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Related Experiment Videos

Safety of postabortion sterilisation compared with interval sterilisation. A controlled study

M C Cheng, S C Chew, J Cheong

    Lancet (London, England)
    |September 29, 1979
    PubMed
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    Concurrent induced abortion and sterilisation has similar complication rates to interval procedures. Identifying women likely to regret sterilisation is crucial.

    Area of Science:

    • Reproductive Health
    • Gynecologic Surgery

    Background:

    • Sterilisation is a common method of contraception.
    • Induced abortion is a common procedure.
    • Concurrent sterilisation with induced abortion is an option for women.

    Purpose of the Study:

    • To compare complication rates between concurrent and interval sterilisation after induced abortion.
    • To evaluate the rate of regret and subsequent pregnancy in women undergoing sterilisation.

    Main Methods:

    • Randomised controlled trial involving 406 women.
    • Allocation to either concurrent sterilisation/abortion group or interval sterilisation group (6 weeks post-abortion).
    • Comparison of abortion-attributable and sterilisation-attributable complication rates.
    Keywords:
    Abortion, Induced--complicationsAge FactorsAsiaComparative StudiesDeveloping CountriesEndoscopyEthnic GroupsEvaluationExaminations And DiagnosesFamily PlanningFamily SizeFemale Sterilization--complicationsFertility Control, PostconceptionGynecologic SurgeryInterval SterilizationLaparoscopyMethod AcceptabilityMortalityParityPhysical Examinations And DiagnosesPomeroy MethodPostabortionPregnancyPregnancy, First TrimesterProspective StudiesReproductionResearch MethodologySingaporeSoutheastern AsiaSouthern AsiaSterilization, SexualStudiesSurgeryTreatmentTubal LigationTubal OcclusionVacuum AspirationWomen

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    Main Results:

    • No significant difference in complication rates between concurrent (3.8% abortion, 5.2% sterilisation) and interval (6.7% abortion, 6.9% sterilisation) groups.
    • Estimated 2%-10% of women might regret sterilisation.
    • 4% of women became pregnant again before interval sterilisation.

    Conclusions:

    • Concurrent sterilisation with induced abortion is a safe alternative to interval sterilisation.
    • The rate of regret for sterilisation and subsequent pregnancy are important considerations.
    • Further research should focus on identifying women at higher risk of regretting sterilisation.