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STERILISATION
PRESENTED BY GROUP 4
DEFINITION
Female sterilization is a family planning method which involves the
permanent occlusion of the fallopian tubes of the female client who do
not want to have anymore children
Presentation objectives
define the method
Describe the method
Explain when to start using the method
Describe the effectiveness of the method
Explain the eligibility criteria
State the contraindications and contraindications
Explain the instruction o usage of the method
Side effects and management of the side effects
Misunderstandings about the method of planning
description
The method is also called tubal ligation
It is a voluntary surgical contraceptive method
It is usually carried out postpartum
tubal ligation involves the use of one of the following too surgical
procedures
laparotomy
Laparoscopy
LAPARATOMY
Surgical procedure which involves making a 2-5cm incision on the
abdomen
Fallopian tubes are brought near the incision site where they are cut,
blocked or tied
This procedure can be done from up to 7days of child birth or six
weeks or more after child birth.
laparoscopy
Involves the insertion of a long thin tube with lenses in it into the
abdomen through a small incision
Laparoscopy enables the clinician to see and block the oviducts in the
abdomen without making a large incision on the skin
The clinician then insert a special needle into the woman's abdomen
and through the needle inflate the abdomen with air or gas, this raises
the wall of the abdomen away from the abdominal organ
The clinician makes a small hole about 2 cm under the woman narvel
and insert the laparoscopy
Laparoscopy contd
Through the laparoscopy the clinician insert an instrument or makes
another incision on the abdomen to close off the oviducts
The fallopian tubes are closed off by a clip of ring, cutting or by
electrocoagulation
The incision is then closed with stitches and the woman is instructed
on care of the wound and what to do afterwards.
Contraindications
Women with the following conditions are contraindicated for tubal
ligation
Infections in the female reproductive organ
Obese women
Pregnant women
Diabetic
Severe malnutrition
Kidney diseases
Moderate iron deficiency
Post-surgical instruction
Rest for 2-3 days while avoiding heavy lifting
Keep incision area clean and dry to avoid infection
Do not rub or irritate the incision area for one week
Take analgesics such us ibuprofen or Paracetamol for pain relief
Don not have sex for at least one week
If pain persist for more than one week do not have sex until pain
subsides
Return for follow up seven days after the procedure
References
WHO. 2006. HIV and Infant Feeding: Report of a Technical
Consultation. 25-27 October 2006. WHO: Geneva
Hatcher Rinehart, Blackburn Geller Shelton: the essentials of
contraceptive technology; John Hopkins population program
LAM workshop for maternal, newborn and child health(MNCH)
service 2009
Paul FA Van look(2007) Family planning a global handbook for
providers: department of reproductive health and research(WHO)
A Learning Resource Package for Family Planning Service Providers
and Trainers. Georgetown University: Washington, D.C. www.irh.org
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