SALPINGECTOMY AT THE TIME OF CESAREAN DELIVERY: A SYSTEMATIC REVIEW
DOI:
https://doi.org/10.53555/nnmhs.v9i5.1702Keywords:
Cesarean delivery, Contraception, Reproductive, SalpingectomyAbstract
Candidates for tubal sterilisation include women who have finished having children and who are looking for a method of birth control that is both highly effective and permanent. It is possible for it to be carried out at any point during a woman's menstrual cycle, as well as right after a child is born or an abortion is performed. Hysteroscopy, laparoscopy, or even a mini-laparotomy might be performed instead. It is important to have a conversation about the danger of regret as well as the characteristics that increase the likelihood of regret, such as a young age at the time of sterilization (less than 30 years), a lower parity, sterilization administered in the immediate postpartum period, divorce or remarriage following sterilization, and being poor or of Hispanic origin. It would appear that being a young adult at the time of the sterilization is the most significant indicator of regret. It is extremely important to keep in mind that this does not provide full protection. According to the findings of the CREST study, the failure rate across all procedures was 18.5 out of every 1000 procedures over the course of a 10-year period. Even in the event that a cesarean birth is performed unexpectedly, a mother request for postpartum permanent contraception in the form of bilateral total salpingectomy during cesarean delivery may be a procedure that is both safe and practicable.
References
Castellano T, Zerden M, Marsh L, Boggess K. Risks and Benefits of Salpingectomy at the Time of Sterilization. Obstet Gynecol Surv. 2017 Nov;72(11):663–8.
ACOG Practice Bulletin No. 208 Summary: Benefits and Risks of Sterilization. Obstet Gynecol. 2019 Mar;133(3):592–4.
Danis RB, Della Badia CR, Richard SD. Postpartum Permanent Sterilization: Could Bilateral Salpingectomy Replace Bilateral Tubal Ligation? J Minim Invasive Gynecol. 2016;23(6):928–32.
Kim AJ, Barberio A, Berens P, Chen H-Y, Gants S, Swilinski L, et al. The Trend, Feasibility, and Safety of Salpingectomy as a form of Permanent Sterilization. J Minim Invasive Gynecol. 2019;26(7):1363–8.
Zerden ML, Castellano T, Doll KM, Stuart GS, Munoz MC, Boggess KA. Risk-Reducing Salpingectomy Versus Standard Tubal Sterilization: Lessons From Offering Women Options for Interval Sterilization. South Med J. 2018 Mar;111(3):173–7.
Sridhar A, Friedman S, Grotts JF, Michael B. Effect of theory-based contraception comics on subjective contraceptive knowledge: a pilot study. Contraception. 2019 Jun;99(6):368–72.
Kaya C, Turgut H, Cengiz H, Turan A, Ekin M, Yaşar L. The effect of tubal sterilization with the Pomeroy technique and bipolar electrocauterization on the ovarian reserve and serum anti-Müllerian hormone levels in a rat model. Eur J Obstet Gynecol Reprod Biol. 2015 Feb;185:108–13.
Mandelbaum RS, Matsuzaki S, Sangara RN, Klar M, Matsushima K, Roman LD, et al. Paradigm shift from tubal ligation to opportunistic salpingectomy at cesarean delivery in the United States. Am J Obstet Gynecol. 2021 Oct;225(4):399.e1-399.e32.
Duncan JR, Jones HL, Hoffer SO, Schenone MH, Mari G. Bilateral salpingectomy versus bilateral partial salpingectomy during cesarean delivery. Int J Womens Health. 2018;10:649–53.
Ganer Herman H, Gluck O, Keidar R, Kerner R, Kovo M, Levran D, et al. Ovarian reserve following cesarean section with salpingectomy vs tubal ligation: a randomized trial. Am J Obstet Gynecol. 2017 Oct;217(4):472.e1-472.e6.
Subramaniam A, Blanchard CT, Erickson BK, Szychowski J, Leath CA, Biggio JR, et al. Feasibility of Complete Salpingectomy Compared With Standard Postpartum Tubal Ligation at Cesarean Delivery: A Randomized Controlled Trial. Obstet Gynecol. 2018 Jul;132(1):20–7.
Garcia C, Moskowitz OM, Chisholm CA, Duska LR, Warren AL, Lyons GR, et al. Salpingectomy Compared With Tubal Ligation at Cesarean Delivery: A Randomized Controlled Trial. Obstet Gynecol. 2018 Jul;132(1):29–34.
Ferrari F, Forte S, Prefumo F, Sartori E, Odicino F. Opportunistic salpingectomy during postpartum contraception procedures at elective and unscheduled cesarean delivery. Contraception. 2019 Jun;99(6):373–6.
Lauterbach R, Gruenwald O, Matanes E, Justman N, Mor O, Vitner D, et al. A randomized controlled trial of 2 techniques of salpingectomy during cesarean delivery. Am J Obstet Gynecol MFM. 2022 Jul;4(6):100690.
Levy D, Casey S, Zemtsov G, Whiteside JL. Salpingectomy versus Tubal Occlusion for Permanent Contraception during Cesarean Delivery: Outcomes and Physician Attitudes. J Minim Invasive Gynecol. 2021 Apr;28(4):860–4.
Hahn TA, McKenzie F, Hoffman SM, Daggy J, Tucker Edmonds B. A prospective study on the effects of Medicaid regulation and other barriers to obtaining postpartum sterilization. J Midwifery Womens Health. 2019;64(2):186– 93.
Arora KS, Ponsaran R, Morello L, Katabi L, Hansen RTB, Zite N, et al. Attitudes and beliefs of obstetricians– gynecologists regarding Medicaid postpartum sterilization–A qualitative study. Contraception. 2020;102(5):376–82. [18] Powell CB, Alabaster A, Simmons S, Garcia C, Martin M, McBride-Allen S, et al. Salpingectomy for Sterilization: Change in Practice in a Large Integrated Health Care System, 2011-2016. Obstet Gynecol. 2017 Nov;130(5):961–7.
Luke S, Addae-Konadu K, Davidson B, Kuller J, Dotters-Katz S. Benefits and Risks of Bilateral Salpingectomy Compared With Standard Tubal Ligation During Cesarean Delivery for Permanent Postpartum Contraception. Obstet Gynecol Surv. 2022 Mar;77(3):167–73.
Guo XM, Hall EF, Mazzullo L, Djordjevic M. A low-cost approach to salpingectomy at cesarean delivery. Am J Obstet Gynecol. 2020 May;222(5):503.e1-503.e3.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Licensing
Ninety Nine Publication publishes articles under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This licensing allows for any use of the work, provided the original author(s) and source are credited, thereby facilitating the free exchange and use of research for the advancement of knowledge.
Detailed Licensing Terms
Attribution (BY): Users must give appropriate credit, provide a link to the license, and indicate if changes were made. Users may do so in any reasonable manner, but not in any way that suggests the licensor endorses them or their use.
No Additional Restrictions: Users may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
