A Study on Post-Sterilisation Failure in a Tertiary Care Hospital

Authors

  • Vivin Vincent Associate Professor, Department of Community Medicine, ANIMS, Port Blair.
  • MK Saha Professor, Department of Obstetrics and Gynaecology, ANIMS, Port Blair.

Keywords:

Contraception, Post-Sterilisation, Tubal Ligation

Abstract

Background: Female sterilization or tubal ligation is the most accepted method of contraception in India. The most popular method used in female sterilization in India is the laparoscopic tubal occlusion. Sterilization failure may occur, though rates are as low as around 0.1-0.3%.


Objectives: The objectives of the study states to assess the prevalence of ectopic pregnancy and to study the types of ectopic pregnancies.


Materials and Methods: This prospective study was conducted between January 2011 to December 2018 in the Obstetrics unit at GB Pant Hospital, ANIMS, Port Blair. Records of cases of post sterilization failure were studied. The results were described in proportions.


Results: 76% of the sterilizations were done during interval period. 56% of recurrence occurred after 2-5 years of surgery. 61 % of the pregnancies after sterilisation failure were ectopic pregnancies.


Conclusion: The chances of post sterilization failures though minimal, must be explained to the patients and when to seek medical help, to diagnose at the earliest.

References

Date SV, Rokade J, Mule V et al. Female sterilization failure: Review over a decade and its clinicopathological

correlation. Int J Appl Basic Med Res 2014; 4(2): 81-85.

Layde PM, Peterson HB, Dicker RC et al. Risk factors for complications of interval tubal sterilization by

laparotomy. Obstet Gynecol 1983; 62: 180-184.

Sarella LK. Evaluation of post sterilization ectopic gestations. Int J Reprod Contracept Obstet Gynecol

; 6: 1503-1506.4. Chakravarti S, Shardlow J. Tubal pregnancy after sterilisation. Brit J Obstet Gynaecol 1975; 82(1): 58-60.

Rathod S, Samal SK. Clinical analysis of post sterilization failure cases in a tertiary hospital. Int J Reprod

Contracept Obstet Gynecol 2017; 6: 3294-3296.

Shah JP, Parulekar SV, Hinduja IN. Ectopic pregnancy after tubal sterilization. J Postgrad Med 1991; 37(1):

-20.

Vessey M, Huggins G, Lawless M et al. Tubal sterilization: findings in a large prospective study. Br J Obstet

Gynaecol 1983; 90(3): 203-209.

Rock JA, Parmley MA, King TM et al. Endometriosis and the development of tubo peritoneal fistulas after

tubal ligation. Fertil Steril 1981; 35(1): 16-20.

Horuine LH, O’Hara KE. Failed tubal sterilisation as an etiologic factor in ectopic tubes pregnancy. Fertil Steril

; 29: 509-511.

Stock RJ, Nelson KJ. Ectopic pregnancy subsequent to sterilisation: histologic evaluation and clinical

implications. Fertil Steril 1984; 42(2): 211-215.

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Published

2019-10-11