A study of failure of female sterilisation
Journal Title: Medpulse International Journal of Gynaecology - Year 2018, Vol 5, Issue 3
Abstract
In the present study we evaluated 42 cases of failure of female sterilization. All patients were admitted for either medical termination of pregnancy with resteriliation or for delivery with resterilisation and some had undergone medical termination of pregnancy or deliver at other hospitals and them come for resterlization. Out of 42 patients 39 patients have undergone resterilization in this institution one patient absconded after second trimester medical termination of pregnancy one patient delivered by preterm vaginal delivery and then refused resterilization and one patient come in antenatal clinic at 12 to 14 weeks of gestation but she was lost follow up in detail, the history by previous sterilization, sterilization conception interval place of surgery time of surgery. i.e. whether interval postpartum of medical termination of pregnancy with sterilization was taken from the patient herself or from her relatives or from previous discharge card from this we also collected information regarding the type of surgery i.e. whether abdominal or laparoscopy, and specific intraoperative findings either told by surgeon for her or detail available on discharge card. Out of 42 cases, 8 cases come as an acute emergency of ruptured ectopic pregnancy. Emergency laparotomy finding and the cases of sterilization failure were noted Resterlization was done at the same time in these patients. Remaining 34 cases were of uterine pregnancy which 31 undermentresterilization. In these patients intraoperative findings of previous sterilization and probable causes of failure have been noted. In this study, one patient is of twice failed sterilization we did bilateral salpingectomy in this patients.
Authors and Affiliations
Shalini Shamrao Gadale, Kranti Venkatrao Kendre
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