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Characteristics of Tubal Ligation PowerPoint Presentation

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Description : Check out this medical presentation on Gynecological Surgery, which is titled "Characteristics of Tubal Ligation", to know about Characteristics of Tubal Ligation (Female Sterilization).

Tags : Gynecological Surgery, Characteristics, Tubal Ligation, Female Sterilization

Published on : Jul 20, 2021 | Views : 2948 | Downloads : 5

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Session I: Characteristics of Tubal Ligation (Female Sterilization)
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Characteristics of Female Sterilization Session Objectives By the end of this session, participants will be able to: State what female sterilization is Describe the characteristics of female sterilization in a manner that clients can understand Describe the effectiveness of female sterilization List the side effects and complications of female sterilization.
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What Is Female Sterilization? Female sterilization is a family planning method that provides permanent contraception to women and couples who want to limit births or do not want any more children. The two surgical approaches most often used are minilaparotomy and laparoscopy. Female sterilization is also referred to as “tubal occlusion,” “tubal sterilization,” “tubal ligation,” “surgical contraception,” “voluntary surgical contraception,” “tubectomy,” “bi-tubal occlusion,” “minilap,” or simply “the operation.”
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Key Points for Providers and Clients Source: Adapted from: WHO & Johns Hopkins Bloomberg School of Public Health. Center for Communication Programs. Information and Knowledge for Optimal Health (INFO). 2005. Decision-making tool for family planning clients and providers. Baltimore, Maryland: INFO; and Geneva: WHO. Female sterilization is a surgical procedure. The womb is NOT removed. The woman will still have menstrual periods. It is permanent—for women who will not want more children. It is very effective. It is very safe. There are no long-term side effects. It does not protect against STIs, including HIV.
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Effectiveness of Female Sterilization In this diagram on the progression of effectiveness of FP methods, where would you place female sterilization? More effective Less effective Female sterilization
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Relative Effectiveness of Family Planning Methods
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Explaining How the Method Works A segment of the fallopian tube is removed, and then the tube is tied or blocked. Sperm are blocked from fertilizing the ovum Fallopian tube ovary Fallopian tube Uterus Source: Adapted from: Roy Jacobstein and John Pile, Global Technical Brief -Female Sterilization: The Most Popular Method of Modern Contraception, Engenderhealth and JHUCCP 2004
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Female Sterilization: Health Benefits Protects against risks of pregnancy and childbirth Lower risks of ectopic pregnancy May lower risks of developing ovarian cancers
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Timing of the Procedure and the Surgical Approaches
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Characteristics of Interval, Postabortion, and Postpartum Procedures Source: EngenderHealth. 2016. Minilaparotomy for female sterilization: A training course for service providers: Trainer’s manual. New York
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Characteristics of Interval, Postabortion, and Postpartum Procedures (cont.) Source: EngenderHealth. 2016. Minilaparotomy for female sterilization: A training course for service providers: Trainer’s manual. New York.
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The Minilaparotomy Procedure Definition: Minilaparotomy is an abdominal surgical approach to access the fallopian tubes by means of an incision less than 5 cm in length with the intent to occlude the fallopian tubes. EngenderHealth. 2016. Minilaparotomy for female sterilization: A training course for service providers: Trainer’s manual. New York
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Techniques for Tubal Occlusion Removal of part of the tubes Ligation and excision (aka ligation and cut, or partial salpingectomy): Pomeroy, modified Pomeroy, Parkland, Irving, Uchida Salpingectomy Application of a mechanical device Clips: Filshie clip and Wolf (aka Hulka) Rings: Fallope ring Micro-inserts (Trans-cervical) Essure Electrocoagulation
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Modified Pomeroy Technique for Tubal Occlusion The modified Pomeroy is the preferred method. After transfixing a suture in an avascular area of the mesosalpinx, one side (proximal) of the tube is tied, then the other (distal) side of the looped tube is secured with a square knot, and the tube is excised. Source : EngenderHealth, 2003, Minilaparotomy for female sterilization : an illustrated guide for service providers. A section of tube has been identified and a suture transfixed. One side of the tube is ligated or tied Both ends of the tube are tied and a section of the loop above the ligature has been excised.
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Closure of the Surgical Wound, Recovery, and Discharge After occlusion of both tubes, the surgical wound is closed. The client is transferred to a separate recovery area/ward/room to recover from the effects of pain management drugs and for observation. The client is discharged in stable condition, with postprocedure instructions.
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Client Safety Female sterilization is a safe method of contraception. The incidence of complications is low, estimated at between 9 and 16 per 1,000 procedures. The risk of death is also very low, estimated at 1–4 deaths per 100,000 procedures in the United States (most associated with general anesthesia) and at 5 per 100,000 procedures globally.
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Side Effects and Complications Complications of female sterilization are rare. Immediate side effects of minilaparotomy are transient and include nausea, vomiting, and minor abdominal discomfort. Complications may be: Surgical Injuries to other viscera Bleeding or hemorrhage/ hematoma formation Infection Small risk of failure leading to pregnancy(ectopic or intrauterine) Anesthesia-related Respiratory depression Drug overdose
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Long-Term Effects of Female Sterilization Long-term effects are rare. Risk of ectopic pregnancy Potential for regret