Female sterilization failure, consequences and further contraception: a review of cases over ten years

Authors

  • Reena Rani Department of Obstetrics and Gynecology, Maulana Azad Medical College and Lok Nayak Hospital, Delhi, India
  • Rachna Sharma Department of Obstetrics and Gynecology, Maulana Azad Medical College and Lok Nayak Hospital, Delhi, India
  • Charu Kohli Department of Community Medicine, ESIC Medical College and hospital, Faridabad, Haryana, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20204282

Keywords:

Contraception, Fertility control, Laparoscopy, Sterilization failure

Abstract

Objective: To study the socio-demographic profile and etiological factors responsible for failure of tubal ligation. Their outcome and further adopted methods of contraception.

Methods: This was a retrospective observational study done in a tertiary care centre from January 2009 to December 2018. All cases who came with sterilization failure were reviewed including their demographic patterns, previous methods used and the contraception choices adopted after procedural failure.

Results: Over a period of ten years, out of a total of 157 cases of sterilization failure 43.33% (n=68) were laparoscopic interval ligation, 42.60% (n=67) were laparoscopic ligation with termination of pregnancy, 10.20% (n=16) were sterilization done along with lower segment cesarean section and 1.9% (n=3) were mini-laparotomy (minilap) done in postpartum period. Only 63.05% (n=99) got repeat sterilization procedure done despite previous failure. Out of 157 cases, in 50.9% (n=80) recanalization was found, tuboperitoneal fistula was responsible in 5.7% (n=9) women, slipped fallope ring was found in 5.7% (n=9) women, wrong application of fallope ring was seen in 1.9% (n=3) and 35.6% (n=56) did not opted for religation.

Conclusion: Failures of sterilization procedures do exist especially in laparoscopic ligation. Counseling prior to adoption of this method, risk of failure and other noninvasive options of contraception must be discussed.

 

References

Jones J, Mosher W, Daniels K. Current contraceptive use in the UnitedStates, 2006-2010, and changes in patterns of use since 1995. NatlHealth Stat Rep. 2012;60:1-5.

Mosher WD, Jones J. Use of contraception in the United States: 1982-2008. Vital Health Stat. 23 2010:1-4.

Royal College of Obstetricians and Gynaecologists. Male and Female Sterilisation. London: RCOG Press, 2004.

Chi IC, Siemens AJ, Champion CB, Gates D, Cilenti D. Pregnancy following minilaparotomy tubal sterilization-an update of an international data set. Contraception. 1987;35(2):171-8.

Hillis SD, Marchbanks PA, Tylor LR, Peterson HB. Post-sterilization regret: findings from the United States Collaborative Review of Sterilization. Obstet Gynecol. 1999;93(6):889-95.

Peterson HB, Xia Z, Hughes JM, Wilcox LS, Tylor LR, Trussell J. The risk of pregnancy after tubal sterilization: findings from the U.S. collaborative review of sterilization. Am J Obstet Gynecol. 1996;174(4):1161-8.

Trussell J, Guilbert E, Hedley A. Sterilization failure, sterilization reversal, and pregnancy after sterilization reversal in Quebec. Obstet Gynecol. 2003;101(4):677-84.

Varma R, Gupta JK. Failed sterilisation: Evidence‑based review and medico‑legal ramifications. BJOG 2004;111:1322‑32.

Date SV, Rokade J, Mule V, Dandapannavar S. Female sterilization failure: Review over a decade and its clinicopathological correlation. Int J App Basic Med Res. 2014;4:81-5.

ACOG Practice Bulletin No. 46, September 2003 (replaces Technical Bulletin Number 222, April 1996). Int J Gynaecol Obstet. 2003;83:339-50.

Emens JM, Olive JE. Timing of female sterilisation. BMJ 1978;2(6145):1126.

Wilcox LS, Chu SY, Eaker ED, Zeger SL, Peterson HB. Risk factors for regret after tubal sterilization:5 years of follow-up in a prospective study. FertilSteril 1991;55:927-33.

Argent V. Failed sterilization and the law. Br J Obstet Gynaecol. 1988;95(2):113-5.

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Published

2020-09-25

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Original Research Articles