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Declining mortality in international sterilization services.

Z Khairullah1, D H Huber, B Gonzales

  • 1Association for Voluntary Surgical Contraception New York, State University of New York, Brooklyn.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|September 1, 1992
PubMed
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Voluntary sterilization is very safe, with declining mortality rates for female sterilization due to improved anesthesia and infection control. Continued review of deaths is essential for enhancing surgical contraception practices.

Area of Science:

  • Reproductive Health
  • Surgical Safety
  • Public Health

Background:

  • Voluntary sterilization is a widely used method of permanent contraception.
  • Assessing the safety of sterilization procedures is crucial for public health.
  • Historical data on sterilization-related mortality provides a benchmark for safety improvements.

Purpose of the Study:

  • To analyze mortality rates associated with female sterilization and vasectomies.
  • To identify the primary causes of death related to these procedures.
  • To evaluate trends in sterilization safety over time.

Main Methods:

  • Retrospective analysis of data from 1,516,478 female sterilizations and 401,856 vasectomies.
  • Data collected from 50 countries between 1973 and 1988.

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  • Categorization of deaths by cause, including anesthesia, intestinal injury, and infection.

    • Main Results:

    • Overall mortality rates were 4.7 per 100,000 female sterilizations and 0.5 per 100,000 vasectomies.
    • Anesthesia, intestinal injury, and infection were the leading causes of death.
    • Female sterilization mortality rate significantly decreased from 7.1 to 3.7 per 100,000 between 1973-1981 and 1982-1988.

    Conclusions:

    • Contraceptive sterilization is a very safe procedure globally.
    • Improvements in anesthesia and infection control have enhanced safety.
    • Ongoing review of mortality cases is vital for refining surgical contraception practices.