Female Sterilisation Failure: Review over a Decade and Its Clinicopathological Correlation
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2017, Vol 2, Issue 4
Abstract
Objectives: The primary objective of the following study is to determine the demographic patterns of women presenting as sterilization failure and secondary is to evaluate etiological factors for failure and lay standard guidelines to reduce failure rate. Materials and Methods: The present study is retrospective study conducted in the Department of Obstetrics and Gynaecology, Postpartum Centre, Family Welfare Division, Government Kilpauk Medical College Hospital over a decade (April 2007 – March 2017). Study cases of post sterilisation failure were done from hospital records. Results: Over a decade, 134 cases of sterilization-failure with longest interval of 16 years have been documented. 56 (41.8%) cases were pupheral sterilisation (PS) and 48 (35.8%) were lower segment caesarean section 18 (13.4%) cases were of mini laparotomy (Minilap/TAT) and 12 (9%) laparoscopic tubal ligation. In 75 cases (56.0%) sterilisation were performed in medical college hospital (MCH). Only 105 (78.4%) patients reported failure in 1st trimester (<12 weeks). 63 cases (47%) were of ectopic pregnancy. There were 71 cases (53%) of spontaneous re-canalization. In 4 cases (3%) failure was due to improper surgical procedure. Conclusion: Female sterilization even though considered as permanent method of contraception, spontaneous re-canalization is possible even 16 years after procedure. Maximum cases of failure were postpartum sterilisation and those were performed at medical college hospital. The most common cause of failure was spontaneous re-canalisation. Ectopic pregnancies were seen in 47 % of cases. Proper counselling of patient is must. There is a need to stick to standards of sterilization procedure to prevent future failure.
Authors and Affiliations
Dr. K. S. Ramya
Keywords
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