Tubectomy Preference for Fertile Age Couples with Second Child: A Cross Sectional Study in the Urban Area of Tangerang

Background: Tubectomy is becoming the choice for fertile age couples at the time of delivery with cesarean section. This is because it has proven to be effective and does not require multiple procedures. Objective: To determine the tendency for the preference of tubectomy by fertile age couples with second child and other related factors. Methods: This study uses a cross sectional design. The population is all women who delivered through cesarean section with tubectomy in 2016-2018. The sample size is 62 respondents, which is obtained using two-proportion formula and simple random sampling. Statistical tests were carried out using chi square test. Results: Majority of respondents that chose tubectomy were between the age group of 20-35 years (53.2%), had 3 or more children (61.3%), high educational level (79%), housewives (71%) and the last labor interval > 2 years (67.7%). The chi square test proved that the choice of using tubectomy after the second child was more in the age group of 20-35 years (39.4%), high educational level (46.9%), professional jobs (61.1%) and the last labor interval > 2 years (45.2%). Furthermore, results of the statistical analysis using the chi square test proved that educational (p value = 0.035 α < 0.05) and occupational factors (p value = 0.021 α < 0.05) were related to the choice of tubectomy after the second child. Conclusion: Educational and occupational factors were associated with tubectomy choices after the second child. Adequate counseling on health education and family planning is required during pregnancy in order to improve the understanding and interest of the mother and partner to choose tubectomy.