Sterilization Failure, Sterilization Reversal, and Pregnancy After Sterilization Reversal in Quebec

Guilbert, E.; Hedley, Allison

doi:10.1097/00006250-200304000-00012

Cited by 12 publications

(13 citation statements)

References 13 publications

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“…11 Trussell et al had sterilization failure more in the youngest age group (15-30) and it stabilised in the oldest age group (36-49). 12 In the present study, the pregnancy after sterilization was highest in the age group (15-30) and stabilized in the oldest age group (36-49). Bilateral salpingectomy should be performed for an ectopic pregnancy resulting from sterilization failure.…”

Section: Discussionsupporting

confidence: 48%

Demographic and clinical analysis of post sterilization failure cases in a tertiary care hospital, Chennai, Tamil Nadu, India

Meena

Ramya

Mothilal

2017

Int J Reprod Contracept Obstet Gynecol

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Background: The most common permanent method of family planning accepted in India is female tubal sterilization as it has a very low failure rate of 0.1- 0.8% in the first year and over all pregnancy chances of 1 in 200. It can be done by open method but laparoscopic method has now gained wide popularity.Methods: Ours was a retrospective study of post female sterilization failure cases admitted to the Department of Obstetrics and Gynecology, Government Kilpauk Medical College Hospital within a 10 year time period between April 2007 and March 2017.Results: Over a decade we had 134 post sterilization failures. 71 patients presented with intrauterine pregnancy whereas 63 presented as ectopic pregnancy following sterilization. Majority of patients belonged to 26-30 year age group and the median age was 28 years. 40.3% ectopic presented at 5-6 weeks gestational age. Over 90% of sterilization failures were done by open method and around 35.8% were done during caesarean section. Around 65.0 % sterilization failures were seen within 5 years of sterilization but 2 patients presented as late as 17 years post sterilization. In four cases (3%) failure was due to improper surgical procedure.Conclusions: Female sterilization may result in failure even after years of sterilization. In the present study, pregnancy after sterilization is higher in the youngest age group (15-30) years than for the age group (31-35) years and stabilized in the oldest age group (36-49) years. Open sterilization had a higher failure rate than laparoscopic sterilization. The most common mode of sterilization failure was intrauterine pregnancy than the ectopic pregnancy and it was almost equal to each other. Therefore, patients undergoing sterilization must be counselled about chances of failure; even though it is a permanent method, and to consult immediately if missed period else at a later stage they may go in for rupture ectopic leading to high maternal morbidity and mortality.

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Section: Discussionsupporting

confidence: 48%

Demographic and clinical analysis of post sterilization failure cases in a tertiary care hospital, Chennai, Tamil Nadu, India

Meena

Ramya

Mothilal

2017

Int J Reprod Contracept Obstet Gynecol

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“…In a study by Jindal et al, (3) term pregnancies were 53.57% (15/28) and abortion and ectopic gestation were 3.57% (1/28) each. Incidence of pregnancies was<40% in a study by Premalatha R et al, (7) 60% by Trussel et al (8) and 60% by Silber et al (6) 4% ectopic pregnancies were reported by Silber et al (6) In the present study, there was no ectopic pregnancy.…”

Section: Discussioncontrasting

confidence: 40%

Reversal After Laparoscopic Sterilisation- A Practical Approach

Jamwal¹,

Manhas²,

Manhas³

2017

jemds

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BACKGROUNDFemale sterilisation has been widely accepted in India especially after the availability of endoscopic ligations and even the couples with low parity have started opting for it. As per ministry of health records, 46 lakh tubectomies were performed as against 1.79 lakh vasectomies between 2011 and 2012. Success of national sterilisation programme is possible only with universal availability of reversal procedures in the fast changing present day social scenario. The aim of the study was to find an easy and practical approach for reversal after laparoscopic sterilisation and to devise an easy and universally available reversal procedure for the providers of sterilisation services. MATERIALS AND METHODSTwenty-five females presenting in OPD for reversal of laparoscopic sterilisation were counselled and operated abdominally using 4x magnification with a simple technique after ruling out infection under regional anaesthesia, i.e. combined spinal and epidural technique. The tissues were continuously irrigated with heparinised ringer lactate. RESULTSThe common reason for reversal was death of one or more children in twenty cases. Other reasons for reversal were sickness of living children in two cases and remarriage in three cases. Patency was observed in all twenty-five cases at the time of operation. 16 (64%) females conceived within 1-4 years. Out of these 14 (56%) were term pregnancies and 2 (8%) ended in abortions. 4 (16%) did not conceive, whereas 2 (8%) were lost to followup. The result of 3 (12%) is still awaited. The type of anastomosis performed was isthmo-isthmic in 16 (64%) with 9 term pregnancies and 1 abortion. 4 (16%) were isthmo-ampullary with 2 term pregnancies and 2 with isthmo-interstitial cases had 2 term pregnancies. Combination of cornual implantation and isthmo-isthmic anastomosis in 1 case had a term pregnancy and 2 with combination of isthmo-isthmic and isthmo-ampullary anastomosis had 1 abortion. CONCLUSIONThe simplicity of the procedure, acceptable pregnancy rates and cost effectiveness as compared to IVF can contribute to benefit the masses especially located in remote areas and without the facility of latest techniques.

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“…The highest 10-year cumulative risk of pregnancy occurred among women sterilized before the age of 28 with bipolar coagulation: it amounted to 54.3 per 1000 procedures. Other studies have similarly demonstrated associations between increased risk of sterilization failure and younger age at sterilization, duration of time since sterilization, and method of sterilization 10,13,14 .…”

Section: Discussionmentioning

confidence: 79%

Training of residents in laparoscopic tubal sterilization: Long-term failure rates

Rackow¹,

Rhee²,

Taylor³

2008

The European Journal of Contraception & Reproductive Health

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Objectives-Laparoscopic tubal sterilization with bipolar coagulation is a common and effective method of contraception, and a procedure much used to teach laparoscopic surgical skills to Obstetrics and Gynaecology residents (trainees); but it has an inherent risk of failure. This study investigated the long-term failure rate of this procedure when performed by Obstetrics and Gynaecology residents on women treated in their teaching clinics.Methods-From 1991 to 1994, Obstetrics and Gynaecology residents carried out 386 laparoscopic tubal sterilizations with bipolar coagulation at Yale-New Haven Hospital. Six to nine years after the procedure, the women concerned were contacted by telephone and data were collected about sterilization failure.Results-Two failures of laparoscopic tubal sterilization with bipolar coagulation were identified: an ectopic pregnancy and a spontaneous abortion. For this time period, the long-term sterilization failure rate was 1.9% (0-4.4%).Conclusions-The long-term sterilization failure rate for laparoscopic tubal sterilization with bipolar coagulation performed by residents is comparable to the results of prior studies. These findings can be used to properly counsel women at a teaching clinic about the risks of sterilization failure with this procedure, and attest to the adequacy of residents' training and supervision.

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Sterilization Failure, Sterilization Reversal, and Pregnancy After Sterilization Reversal in Quebec

Cited by 12 publications

References 13 publications

Demographic and clinical analysis of post sterilization failure cases in a tertiary care hospital, Chennai, Tamil Nadu, India

Demographic and clinical analysis of post sterilization failure cases in a tertiary care hospital, Chennai, Tamil Nadu, India

Reversal After Laparoscopic Sterilisation- A Practical Approach

Training of residents in laparoscopic tubal sterilization: Long-term failure rates

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