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

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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.
Standards for female and male Sterilization services 53Thyroid disordersThe woman is at high risk for complications associated with anaesthesia and surgery.Viral hepatitisThe woman is at high risk for complications associated with anaesthesia and surgery.Sickle-cell diseaseThere is an increased risk of pulmonary, cardiac or neurological complications, and possibleincreased risk of wound infection.Coagulation disordersWomen with coagulation disorders are at increased risk of haematological complications of surgery.Respiratory diseaseFor laparoscopy, the woman may experience acute cardiorespiratory complications induced bypneumoperitoneum or the Trendelenburg position.Systemic infection or gastroenteritisThere are increased risks of post-operative infection, complications from dehydration, andanaesthesia-related complications.Fixed uterus due to previous surgery or infectionDecreased mobility of the uterus, fallopian tubes, and bowel may make laparoscopy andminilaparotomy difficult and increase the risk of complications.Diaphragmatic herniaFor laparoscopy, the woman may experience acute cardiorespiratory complications induced bypneumoperitoneum or the Trendelenburg position.Kidney diseaseBlood clotting may be impaired. There may be an increased risk of infection and hypovolemicshock. The condition may cause baseline anaemia, electrolyte disturbances, and abnormalitiesin drug metabolism and excretion.Severe nutritional deficienciesThere may be an increased risk of wound infection and impaired healing.Sterilization concurrent with caesarean sectionConcurrent sterilization does not increase the risk of complications in a surgically stable client.
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DR. (SMT.) M.S. JayalakshmiDeputy C
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