Immediate sequelae following tubal sterilization indian council of medical research task force on female sterilization
Anon
Contraception 28(4): 369-384
1983
ISSN/ISBN: 0010-7824 Document Number: 562774
A total of 32,177 female sterilizations performed by different surgical procedures under different time scales were studied with reference to the effectiveness of the procedure and immediate, short-term and long-term complications arising out of the procedure. The results of immediate sequelae only are being reported in this article. Laparoscopic technique was employed in 7.1% of cases, culdotomy in 6.9% and minilaparotomy/laparotomy in the remaining 86% of cases. Minilaparotomy performed in the post-partum period is most suitable and safe for Indian women under existing conditions. Complications including mortality were least when the operation was performed as a minilaparotomy in the early postpartum period. Visceral injuries [uterus, bladder, rectum] were maximum with the laparoscopic technique (10.45/1000). Mortality of interval sterilization was higher than that of postpartum sterilization (6.19/100,000 vs. 0.7/10,000) but this rate is lower than the current maternal mortality of the country (41.76/10,000). Minilaparotomy apparently will continue to be the method of choice on a mass scale.