The effect of tubal ligation scoring and sterilization counseling on the request for tubal reanastomosis

Abstract

Objective The aim of this study is to emphasize the role of counseling methods that are meant to decrease the request for tubal ligation reversal, such as tubal ligation scoring.

Method This study covers 389 patients who were admitted for tubal sterilization to Çukurova University, Faculty of Medicine, Obstetrics and Gynecology Department, between 1 January 1990 and 31 December 1999. We have used the ‘Tubal ligation score’ on these 389 patients. Four hundred and seventeen patients who underwent bilateral Pomeroy type tubal ligation during cesarean section without having undergone tubal ligation scoring in the same time interval, were accepted as the control group.

Results Laparoscopic tubal ligation (with a Yoon ring) was performed on 368 patients who had a score of 6 or higher. Twenty-one patients who got a score of 6 or lower were recounseled and another family planning method was prescribed to them. None of the 368 patients to whom tubal ligation scoring was done previous to laparoscopic tubal ligation returned to our clinic for tubal reanastomosis. Fifteen of the 417 patients (3.6%) in the control group returned to our clinic for tubal reanastomosis.

ConclusionTubal ligation scoring may decrease the ratio of patients who request a tubal ligation reversal.

Key words:

• Family Planning
• Counseling
• Tubal ligation
• Sterilization
• Tubal reanastomosis