What is included in patient education about postpartum tubal sterilization?

Updated: Jun 18, 2018
  • Author: Nan G O'Connell, MD; Chief Editor: Christine Isaacs, MD  more...
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Counseling for postpartum tubal sterilization is critical and should occur before the intrapartum period. Patients should be made aware that tubal sterilization is more effective than user-dependent methods but comparable to intrauterine devices and vasectomy. Postpartum tubal sterilization is associated with higher regret in women younger than 30 years.

Other contraceptive options, both permanent and nonpermanent methods, should be reviewed with the patient, and consideration should be given to other comorbidities (eg, obesity, previous abdominal surgeries, history of pelvic inflammatory disease [PID]) which could complicate the procedure.

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