As interest in total salpingectomy for permanent contraception at the time of cesarean delivery (CD) increases, surgeons should counsel patients that adhesions and proximity to large vessels may preclude completion of bilateral tubal removal, especially in women who have had multiple prior CDs. This according to a retrospective study of women who had a permanent contraception procedure during CD from November 2015 through April 2017. Among the details:
- 122 women who underwent CD with planned concurrent permanent contraception procedure were identified.
- 32 (26.2%) women preferred partial salpingectomy and 90 (73.8%) preferred total salpingectomy.
- All women who desired partial salpingectomy had the procedure performed.
- However, 17 (18.9%) women desiring total salpingectomy could not have the procedure performed bilaterally.
- Among women who planned a total salpingectomy, having ≥3 CDs was the only factor associated with needing an alternative procedure.
Lehn K, Gu L, Creinin MD, Chen MJ. Successful completion of total and partial salpingectomy at the time of cesarean delivery. [Published online ahead of print June 20, 2018]. Contraception. doi:10.1016/j.contraception.2018.06.003.