A comparison of the modified Pomeroy tubal ligation and Filshie clips for immediate postpartum sterilisation: A systematic review

Madari, Sheethal; Varma, Rajesh; Gupta, Janesh

doi:10.3109/13625187.2011.594919

Cited by 11 publications

(8 citation statements)

References 26 publications

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“…1 Sheethal et al in their study stated that modified pomeroy technique was the most commonly performed method of tubal sterilization which is followed in our study. 2 Among female sterilization methods puerperal sterilization following vaginal delivery or concurrent with LSCS contributed the most.…”

Section: Discussionmentioning

confidence: 99%

Study on permanent tubal sterilisation in a semi-urban based medical college hospital

Kanmani

Rani

Gokulakrishnan

2016

Int J Reprod Contracept Obstet Gynecol

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The first female sterilisation was performed in North America by S.S.Lungren at the time of caesarean section in 1880. For the next few decades all tubal sterilisation were performed at the time of laparotomy as concurrent procedure because the risk of mortality was too high to perform this procedure alone. In 1970, tubal sterilisation became widespread due to introduction of minilap and laparoscopy methods. Sterilisation is the most commonly used method of family planning in the world. 1-2 Physical and mental health of a child depends on responsible and planned parenthood which is possible only by adopting any of the contraceptive methods available. This Study on permanent tubal sterilisation in a semi-urban based medical college hospital throws light on various parameters influencing the acceptance. Undergoing tubal sterilisation with two living children irrespective of the sex of the child will help in reducing high order birth and its complications which in turn reduces the maternal and perinatal mortality and morbidity. 3-8 METHODS This is a retrospective study conducted at Government Vellore Medical College Hospital which is a semi urban based hospital at Adukkamparai, Vellore, Tamilnadu, India from April 2015 to March 2016 for a period of one year. Source of data was collected from maternity department and family planning department is our hospital.

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Section: Discussionmentioning

confidence: 99%

Study on permanent tubal sterilisation in a semi-urban based medical college hospital

Kanmani

Rani

Gokulakrishnan

2016

Int J Reprod Contracept Obstet Gynecol

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“…Sterilisation can provide permanent contraception for women and carries an overall failure rate of less than 1 in 200 . For postpartum sterilisation, either the Filshie® (Utah Medical Products, Inc., Utah, USA) clip or modified Pomeroy (partial salpingectomy) techniques can be used, with both effective in this setting . Salpingectomy offers a slight reduction in the overall failure rate; however, Filshie® clip application tends to be quicker to perform .…”

Section: Method‐specific Guidancementioning

confidence: 99%

Postpartum contraception

Cooper

Cameron

2018

The Obstetric & Gynaecologis

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Sexual activity and fertility can resume shortly after childbirth, and therefore there is a risk of pregnancy unless contraception is initiated. Unintended pregnancy and short inter-pregnancy intervals (of less than 1 year) can increase the risk of obstetric and neonatal complications. The antenatal and postpartum periods present a unique opportunity to discuss contraceptive options, many of which can be safely initiated immediately after childbirth. Training maternity staff in the provision of long-acting reversible contraceptive insertion (implant and intrauterine devices) can overcome some of the barriers women experience in accessing these highly effective methods after leaving the birth unit. Learning objectivesTo understand the risks of unintended pregnancy and short interpregnancy intervals. To understand the UK Medical Eligibility Criteria for the use of contraceptive methods in the postpartum period.To be up to date on the most common contraceptive methods and their use in the postpartum period. To be familiar with the technique of postpartum intrauterine contraception insertion. To appreciate the increasing role of maternity services in the discussion and provision of contraception after childbirth.

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“…[16] Both the Filshie clip and Falope/Yoon ring have had varied studies of varying sizes performed, with varying follow-up intervals to assess their efficacies. [13][14][15][16][17] As expected, results on failure rates are extremely varied and are influenced by surgeon experience, technique used, age of patient and duration of followup. [18] It is therefore difficult for these authors to say with any certainty that one method is superior to the other, especially in a postpartum situation.…”

Section: Discussionmentioning

confidence: 99%

Postpartum laparoscopic sterilisation: A role in South African healthcare?

Prince

Aronius²,

Theron

2016

S Afr J OG

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Objective. To assess the advantages and feasibility of performing postpartum sterilisations laparoscopically in a public healthcare facility in South Africa (SA). Methods. Retrospective review of postpartum sterilisations between June 2012 and December 2013 at Worcester Hospital, Western Cape, SA. A total of 78 postpartum sterilisations were included in the study (open n=26, laparoscopic n=52). Data analysis was performed using means and medians with range and standard deviations, two-sample Wilcoxon rank sum test, two-sample t-test and χ 2 test. Results. It was considered preferable to perform laparoscopic sterilisations than the open procedure on patients with a higher body mass index (BMI). Duration of surgery was shorter in the laparoscopic group, especially in patients with BMI >30, and more patients were discharged on the same day as surgery in the laparoscopic group. There were fewer overall complications in the laparoscopic group (odds ratio 0.35, 95% confidence interval 0.08 -1.43). Conclusion. It is feasible to perform postpartum sterilisations laparoscopically in a public healthcare facility in SA. Advantages of the procedure are clinically significant and in keeping with international literature. Future research should be undertaken regarding acceptability of the procedure in the study population, laparoscopic training and the improvement of provision of requested postpartum sterilisations in public hospitals.

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A comparison of the modified Pomeroy tubal ligation and Filshie clips for immediate postpartum sterilisation: A systematic review

Abstract: Filshie clip application is easier to perform. The failure and complication rates are comparable to those of the modified Pomeroy method, when performed in the postpartum period.

Cited by 11 publications

References 26 publications

Study on permanent tubal sterilisation in a semi-urban based medical college hospital

Study on permanent tubal sterilisation in a semi-urban based medical college hospital

Postpartum contraception

Postpartum laparoscopic sterilisation: A role in South African healthcare?

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