Postpartum sterilization: a five years retrospective study
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20182899Keywords:
Caesarean tubectomy, Mini-laparotomy, Mesosalphinx tearAbstract
Background: Female sterilization, which is also called tubal ligation or tubal occlusion, is a surgical procedure which aims at permanent contraception. When female sterilization is performed at the time of birth with caesarean delivery or very soon after vaginal birth, such sterilization is called puerperal or postpartum sterilization. This study is to analyse the puerperal sterilization done in our hospital regarding age, living children, timing of sterilization and complications.
Methods: A retrospective analytical study of 6069 cases of puerperal sterilization performed over a period of 5 years from January 2013 to December 2017.
Results: During the study period, 6069 cases of puerperal sterilization cases were done. Out of which 4714 (77.67%) patients had undergone caesarean tubectomy, 1355 (22.32%) patients had undergone mini-laparotomy. Maximum number of patients was in the age group of 20-29yrs (80.3%). Majority of patients (68.62%) had two living children. Complications were encountered in 32.38% of patients.
Conclusions: The findings in this study showed that the incidence of voluntary surgical contraception is low. Adequate education and counseling will lead to acceptance of the procedure and consequently, a reduction in high maternal mortality from unwanted pregnancies.
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References
Royston E, Amstrong S. Preventing Maternal deaths. World Health Organisation, Geneva;1989:1-15.
Chandra A, Martinez GM, Mosher WD, Abma JC, Jones J. Fertility, Family planning and reproductive health of U.S Women: data from the 2002 National Survey of Family Growth. Vital Health Stat 23. 2005;(25):1-160.
Reich. J. The International Conference on Better Health FW Women and Children Through Family Planning. Int Fam Plann Presp. 1987;13:86-9.
Dickens B. Female Contraceptive Sterilisation: International Federation of Gynaecology and Obstetrics (FIGO) Committee for the Ethical Aspects of human reproduction and women’s health. Int J Gynaecol obstet. 2011;115:88-9.
Thurman AR, Janecek T. One-year follow up of women with unfulfilled postpartum sterilization requests. Obstet Gynaecol. 2010;116:1071-7
Mutihir JT, Nyango DD. Quarter of a century of female sterilization in Jos, Central Nigeria. Afr J Reprod Health. 2011;15(1):101-6.
Swende TZ, Hwande TS. Female sterilization by tubal ligation at caesarean section in Makurdi, Nigeria. Ann Afr Med.2010;9(4):246-50.
Soares LC, Brollo JLA, Family planning in Brazil: why not tubal sterilisation during childbirth? J Med Ethics. 2013;39:710-2.
Mahadevappa K, Prasanna N, Channabasappa RA. Trends of various techniques of Tubectomy: A Five year Study in a Tertiary Institute. J Clin Diagn Res. 2016;10(1):QC04-7.
Kindan KG, Azeze B, Ismail S. Female Sterilization Through Mini-Laparotomy at Gondal College Medical Science. East Afr Med J. 2001;78(8):414-7.
Swende T, Akinbuwa B. Mini laparotomy Female Sterilisation At A Nigerian Tertiary Health Centre. The Internet J Gynaecol Obstet. 2009;13(1):1-6.
Huber AW, Mueller MD, Ghezzi F, Cromi A, Dreher E, Raio L. Tubal Sterilization: Complications of Laparoscopy and Mini Laparotomy. Eur J Obstet Gynecol Reprod Biol. 2007;134(1):105-9.
Mule VD, Date SV, Gadekar MS. Complications of female sterilization procedure: review over a decade at district tertiary care hospital. Int J Reprod Contracept Obstet Gynecol 2017;6:4309-13.
Wang PH, Lee WL, Yuan CC, Chin TW. Post Partum Sterilization: The choice of Laparoscopy or Minilaparotomy? Eur J Obstet Gynecol Reprod Biol. 2008;139(1):116-7.
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