Journals / Sağlık ve Toplum / 1999 / Cilt: 9 - Sayı: 2
Tubal ligation in two different periods
- Journal
- Sağlık ve Toplum
- Pages
- 32–34
- DOI
- —
Abstract
Objective: To evaluate the demographical characteristics and the tubal ligation techniques of the cases in whom tubal ligation was performed in two different periods of time. Material and Method: The age. gravidity, parity, number of living children, and the tubal ligation techniques were evaluated retrospectively for cases in whom interval tubal ligation was performed in the Department of obstetrics and Gynecology, Osmangazi University, in two different periods, which were 1984-1988 (I. Period) and 1994-1998 (II. Period). The data of two groups were compared using t test. Results: The mean age of the 91 cases during the I. Period (31.4±4.54) was significantly lower than the mean age of the 116 cases during the II. Period (34.3±4.25} (p<0.001). The number of living children was two or more in 62.6% during the I. Period, while this ratio wax 30.2% for the II. Period (p<0.001). Tubal ligation was applied under general anesthesia to all cases in both periods. There was no significant difference between the preferred methods In the two periods (p>0.05). During the I Period, tubal ligation was performed by mini laparotomy in 47 cases (31.7%), by laparoscopy in 37 cases (40.7%) and by vaginal route in 7 cases (7.6%). During the II. Period. tubal ligation was performed by mini laparotomy in 55 cases (47.4%). by laparoscopy in 61 cases (52.6%). Vaginal route way not preferred in any of the cases in this period. Conclusion: We suggest that, whatever the selected techniques adequate counselling should be given to couples prior to tubal ligation about the reversible long acting contraceptive methods. thus providing them with information necessary to make a informed choice.
Özet
Amaç: İki farklı dönemde tubal ligasyon yapılan olguların özellikleri ve tubal ligasyon tekniklerini değerlendirmek. Materyal ve Metod: Osmangazi Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum Anabilim Dalı'nda 1984-1988 (I.Dönem) ve 1994-1998 (II.Donem) yıllan arasında olmak üzere iki farklı dönemde interval tubal ligasyon uygulanan olguların yaş, gebelik, doğum ve yaşayan çocuk sayıları, tubal ligasyon teknikleri retrospektif olarak değerlendirildi. Her İki döneme ait veriler t testi ile karşılaştırıldı. Sonuçlar: I.Dönemde tubal ligasyon yapılan 91 olgunun yaş ortalaması (31.4±4.54), II.Dönemdeki 116 olgunun yaş ortalamasından (34.3±4.25) anlamlı olarak küçüktü (p 0.05). Yorum: Seçilecek teknik ne olursa olsun tubal Ligasyon öncesinde, çiftlere, uzun süreli etkili ve geri dönüşlü yöntemler ile ilgili gerekli danışmanlığın verilmesi ve böylece kişilerin bilinçli seçim yapabilmelerinin sağlanması gerektiği görüşündeyiz.