Contraceptive method use prior to tubal ligation in women with
cesarean section or interval mini-laparotomy and laparoscopy
H. Hassa, S. Ozalp,
H.M. Tanir, B. Tekin, S. Kahraman
Eskisehir Osmangazi University School of Medicine,
Department of Obstetrics and Gynecology, Eskisehir, Turkey
Objective The
purpose of this study was to evaluate demographic characteristics and
contraceptive method choice among cases prior to tubal ligation with cesarean
section or interval mini-laparotomy and laparoscopy.
Design and methods
Sixty-eight women with tubal ligation during cesarean section (group I) and 84
women with interval tubal ligation via mini-laparotomy or laparoscopy (group II)
were included into the study, comprising the period from years 1998 to 2005. The
demographic characteristics, contraceptive methods used were assessed in both
groups.
Results Mean age, number of gravidity, parity, abortion and number of
living children in group I and II were: 33.5±4.3 years vs 37.3±4.8 years,
3.9±1.9 vs 4.0±1.7, 2.8±1.3 vs 2.5±1.0, 1.1±1.2 vs 1.4±1.1 and, 2.4±0.6
vs 2.4±1.0, respectively. Mean age of group I was significantly lower, compared
to group II (p<0.001). No significant differences were seen in contraceptive method use (intrauterine device, combined oral contraceptive, injectable progestin only preparations) among both groups. In group I, last contraceptive methods used prior to tubal ligation were condom (n:33, 48%), coitus interruptus (n:14, 20%) and intrauterine device (n:11,16%). These values (n,%) for group II were 13 (15%), 27 (32%) and 28 (33%), respectively.
Conclusions In tubal
ligation, one of the most important reason for the regret is young age. In the
present study, women chose sterilisation procedure with cesarean section at a
more earlier age than those cases undergoing interval mini-laparotomy or
laparoscopy. In order to reduce regret among women undergoing tubal ligation
during cesarean section, counseling is of utmost importance.