Evaluation of women undergoing sterilisation reversal and subsequent pregnancy outcome.

ABSTRACT

A total of 114 women underwent sterilisation reversal operation by microsurgical technique at Regional Centre of Excellence (RCOE), RG Kar Medical College and Hospital, Kolkata from August, 1998 to July, 2000, and follow-up was done for next two years. The commonest reason for seeking sterilisation reversal was death of male child which was 53.51%. Majority of women (50.88%) were between 25 and 30 years of age and 86.84% of women were of para 2 or less. Most of the women (59.65%) of reversal seeker had undergone prior laparoscopic sterilisation in comparison to sterilisation by minilaparotomy (40.35%). It is also seen that 50% of them had underwent sterilisation less than 3 years back. Commonest type of tubotubal anastomosis performed in this present study was isthmo-isthmic type which was 49.12%. Thirty-one patients were lost in follow-up and out of rest 83 cases, intra-uterine pregnancy was noted in 66.27%. Live birth was 45.78% delivered in the same institution, 8.43% of cases had spontaneous abortion and 3.61% of cases had ectopic pregnancy