Our Summary

This study looked at trends in the use of a surgical procedure called salpingectomy during cesarean deliveries in the United States, between 2015 and 2018. A salpingectomy is a surgery to remove one or both of a woman’s fallopian tubes, and it is often done to reduce the risk of ovarian cancer. The research found that the use of this procedure during cesarean deliveries increased significantly during this time period, while the use of another procedure, tubal ligation (a method of sterilization that involves blocking the fallopian tubes), decreased. By the end of 2016, more women were having salpingectomies than tubal ligations during cesarean deliveries.

However, the study also found that women who had salpingectomies were more likely to experience complications such as bleeding, the need for a blood transfusion, or the need for additional surgeries, compared to women who had tubal ligations. The researchers conclude that while the use of salpingectomy during cesarean deliveries is on the rise, the higher risk of complications associated with this procedure needs to be further investigated.

FAQs

  1. What is a salpingectomy and why is it performed during cesarean deliveries?
  2. How has the trend in the use of salpingectomy and tubal ligation changed between 2015 and 2018 according to the study?
  3. What are the potential complications associated with salpingectomy as compared to tubal ligation?

Doctor’s Tip

A doctor might advise a patient considering bilateral tubal ligation to discuss the potential risks and benefits of the procedure with their healthcare provider. They may also recommend considering alternative forms of contraception or discussing other options for permanent sterilization. It is important for patients to make an informed decision about their reproductive health and to consider all available options before undergoing any surgical procedure.

Suitable For

Patients who are typically recommended bilateral tubal ligation include women who have completed their family and do not wish to have any more children, women who have medical conditions that make pregnancy dangerous for them, or women who have a high risk of passing on genetic disorders to their offspring. Additionally, bilateral tubal ligation may be recommended for women who are at risk for ovarian cancer, as removing the fallopian tubes can reduce this risk.

Timeline

Before bilateral tubal ligation:

  1. Patient discusses sterilization options with their healthcare provider.
  2. Patient considers the risks and benefits of tubal ligation.
  3. Patient undergoes counseling to ensure they understand the permanent nature of the procedure.
  4. Patient schedules the surgery and follows any pre-operative instructions provided by their healthcare provider.

After bilateral tubal ligation:

  1. Patient undergoes the surgical procedure to block or remove their fallopian tubes.
  2. Patient may experience some pain and discomfort after the surgery.
  3. Patient is monitored for any complications or side effects.
  4. Patient is advised to rest and avoid strenuous activities during the recovery period.
  5. Patient may experience changes in their menstrual cycle due to the hormonal changes after the procedure.
  6. Patient follows up with their healthcare provider for any post-operative care or concerns.

What to Ask Your Doctor

  1. What are the risks and benefits of bilateral tubal ligation compared to salpingectomy?
  2. How will bilateral tubal ligation affect my future fertility and menstrual cycle?
  3. Are there any long-term health risks associated with bilateral tubal ligation?
  4. What is the success rate of bilateral tubal ligation in preventing pregnancy?
  5. What is the recovery process like after undergoing bilateral tubal ligation?
  6. Are there any alternative methods of contraception that may be more suitable for me?
  7. How does bilateral tubal ligation compare to other forms of permanent sterilization, such as vasectomy for my partner?
  8. Are there any specific instructions or precautions I should follow before and after the procedure?
  9. How often should I follow up with you after undergoing bilateral tubal ligation?
  10. What should I do if I experience any unusual symptoms or complications after the procedure?

Reference

Authors: Mandelbaum RS, Matsuzaki S, Sangara RN, Klar M, Matsushima K, Roman LD, Paulson RJ, Wright JD, Matsuo K. Journal: Am J Obstet Gynecol. 2021 Oct;225(4):399.e1-399.e32. doi: 10.1016/j.ajog.2021.06.074. Epub 2021 Jun 26. PMID: 34181896