Is salpingectomy (vs standard tubal ligation) for sterilization a feasible option at cesarean delivery?

WHAT DOES THIS MEAN FOR PRACTICE?

• Bilateral salpingectomy at CD takes on average 15 min longer than bilateral tubal ligation
• Estimated blood loss and safety outcomes similar for both procedures
• Bilateral salpingectomy at the time of CD is a feasible option for permanent sterilization
• Counsel patients considering bilateral salpingectomy at CD about:
  • increased operative time
  • potential inability to complete the procedure bilaterally due to possible operative complications
  • irreversibility
• Bilateral salpingectomy best for women >25 years who have completed childbearing