization: a guide to provision of services. Geneva: World Health Organization; 1992. Available at: Accessed on 25th January 2020.

Liskin L, Rinehart W, Blackburn R, Rutledge AH. Minilaparotomy and laparoscopy: safe, effective, and widely used. Population reports (Washington, DC). Series C, Female Sterilization. 1985;9:C125-67.

Kansu Celik H, Uygur D, Tasci Y, Durmus M, Kisa karakaya B, Engin Ustun Y. Female sterilization by tubal ligation during caesarean section in women with 2 or more previous caesarean sections. Gynaecol Obstet Reprod Med. 2018;24(1):7-11.

United Nations. Dept. of International Economic. Levels and trends of contraceptive use as assessed in 1988. United Nations Publications; 1989. Available at: htpps:// Accessed on 11th February 2020.

Sterilization B. ACOG technical bulletin. Int J Gynecol Obstet. 1996;53:281-8.

Ogunniyi SO, Faleyimu BL, Ifaturoti O. Female surgical contraception in Ile-Efe: An eight-year Review. Niger Med Pract. 1991;21(6):72-4.

Family planning Worldwide, 2002 Data Sheet. Available at: htpps:// worldwide2002datasheet. Accessed on 11th February 2020.

Attah Raphael A, Omole Ohous A. Bilateral tubal ligation at Aminu Kano Teaching Hospital: a five years review. Bo Med J. 2014;11(1):57-64.

Onifade O, Ogungboye R, Adigun J, Abikoye A, Abiola O, Aliyu S. Socio-cultural factors influencing choice of bilateral tubal ligation among women attending University of Ilorin Teaching Hospital. KIU J Social Sci. 2017;3(1):37-46.

Skar AJ. Tubal sterilization. eMed J. 2001;2(9):1-17.

Mutihir JT, Pam VC. Overview of contraceptives use in Jos University Teaching Hospital, North central Nigeria. J Clin Pract. 2008;11:139-43.

Adebimpe WO. A survey of clients and ethical perspectives of voluntary tubal ligations in the south-western Nigeria. J Basic Clin Reprod Sci. 2016;5(1):21-6.

Akpor OA, Fadare RI, Ekanem EI. Knowledge and perception of women regarding bilateral tubal ligation in Southwest Nigeria. J Nurs Health Sci. 2016;5(5):31-6.