A study to evaluate the relationship between socio-economic, demographic characteristics and complications of acceptors in double puncture laparoscopic and conventional tubal ligation procedures

Sudhir Babu Palli, Vijaya Lakshmi Akkupalli


Background: To discover the relationship between the socio-economic, demographic characteristics and complications for acceptors following Double puncture laparoscopic (DPL ) and conventional tubal ligation (CTL) procedures in rural and urban communities and additionally, we also sought  to  study  the  occurrence  of  post  tubal  ligation  syndrome.

Methods: A follow up study on 1000 women over a period of two years was conducted. The study was divided into 2 groups: 500 women undergone double puncture laparoscopic (DPL) sterilization and another 500 women underwent conventional tubal ligation (CTL). The acceptors were personally interviewed as per the guide lines in the proforma in the field at their door steps with help of multipurpose health workers (ANM) of the area concerned in the rural areas.

Results: The mean age of DPL and CTL groups were 24.4 years and 23.8 years, respectively. The acceptance of type of procedure was almost equal in all religious groups. As the level of education increases there is clear correlation with DPL acceptance. The overall acceptance of tubectomy was higher in house wives (61%) than the working women (39%). However house wives preferred to undergone conventional tubectomy more (63%) than the DPL (59%). The DPL acceptors were more of higher economic status (49%) whereas CTL acceptors were more of lower economic status (54.4%). The overall complications of DPL acceptors were lower than CTL acceptors. Moreover, these complications didn’t influence with socio-economic, demographic characteristics.

Conclusions: Age, religion, literacy status, economic status & occupation of acceptors didn’t influence the occurrence of complications and post tubal ligation syndrome does exist in both groups.


Socio-economic status, DPL, Post tubal ligation syndrome

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