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Niger J Clin Pract. 2018 Nov;21(11):1508-1513. doi: 10.4103/njcp.njcp_391_16.

Tubal sterilization during cesarean section at a training hospital in Turkey: A clinical and demographic analysis.

Author information

1
Department of Obstetrics and Gynecology, Adana Numune Training and Research Hospital, Adana, Turkey.

Abstract

Background:

The total fertility rate is 2.1 children per women in Turkey. The population is expected to increase to 84 million by 2023. Maternal (19/100,000 live births), infant, and child mortality rates (20/100,000 live births) are still higher than desired levels in Turkey. We investigated factors affecting the choice of tubal sterilization (TS) after cesarean sections (CSs) and determined intraoperative and short-term postoperative maternal effects of this procedure.

Materials and Methods:

We compared 1,849 CSs for demographic characteristics and clinical parameters including obstetric outcomes between two patient groups who underwent CSs with or without TS. Intraoperative and short-term postoperative maternal effects of TS in these patients were also evaluated.

Results:

Twenty-one percent of women underwent both CSs and TS. A significantly higher ratio of TS was found in women with low education levels who had obstetric risk/systemic disease in their present pregnancy. Apart from a hemoglobin deficit and slightly higher duration of hospital stay, TS did not influence postoperative wound infection or heavy bleeding pattern that requires reoperation.

Conclusion:

These findings conclude that in developing countries TS can safely be applicable as a contraceptive method without additional cost at time of CSs and should be considered as an option for those women who desire or would benefit from it.

KEYWORDS:

Cesarean section; demographic factors; family planning; tubal sterilization

PMID:
30417852
DOI:
10.4103/njcp.njcp_391_16
[Indexed for MEDLINE]
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