Standards for Female and Male Sterilization Services - STATE ...

46Standards for female and male Sterilization servicesCondition Category Clarification/EvidencePersonal characteristics and reproductive historyStroke(history ofCcerebrovascular accident)Known hyperlipidaemias A Clarification: Routine screening is not appropriate because of therarity of the conditions and 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 and disordersVaginal bleeding patternsa) Irregular pattern Awithout heavy bleedingb) Heavy or prolonged Ableeding (includesregular and irregularpatterns)Unexplained vaginalbleeding(suspicion for seriouscondition)Before evaluationCCDClarification: The woman requires prophylactic antibiotics.Clarification: The woman is at high risk for complications associatedwith anaesthesia and 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 before the procedure isperformed.