[Surgical contraception after cesarean section]

Cesarean section is a routine operation in the obstetric practice and is performed by medical indications only taking into consideration life and functional integrity both of the mother and the fetus. Our studies show that operative contraception together with cesarean section is made in 92% of parturients over 30 years of age in accordance with the required practice. The physician proposes in 16% of women, but in the remaining parturients as in all cases the the consent is documented by the signature of the parturient. Death of children (it is assumed that 2 children are indication for sterilization) due to various causes and operative deprivation of the woman from her child-bearing capability raises moral, ethic and legal questions. On the first place-indications for sterilization during cesarean section. How such type of operation should be made either by the initiation of the physician or after premeditated desire of the parturient. Is it sufficient her consent orally or written. Is the consent of the husband needed and under what form, since he could raise the question about punishment of the physician-obstetrician. The question about danger of healthy and life is not on the last place as well. Our studies during the last 5 years show that this type of intervention is frequent phenomenon--16.34% of the undergone operative deliveries. Furthermore this type of intervention should be performed only by medical indications, having in mind their significance for the future mother, family and society.