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Year : 2018  |  Volume : 21  |  Issue : 11  |  Page : 1508-1513

Tubal sterilization during cesarean section at a training hospital in Turkey: A clinical and demographic analysis

Department of Obstetrics and Gynecology, Adana Numune Training and Research Hospital, Adana, Turkey

Correspondence Address:
Dr. S Arlier
Department of Obstetrics and Gynecology, Adana Numune Training and Research Hospital, Ege Bagatur Cad, 01230 Yuregir, Adana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/njcp.njcp_391_16

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Background: The total fertility rate is 2.1 children per women in Turkey. The population is expected to increase to 84 million by 2023. Maternal (19/100,000 live births), infant, and child mortality rates (20/100,000 live births) are still higher than desired levels in Turkey. We investigated factors affecting the choice of tubal sterilization (TS) after cesarean sections (CSs) and determined intraoperative and short-term postoperative maternal effects of this procedure. Materials and Methods: We compared 1,849 CSs for demographic characteristics and clinical parameters including obstetric outcomes between two patient groups who underwent CSs with or without TS. Intraoperative and short-term postoperative maternal effects of TS in these patients were also evaluated. Results: Twenty-one percent of women underwent both CSs and TS. A significantly higher ratio of TS was found in women with low education levels who had obstetric risk/systemic disease in their present pregnancy. Apart from a hemoglobin deficit and slightly higher duration of hospital stay, TS did not influence postoperative wound infection or heavy bleeding pattern that requires reoperation. Conclusion: These findings conclude that in developing countries TS can safely be applicable as a contraceptive method without additional cost at time of CSs and should be considered as an option for those women who desire or would benefit from it.

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