Abstract
Improved public health in Puerto Rico has created an overpopulation problem which has been remedied through an increase in sterilization. D ata from an island-wide survey indicated that 6.6% of all ever-married w omen were sterilized that 7% of all births in 1949 were followed by sterilization and that this rate was increasing. The method has been more frequently practiced by urban better educated women after 10 years of marriage. Attitudes toward sterilization have been open and positive in comparison with unfavorable attitudes toward contraceptives. The negative attitude toward contraceptives and the demand and success of sterilization indicate a growing trend towards more sterilization. Lack of facilities and motivation on the part of the doctors along with superstitious views of the operation (25% of sterilized cases would not do it over again) may inhibit the spread of successful sterilization. Effective birth control prior to sterilization would spare Puerto Rico of some of its miseries.
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