Ogedengbe O K, Giwa-Osagie O F, Adeyemi M A
Department of Obstetrics and Gynaecology, College of Medicine, Lagos, Nigeria.
Contraception. 1987 Jun;35(6):581-90. doi: 10.1016/s0010-7824(87)80018-5.
Out-patient sterilization services were introduced by the Family Planning Clinic of the Department of Obstetrics and Gynaecology, College of Medicine, Lagos, in September, 1981. This paper reviews the results of the first five years of its availability. There were 96 out-patient interval sterilizations, 47 were by the laparoscopic and 49 by the minilaparotomy procedures, representing 0.7% of maternities. Both local and general anaesthesia was used for the procedures. The patients' ages ranged from 28-52 years, all but three being above 31 years. Their parity ranged from 2-15 with between 2-10 living children. Only five patients had less than four children. 37.5% had used no contraception before. Termination of pregnancy was performed at the same time as tubal ligation in 12.5%, and 75% of these were secondary to contraceptive failure. Three patients had emergency laparotomy although in only one was it related to the sterilization procedure. Three patients were observed for 24 hours with no complications. Two patients were re-admitted after one week with pelvic peritonitis. The major complication rate was 3.1%. The failure rate was one per cent. There have been no requests for reversal. The results are compared with those of patients having puerperal sterilization during the same period, who totalled 2% of the maternities.
1981年9月，拉各斯医学院妇产科系计划生育诊所开始提供门诊绝育服务。本文回顾了该服务开展头五年的结果。共有96例门诊间隔期绝育手术，其中47例通过腹腔镜手术，49例通过小切口剖腹手术，占产妇总数的0.7%。手术采用局部麻醉和全身麻醉。患者年龄在28至52岁之间，除3人外均超过31岁。其产次在2至15次之间，存活子女数在2至10个之间。只有5名患者子女数少于4个。37.5%的患者此前未采取避孕措施。12.5%的患者在输卵管结扎的同时进行了终止妊娠手术，其中75%是由于避孕失败。3名患者进行了急诊剖腹手术，不过只有1例与绝育手术有关。3名患者观察24小时无并发症。2名患者在一周后因盆腔腹膜炎再次入院。主要并发症发生率为3.1%。失败率为1%。无人要求输卵管复通。将这些结果与同期进行产后绝育的患者结果进行了比较，后者占产妇总数的2%。
