A Prospective Cohort study of determinats in outcome of Tubal Recanalisation
Introduction: Tubal sterilisation is the most prevalent family planning method practised in our country. According to National Family Health Survey (NFHS 4) (2015-2016) a total of 51.8% of married women use any method of family planning, of which female sterilization accounts to majority by 48.6% ,...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2020-01-01
|
| Series: | BLDE University Journal of Health Sciences |
| Subjects: | |
| Online Access: | http://www.bldeujournalhs.in/article.asp?issn=2468-838X;year=2020;volume=5;issue=3;spage=49;epage=49;aulast=Sangolli;type=0 |
| Summary: | Introduction: Tubal sterilisation is the most prevalent family planning method practised in our country. According to National Family Health Survey (NFHS 4) (2015-2016) a total of 51.8% of married women use any method of family planning, of which female sterilization accounts to majority by 48.6% , Intrauterine device(IUD) by just 0.8% of the women, pills by 0.4% of women and condom by 1.3% women. More than 45.5% women undergoing sterilisation belong to young reproductive age group of 20 to 25 years. The gold standard for recanalization has been microsurgical tubal recanalization through laparotomy. Laparoscopy can be used as an alternative route but requires high expertise. Though an option of in-vitro fertilisation is widely available but due to economic constraints, people go for microsurgical tubal recanalization as a first option.
Material and Methods: The study involves all women coming to the Department of Obstetrics and Gynecology, Bangalore Medical College and Research Institute, Bangalore for reversal of sterilization between august 2010 to September 2012.
Results: A total of 40 prospective cases were studied and followed up for at least 1 year of which intrauterine pregnancy was noted in 21 cases (52.5%), 1 patient had ectopic pregnancy(4.7%) and 2(9.5%) had abortions.
Conclusion: The study concluded that factors favoring successful tubal recanalization are age of the patient less than thirty years, interval between sterilization and its reversal less than four years, site of anastomosis being Isthmo-Isthmic, remaining tubal length being more than 6 cms and when type of previous sterilization was by laparoscopic method. |
|---|---|
| ISSN: | 2468-838X 2456-1975 |