Performing Tubal Sterilizations During Women's Postpartum HospitalizationA Review of the United States and International Experiences

摘要

A considerable number of tubal sterilizations have been performed while women are still in hospital after delivery in the United States as well as in other countries. There are few review papers exclusively on this sterilization modality.This paper provides a comprehensive review of results reported from recent studies of this approach, and answers the pertinent medical and related questions such as: To achieve maximum safety, what is the best time to perform the procedure during the women's postpartum hospitalizationquest; Specifically, is it advisable for the procedure to be performed while the woman is still on the delivery tabiequest; What surgicai approach and iubai occlusion technique are preferredquest; What are the risks that the women undergoing sterilization immediately or soon after delivery may incur the short- and long-term medical sequelae, and to conceive accidental pregnancyquest; What effect does sterilization have on lactationquest; And how should the women be screened and counseled to prevent poststerilization regret, generally thought to be more likely to occur in women after postpartum sterilizationquest; Newly-developed mechanical tubal occlusion techniques have been included for consideration.Practical guidelines are given in this paper to help service providers achieve maximum safety and satisfaction for their patients with this convenient and low-cost method of postpartum sterilization.