A Study of Tubal Ligation in Teaching Institute.

Abstract

BACKGROUND: The objective of study was to study age profile of patients and reason for seeking sterilization ,
morbidity and complication of tubal ligation procedure METHODS AND MATERIALS : A study of 200 cases(100
cases of abdominal TL and 100 cases of Lap TL) of tubal ligation was conducted at tertiary care centre in 2 year
duration. All patients were selected on basis of relevant antenatal history and operative procedure(modified
pomeroy method) and operative time, post operative complication,type were recorded in preformed proforma.
Maternal characteristic, reason for sterilization, type of anaesthesia, post op complication were analyzed.
RESULT : In present study of 200 cases of Tubal Ligation, maximum number of patients come between 26-30 year
with average age 29 year. In present study,most common reason for tubal ligation is desire for no more children
and economic. Out of 60 PPTL 38 PPTL done after delivery of male child and 22 PPTL after female child. Mostly all
abdominal tubal ligation done under spinal anaesthesia and laparoscopic tubal ligation done under general
anaesthesia. In present study, nausea,spinal headache,backache,menstrual disturbance(22% in abdominal TL
and 11% in laparoscopic TL) common in abdominal TL than laparoscopic TL. CONCLUSION : Female
sterilization,typically accomplished by means of tubal ligation is widely used method of contraception that is highly
effective at preventing unintended pregnancy. In all developed countries sterilization is generally performed by
laparoscopic equipment,minilaparotomy may still be the most common approach. Though both methods are
widely used,the advantages and disadvantages of laparoscopic sterilization compared to minilaparotomy have
not seen systematically evaluated. Sterilization has 67.3% share of birth control methods used by India
significantly higher proportion than other countries.