| Title: |
Salpingectomy for Sterilization ; Change in Practice in a Large Integrated Health Care System, 2011–2016 |
| Authors: |
Powell, C. Bethan; Alabaster, Amy; Simmons, Sarah; Garcia, Christine; Martin, Maria; McBride-Allen, Sally; Littell, Ramey D. |
| Source: |
Obstetrics & Gynecology ; volume 130, issue 5, page 961-967 ; ISSN 0029-7844 |
| Publisher Information: |
Ovid Technologies (Wolters Kluwer Health) |
| Publication Year: |
2017 |
| Description: |
OBJECTIVE: To evaluate the utilization rate of salpingectomy for cesarean deliveries and postpartum and interval tubal sterilization procedures. METHODS: This is a retrospective cohort study using the electronic medical record to identify women older than 18 years of age undergoing surgical sterilization from June 2011 to May 2016 in an integrated health care system. The primary objective is to describe the change in utilization rate of salpingectomy for tubal sterilization procedures over time and after a systemwide practice recommendation was issued in 2013. Rates of salpingectomy and tubal occlusion were calculated for each of the five 1-year intervals in the study. Secondary outcomes included blood loss, operating time, length of stay, readmission, and emergency department visits. RESULTS: A total of 10,741 tubal sterilization procedures were identified. There was an increase in salpingectomies from 0.4% (8/1,938; 95% CI 0.2–0.8) to 35.5% (902/2,538; 95% CI 33.7–37.4) of tubal sterilization procedures performed over the study period (test for trend, P |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1097/aog.0000000000002312 |
| Availability: |
https://doi.org/10.1097/aog.0000000000002312; https://journals.lww.com/00006250-201711000-00005 |
| Accession Number: |
edsbas.B7D5F3E5 |
| Database: |
BASE |