A need-responsive programme in post-partum female sterilisation
Arshat, H.
Malaysian Journal of Reproductive Health a Publication of the Reproductive Research Centre of the National Population and Family Development Board Malaysia 4(2): 51-55
1986
ISSN/ISBN: 0127-3213 PMID: 12314884 Document Number: 399524
In Malaysia, the National Population and Family Development Program has registered approximately 5000 acceptors on sterilizations annually for the past 5 years. Between 1982 and 1985, a total of 1365 cases of laparoscopic tubal ligations were carried out at the Specialist Center of the NPFDB. 70% of these were postpartum cases. The results of 358 of these cases of laparoscopic sterilization carried out in the intermediate and late postpartum period demonstrate that the procedure can be effectively concluded and comparable to the standard procedures done in the interval period. However, more thorough screening is required to reduce the incidence of surgical difficulties of trocar insertion (due to obesity) and visualization (dut to adhesions). The problem of ring application has been minimized; but Filshie clips can be applied in difficult situations. 2 other local studies have shown that Filshie clips are superior to the rings for tubal occlusion at all periods of sterilization. Hence it can be concluded that women can be offered laparoscopic tubal ligation at anytime they want, whether postpartum or later. Since the laparoscopic sterilization can be safely carried out as an outpatient procedure, women in the postpartum period need only come to the clinic or hospital for the surgery and return home to continue their rest.