Authors: Lawal Abdulfattah Mohammed, Ibrahim Habib, Abubakar Shehu Muhammad, Shuaibu Yusuf, Rasheed Abubakar Fatima, Mutihir Josiah Turi.
Introduction: Tubal sterilization is a form of permanent contraception that is offered to women of reproductive age group who have either completed their desired family size or in whom further pregnancy poses danger to their survival.
Objectives: To review all the consecutive tubal sterilizations done at Jos University Teaching Hospital (JUTH) during the study period.
Methodology: A retrospective study of all consecutive bilateral tubal ligations (BTL) at JUTH from January 2000 to December 2009. Data was obtained from patients’ case notes, records from association for voluntary surgical contraception (AVSC) clinic, booking registers as well as operation notes. The socio-demographic features, reproductive history, previous contraceptive history, surgical procedure done and its timing, of all the 1,217 consecutive tubal sterilizations done were extracted. The data was entered into personal computer and analyzed using Epi-Info Statistical Software, 2008.
Results: One Thousand Two Hundred and seventeen (1217) tubal sterilizations were performed during the study period. The mean age and parity of the clients were 38.2 ± 4.2 years and 7.4 ± 2.1 respectively. Forty one point five percent of the clients were Berom women, that were married (97.7%) and without any gainful employment (39.4%). 80.8% of the clients had formal education and injectable hormonal contraceptive was the method of contraception used by 45.0% of the clients prior to the procedure.
Pomeroy’s method was the only form of the procedure done, mainly via interval mini-laparotomy (88.4%). 78.5% of the clients knew of the procedure through family planning clinic, and the desired family size was the reason for the procedure in 80.6% of the clients.
Conclusion: Tubal sterilization mainly via interval minilaparotomy, was found to be a method of contraception accepted by older clients with a higher parity in JUTH, Jos.
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