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Anaesthetic experience in female sterilisation at Jos University Teaching Hospital, Nigeria.
East African Medical Journal 2007 August
OBJECTIVE: To present the trend of anaesthetics used for interval and post-partum female sterilisation.
DESIGN: A retrospective descriptive study.
SETTING: Jos University Teaching Hospital, Jos, Nigeria from 1985 to 2004.
SUBJECTS: All cases of female sterilisation in Jos University Teaching Hospital within the study period.
INTERVENTIONS: Clients were allowed free choice of the method of anaesthesia after appropriate counseling. Written consent by the patient and her husband was obtained.
RESULTS: During the period, 4,313 female sterilisations were performed. The mean (+/-SD) age and parity of the clients were 36.8 +/- 4.8 years, and 7.6 +/- 2.4 respectively. Local anaesthesia alone was the most commonly used (75.0%), followed by general anaesthesia (15.8%) and local anaesthesia with sedation (9.2%). The use of local anaesthesia alone for minilaparotomy under local anaesthesia for female sterilisation rose from 0.0% in 1985 to 83.0% in 2004. Majority (79.1%) of the cases were performed as interval procedures, 15.1% performed at Caesarean section and 5.8% as postpartum procedures. There were no serious morbidity and/or mortality associated with the types of anaesthesia used.
CONCLUSION: Minilaparotomy under local anaesthesia for sterilisation has been found to be feasible, and now acceptable in our institution.
DESIGN: A retrospective descriptive study.
SETTING: Jos University Teaching Hospital, Jos, Nigeria from 1985 to 2004.
SUBJECTS: All cases of female sterilisation in Jos University Teaching Hospital within the study period.
INTERVENTIONS: Clients were allowed free choice of the method of anaesthesia after appropriate counseling. Written consent by the patient and her husband was obtained.
RESULTS: During the period, 4,313 female sterilisations were performed. The mean (+/-SD) age and parity of the clients were 36.8 +/- 4.8 years, and 7.6 +/- 2.4 respectively. Local anaesthesia alone was the most commonly used (75.0%), followed by general anaesthesia (15.8%) and local anaesthesia with sedation (9.2%). The use of local anaesthesia alone for minilaparotomy under local anaesthesia for female sterilisation rose from 0.0% in 1985 to 83.0% in 2004. Majority (79.1%) of the cases were performed as interval procedures, 15.1% performed at Caesarean section and 5.8% as postpartum procedures. There were no serious morbidity and/or mortality associated with the types of anaesthesia used.
CONCLUSION: Minilaparotomy under local anaesthesia for sterilisation has been found to be feasible, and now acceptable in our institution.
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