Title: Pregnancy termination combined with sterilization.

POPLINE Document Number: 797180

Author(s):

Yuzpe AA
Rioux JE

Source citation:

In: Zatuchni GI, Sciarra JJ, Speidel JJ, eds. Pregnancy termination: procedures, safety, and new developments. Hagerstown, Maryland, Harper and Row, 1979. :312-22. (PARFR Series on Fertility Regulation)

Abstract:

There are several factors favoring sterilization performed concomitantly with abortion. Abortion combined with sterilization is both an acceptable and widely practiced technique. The choice of the sterilizing procedure varies with the duration of the pregnancy, skill of the surgeon, availability of treatment facilities, and presence of other coexisting gynecologic or medical problems. In the 1st trimester of pregnancy, minilaparotomy, posterior colpotomy, and laparoscopic sterilization provide viable and acceptable methods of achieving sterilization. Minilaparotomy and posterior colpotomy are the preferred methods in the 2nd trimester unless laparoscopy is performed by a skilled laparoscopist. Hysterectomy appears to be a reasonable procedure when there is adequate indication for this major surgical procedure. Hysterectomy should be performed only if the patient understands that increased morbidity and complication rates exist for this major procedure as opposed to the complication rates for lesser combined procedures. If clinical judgment requires a delay in performeing the sterilization procedure for safety reasons, then interim sterilization should be elected. Contraception counseling is a necessity if the patient chooses to delay the sterilization, since ovulation may occur before 1st menses after abortion. The various sterilization procedures are described in detail.

Keywords:

Colpotomy
Hysterectomy
Laparoscopy
Laparotomy
Culdoscopy
Hysteroscopy
Abortion
Pregnancy, First Trimester
Pregnancy, Second Trimester
Female Sterilization
Gynecologic Surgery
Urogenital Surgery
Surgery
Treatment
Endoscopy
Physical Examinations and Diagnoses
Examinations and Diagnoses
Fertility Control, Postconception
Family Planning
Pregnancy
Reproduction
Sterilization, Sexual