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  • Title: Comparative morbidity of postpartum sterilization procedures.
    Author: Wilson EA, Dilts PV, Simpson TJ.
    Journal: Am J Obstet Gynecol; 1973 Apr 01; 115(7):884-9. PubMed ID: 4695303.
    Abstract:
    The records of 354 bilateral tubal ligations, 123 cesarean tubal ligations, 57 cesarean hysterectomies, and 37 postpartum hysterectomies were reviewed. A comparison of cesarean tubal ligation with cesarean hysterectomies shows that none of the factors was found to be significantly different except that estimated blood loss and patients transfused were significantly higher (p less than .005) for the latter group. Postpartum tubal ligations vs. postpartum hysterectomies show postpartum hysterectomy patients had significantly more blood loss and transfusions (p less than .005), postoperative hospital days (p less than .01) and morbidity. Cesarean hysterectomy is considered an acceptable elective sterilization procedure, and may be especially acceptable for low-income, high-parity patients who have an increased incidence of uterine and cervical disease later in life. No justification was found for postpartum hysterectomies. Recommended procedures would be postpartum or interval tubal ligation or interval vaginal hysterectomy.
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