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

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50Standards for female and male Sterilization servicesCondition Category Clarification/EvidencePersonal characteristics and reproductive historyLiver tumoursa) Benign (adenoma)b) Malignant(hepatoma)AnaemiasThalassaemiaSickle-cell disease*Iron-deficiencyanaemiaa) Hb < 7 g/dlb) Hb ≥ 7 g/dl to
Standards for female and male Sterilization services 51Condition Category Clarification/EvidencePersonal characteristics and reproductive historySterilizationconcurrent withabdominal surgerya) Electiveb) Emergency(without previouscounselling)c) Infectious conditionSterilizationconcurrent withcaesarean section** See additional commentsAdditional commentsCDDAParityNullipar ous: Nulliparous women, like all women, should be counselled about the permanencyof sterilization and the availability of alternative, long-term, highly effective methods.Post-partum< 7 days post-partum: Sterilization can be performed safely immediately post-partum.7 to 42 days: There is an increased risk of complications when the uterus has not fullyinvoluted.Pre-eclampsia/eclampsia: There are increased anaesthesia-related risks.Prolonged rupture of membranes, 24 hours or more: There is an increased risk of postoperativeinfection.Puerperal sepsis, intrapartum or puerperal fever: There is an increased risk of postoperativeinfection.Severe antepartum or post-partum haemorrhage: The woman may be anaemic andunable to tolerate further blood loss.Severe trauma to the genital tract: cervical or vaginal tear at time of delivery: Theremay be significant blood loss and anaemia. The procedure may be more painful.Uterine rupture or perforation: There may have been significant blood loss or damage toabdominal contents.
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DR. (SMT.) M.S. JayalakshmiDeputy C
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