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

52Standards for female and male Sterilization servicesPost-abortionPost-abortion sepsis or fever: There is an increased risk of post-operative infection.Severe post-abortal haemorrhage: The woman may be anaemic and unable to toleratefurther blood loss.Severe trauma to the genital tract: cervical or vaginal tear at time of abortion: The womanmay be anaemic and unable to tolerate further blood loss. The procedure may be more painful.Uterine perforation: There may have been significant blood loss or damage to abdominalcontents.Acute haematoma: The woman may be anaemic and unable to tolerate further blood loss.Multiple risk factors for arterial cardiovascular diseaseWhen multiple risk factors are present concurrently, the woman may be at high risk forcomplications associated with anaesthesia and surgery.Current and history of ischaemic heart diseaseThe woman is at high risk for complications associated with anaesthesia and 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 and location of the fibroids, it might be difficult to localize the tubesand 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.