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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52<strong>St<strong>and</strong>ards</strong> <strong>for</strong> female <strong>and</strong> male <strong>Sterilization</strong> servicesPost-abortionPost-abortion sepsis or fever: There is an increased risk of post-operative infection.Severe post-abortal haemorrhage: The woman may be anaemic <strong>and</strong> unable to toleratefurther blood loss.Severe trauma to the genital tract: cervical or vaginal tear at time of abortion: The womanmay be anaemic <strong>and</strong> unable to tolerate further blood loss. The procedure may be more painful.Uterine per<strong>for</strong>ation: There may have been significant blood loss or damage to abdominalcontents.Acute haematoma: The woman may be anaemic <strong>and</strong> unable to tolerate further blood loss.Multiple risk factors <strong>for</strong> arterial cardiovascular diseaseWhen multiple risk factors are present concurrently, the woman may be at high risk <strong>for</strong>complications associated with anaesthesia <strong>and</strong> surgery.Current <strong>and</strong> history of ischaemic heart diseaseThe woman is at high risk <strong>for</strong> complications associated with anaesthesia <strong>and</strong> surgery.Cervical cancer (awaiting treatment)In general, the treatment renders a woman sterile.Endometrial cancerIn general, the treatment renders a woman sterile.Ovarian cancerIn general, the treatment renders a woman sterile.Uterine fibroidsDepending on the size <strong>and</strong> location of the fibroids, it might be difficult to localize the tubes<strong>and</strong> mobilize the uterus.Pelvic inflammatory disease (PID)PID can lead to an increased risk of post-sterilization infection or adhesions.STIsThere is an increased risk of post-operative infection.DiabetesThere is a risk of hypoglycaemia or ketoacidosis.