| Literature DB >> 1830104 |
T G Stovall1, F W Ling, G M Henry, G M Ryan.
Abstract
A prospective, randomized study of 365 women undergoing interval laparoscopic tubal sterilization in a residency training program was undertaken to compare method failures. Two occlusive techniques were compared, the spring-loaded clip (Hulka-Clemens) and the tubal ring (Falope Ring). Patients were randomized to either Falope Rings or Hulka-Clemens clips as the primary method. Demographic characteristics, educational level and operator experience were similar in the two groups. Follow-up at an average of 16 months (range, 6-24) revealed eight pregnancies (4.5%) in 176 women in the clip group and five pregnancies (2.6%) in the ring group. The Hulka-Clemens clip and the Falope Ring have similar incidences of method failure when employed by inexperienced operators. We question the usefulness of chromopertubation utilizing methylene blue dye to ensure proper placement of the occlusive device.Entities:
Keywords: Americas; Biology; Clips; Contraception; Contraception Failure; Contraceptive Usage; Data Collection; Delivery Of Health Care; Demographic Factors; Developed Countries; Education; Endoscopy; Equipment And Supplies; Examinations And Diagnoses; Family Planning; Female Sterilization; Fertility; Fertility Measurements; Health; Health Personnel; Incidence; Interval Sterilization; Laboratory Examinations And Diagnoses; Laparoscopy; Measurement; Method Acceptability; North America; Northern America; Physical Examinations And Diagnoses; Physicians; Population; Population Dynamics; Pregnancy Rate; Prospective Studies; Research Methodology; Risk Factors; Sterilization, Sexual; Studies; Tennessee; Training Programs; Tubal Occlusion; Tubal Rings; United States
Mesh：
Year: 1991 PMID： 1830104
Source DB: PubMed Journal: J Reprod Med ISSN： 0024-7758 Impact factor: 0.142