Complications of interval laparoscopic tubal sterilization: findings from the United States collaborative review of sterilization

Jamieson, Denise J.; Hillis, Susan D.; Duerr, Ann; Marchbanks, Polly A.; Costello, Caroline; Peterson, Herbert B.

doi:10.1016/s0029-7844(00)01082-6

Cited by 84 publications

(49 citation statements)

References 4 publications

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“…A prospective, multi-centre cohort study in the United States found an overall complication rate of 0.9 per 100 procedures [19]. However, there were several key differences between the two studies, most notably that the U.S.-based study took place in a hospital setting, measured different types of complications at different points in time, and did not count 'failure to complete the procedure' as a complication (which is the main adverse event observed in our study).…”

Section: Discussionmentioning

confidence: 99%

Optimizing tubal ligation service delivery: a prospective cohort study to measure the task-sharing experience of Marie Stopes International Ethiopia

Nuccio

Sendek²,

Park

et al. 2016

Health Policy Plan.

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The Ethiopian government implements a progressive task-sharing policy for health services as a strategy to address shortages of highly skilled providers and increase access to critical services, such as family planning. Since 2009, Marie Stopes International Ethiopia has trained health officers to provide tubal ligations, a permanent method of family planning, as part of its task-sharing strategy. The objectives of this research were to evaluate task-sharing tubal ligations to health officers at Marie Stopes International Ethiopia, specifically: 1.) to investigate safety, as measured by the proportion of major adverse events; 2.) to evaluate the feasibility, as measured by adherence to the standard tubal ligation procedure protocol; and 3.) to investigate acceptability to clients of the tubal ligation procedure provided by health officers. We established a prospective cohort of women aged ≥18 years presenting for tubal ligation at Marie Stopes International Ethiopia sites in three regions in Ethiopia (March-May 2014). Data on adverse events (incomplete procedure, pain, bleeding, infection, perforation) were collected intra-operatively; peri-operatively (1 hour post-procedure); and post-operatively (7 days post-procedure). To measure feasibility, 65% of procedures were selected for 'audit', where a nurse observed and scored health officers adherence to standard protocol using an 18-item checklist. To assess acceptability, women were asked about their satisfaction with the procedure. In total, 276 women were enrolled in the study. 97.5% of procedures took place in rural settings. All participants were followed up 7 days post-procedure (100% response rate). The overall proportion of major adverse events was 3% (95% CI 1% to 6%). The most frequent adverse event was 'failure to complete the TL' (2.2%, n=6). The average score on protocol adherence was 96.9%. Overall, 98.2% (n=271) of clients would recommend the procedure to a friend. Findings from this study, indicating safety, feasibility and acceptability, are consistent with the existing literature, which indicate safety and acceptability for task-sharing tubal ligations, and other methods of contraception with non-physician health providers. This study adds to scant literature on task-sharing tubal ligations in rural and low-resource settings.

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Section: Discussionmentioning

confidence: 99%

Optimizing tubal ligation service delivery: a prospective cohort study to measure the task-sharing experience of Marie Stopes International Ethiopia

Nuccio

Sendek²,

Park

et al. 2016

Health Policy Plan.

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show abstract

“…This study followed more than 10,000 sterilized women for up to 14 years to assess safety, effectiveness and other sequelae such as regret, sexual function, menstrual abnormalities and future risk of hysterectomy. Overall, CREST found that female sterilization was safe with low rates of intraoperative and postoperative complications [41]. Furthermore, there was no evidence of increased risk of later sequelae such as menstrual abnormalities or adverse effects on sexual function [42,43].…”

Section: What Are the Long-term Effectiveness And Safety Of And Patimentioning

confidence: 92%

Evidence-based guidance on selected practice recommendations for contraceptive use: identification of research gaps

et al. 2013

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“…When complications occur they are most commonly haemorrhage from the fallopian tube or the mesosalpinx, and they rate from 0,1 to 4,6 % . [3][4][5][6][7]. The occurrence of major complications (0,6 % ) like vascular injury, bowel perforation 35 or damage to the genitourinary tract is really rare.…”

Section: Tubal Ligationmentioning

confidence: 99%

Laparoscopy in Gynecology - How Why When

Daniilidis¹,

Hatzis²,

Pratilas³

et al. 2011

Advanced Gynecologic Endoscopy

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Complications of interval laparoscopic tubal sterilization: findings from the United States collaborative review of sterilization

Abstract: Interval laparoscopic sterilization generally is a safe procedure; serious morbidity is rare.

Cited by 84 publications

References 4 publications

Optimizing tubal ligation service delivery: a prospective cohort study to measure the task-sharing experience of Marie Stopes International Ethiopia

Optimizing tubal ligation service delivery: a prospective cohort study to measure the task-sharing experience of Marie Stopes International Ethiopia

Evidence-based guidance on selected practice recommendations for contraceptive use: identification of research gaps

Laparoscopy in Gynecology - How Why When

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