Live Delivery Outcome After Tubal Sterilization Reversal: A Population-Based Study  

Oleh:

Malacova, Eva ; Kemp-Casey, Anna ; Bremner, Alexandra ; Hart, Roger ; Stewart, Louise Maree ; Preen, David Brian

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 104 no. 04 (Oct. 2015), page 921–926.
Topik: Cohort Studies; Sterilization Reversal; Tubal Sterilization; Live Birth; Life Tables
Fulltext: F02 v104 n4 p921 kelik2016.pdf (397.34KB)

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Perpustakaan FK Nomor Panggil: F02.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Objective: To determine the cumulative incidence of live delivery in women who underwent reversal of tubal sterilization. Design: Population-based retrospective cohort study. Setting: Hospitals in Western Australia. Patient(s): All women aged 20–44 years, with a history of hospital admission for tubal sterilization, who subsequently underwent reversal of sterilization during the period 1985 to 2009 in Western Australia (n = 1,898). Intervention(s): Data regarding reversal of sterilization and prior tubal sterilization were extracted from routinely collected administrative hospital separation records, until commencement of IVF treatment. Main Outcome Measure(s): First live-delivery rates. Result(s): There were 969 first live deliveries observed during the study period. The overall cumulative live-delivery rate was 20% (95% confidence interval [CI] 18–23) within the first year after reversal, 40% (95% CI 38–42) at 2 years, 51% (95% CI 48–53) at 5 years, and 52% (95% CI 50–55) at 10 years. The 5-year cumulative live-delivery rate was significantly lower in women who were aged 40–44 years (26%) compared with younger women (aged 20–29, 30–34, and 35–39 years) (50%, 56%, and 51%, respectively). Conclusion(s): Women undergoing reversal of sterilization before they reach age 40 years have at least a 50% chance of delivering a live baby within the next 5 years. Up to that age, there is no significant difference in live deliveries. The live-delivery rate halves after the age of 40 years.

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