pubmed:otherAbstract |
PIP: 3 methods of tubal ligation are reviewed and compared: 1) abdominal postpartum tubectomy, 2) vaginal incisional tubectomy, and 3) vaginal tubal clipping by culdoscopy. In this Indian study the abdominal postpartum tubectomy was used more widely because of the social convenience for the patient and less skill required by the physician. The vaginal tubectomy is more limiting because it requires a trained gynecologist. The vaginal tubal clipping by culdoscopy is more acceptable to women because it requires no anesthesia, only a minimal hospital stay, and requires no incision. The vaginal tubal clipping by culdoscopy is considered reversible by the same method. The Indian government has undertaken an increase in this program because it is safe and economical.
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