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  • Title: [Female sterilization by laparoscopy during uperperium and in the interval].
    Author: Edelman DA, Goldsmith A, Brenner WE.
    Journal: Rev Colomb Obstet Ginecol; 1976; 27(1):17-25. PubMed ID: 141069.
    Abstract:
    This study evaluates the safety of female sterilization done by laparoscopy in the postabortion, postpartum, or interval period. The study was conducted by the International Fertility Research Program in collaboration with 3 medical institutions on 833 women sterilized in the interval period, 108 women sterilized postabortion, and 161 women sterilized postpartum. Average age in the 3 groups was 29.6, 31.8, and 33.1, respectively; average number of live children was 3.9, 3.3, and 5.6, respectively. The large majority of women were married, and most returned for follow-up 7-21 days after the operation. The group of women sterilized in the interval period had the lowest percentage of complications, about 5%, followed by women sterilized postabortion, 10%, and by women sterilized postpartum, 11%. A group of women undergoing abortion without sterilization had a complication rate of 7%. More importantly, in the interval sterilization group there were no important complications, such as uterine perforations, cervical lacerations, or burns. The 4 cases of uterine perforation were all in the postabortion sterilization group. None of the patients in the interval sterilization group required hospitalization, as compared to 4.7% in the postabortion group, and to 61.5% in the postpartum group. Studies are needed to ascertain whether the risk of complications after postpartum or postabortion sterilization are greater than those after simple abortion or simple term delivery.
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