A Study on Post-Sterilisation Failure in a Tertiary Care Hospital

Abstract

1Associate Professor, Department of Community Medicine, ANIMS, Port Blair. 2Professor, Department of Obstetrics and Gynaecology, ANIMS, Port Blair. DOI: https://doi.org/10.24321/2454.8642.201914 Background: Female sterilization or tubal ligation is the most accepted method of contraception in India. The most popular method used in female sterilization in India is the laparoscopic tubal occlusion. Sterilization failure may occur, though rates are as low as around 0.10.3%. Objectives: The objectives of the study states to assess the prevalence of ectopic pregnancy and to study the types of ectopic pregnancies. Materials and Methods: This prospective study was conducted between January 2011 to December 2018 in the Obstetrics unit at GB Pant Hospital, ANIMS, Port Blair. Records of cases of post sterilization failure were studied. The results were described in proportions. Results: 76% of the sterilizations were done during interval period. 56% of recurrence occurred after 2-5 years of surgery. 61 % of the pregnancies after sterilisation failure were ectopic pregnancies. Conclusion: The chances of post sterilization failures though minimal, must be explained to the patients and when to seek medical help, to diagnose at the earliest.