Standards for Female and Male Sterilization Services - STATE ...
Standards for Female and Male Sterilization Services - STATE ...
Standards for Female and Male Sterilization Services - STATE ...
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46<strong>St<strong>and</strong>ards</strong> <strong>for</strong> female <strong>and</strong> male <strong>Sterilization</strong> servicesCondition Category Clarification/EvidencePersonal characteristics <strong>and</strong> reproductive historyStroke(history ofCcerebrovascular accident)Known hyperlipidaemias A Clarification: Routine screening is not appropriate because of therarity of the conditions <strong>and</strong> the high cost of the procedure.Valvular heart diseasea) Uncomplicatedb) Complicated(pulmonaryhypertension, atrialfibrillation, historyof subacute bacterialendocarditis)Neurologic conditionsHeadachesa) Non-migrainous(mild or severe)b) Migrainei) without auraAge < 35Age ≥ 35ii) with aura (at anyage)EpilepsyDepressive disordersDepressive disordersCSAAAAReproductive tract infections <strong>and</strong> disordersVaginal bleeding patternsa) Irregular pattern Awithout heavy bleedingb) Heavy or prolonged Ableeding (includesregular <strong>and</strong> irregularpatterns)Unexplained vaginalbleeding(suspicion <strong>for</strong> seriouscondition)Be<strong>for</strong>e evaluationCCDClarification: The woman requires prophylactic antibiotics.Clarification: The woman is at high risk <strong>for</strong> complications associatedwith anaesthesia <strong>and</strong> surgery. If the woman has atrial fibrillationthat has not been successfully managed or current subacute bacterialendocarditis, the procedure should be delayed.Clarification: The condition must be evaluated be<strong>for</strong>e the procedure isper<strong>for</strong>med.