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Female voluntary surgical contraception via minilaparotomy under local anesthesia
Author(s) -
Jack K.E.,
Chao C.R.
Publication year - 1992
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(92)90906-y
Subject(s) - medicine , obstetrics , anesthesia
Objective: To examine changes in prevalence and acceptance of sterilization methods in a developing country from 1986 to 1990. Method: Data from 5182 voluntary female sterilizations performed at 52 service sites in Nigeria were retrospectively reviewed for sterilization method, anesthesia technique, demographic factors, and patient acceptance. Results: The annual number of sterilization procedures increased dramatically over this period from 688 in 1986 to 1911 in 1989. Overall, 74.3% of the procedures were performed by minilaparotomy under local anesthesia (ML/LA), 6% by laparascopy/general anesthesia, and 19.7% by laparatomy/general anesthesia. ML/LA was found to be a very safe method, with a complication rate of 1.4% 98.6% of ML/LA patients expressed complete satisfaction with the procedure. Conclusion: Female sterilization increased in acceptance in Nigeria over the period 1986–1990 concomitant with the increased use of ML/LA. This approach is safe, cost‐effective, and appropriate for the developing world.