Postpartum laparoscopic sterilisation : a role in South African healthcare?

Simple item page
dc.contributor.authorPrince, Deborah Lynneen_ZA
dc.contributor.authorAronius, Ramon M.en_ZA
dc.contributor.authorTheron, Gerhardus Barnarden_ZA
dc.contributor.otherObstetrics and Gynaecologyen_ZA
dc.date.accessioned2016-12-22T14:45:07Z
dc.date.available2016-12-22T14:45:07Z
dc.date.issued2016-09
dc.descriptionCITATION: Prince, D. L., et al. 2016. Postpartum laparoscopic sterilisation : a role in South African healthcare?. South African Journal of Obstetrics and Gynaecology, 22(1):4-7, doi:10.7196/sajog.1019.
dc.descriptionThe original publication is available at http://www.sajog.org.za
dc.description.abstractObjective. To assess the advantages and feasibility of performing postpartum sterilisations laparoscopically in a public healthcare facility in South Africa (SA). Methods. Retrospective review of postpartum sterilisations between June 2012 and December 2013 at Worcester Hospital, Western Cape, SA. A total of 78 postpartum sterilisations were included in the study (open n=26, laparoscopic n=52). Data analysis was performed using means and medians with range and standard deviations, two-sample Wilcoxon rank sum test, two-sample t-test and χ2 test. Results. It was considered preferable to perform laparoscopic sterilisations than the open procedure on patients with a higher body mass index (BMI). Duration of surgery was shorter in the laparoscopic group, especially in patients with BMI >30, and more patients were discharged on the same day as surgery in the laparoscopic group. There were fewer overall complications in the laparoscopic group (odds ratio 0.35, 95% confidence interval 0.08 - 1.43). Conclusion. It is feasible to perform postpartum sterilisations laparoscopically in a public healthcare facility in SA. Advantages of the procedure are clinically significant and in keeping with international literature. Future research should be undertaken regarding acceptability of the procedure in the study population, laparoscopic training and the improvement of provision of requested postpartum sterilisations in public hospitals.
dc.description.urihttp://www.sajog.org.za/index.php/SAJOG/article/view/1019
dc.description.versionPublisher's version
dc.format.extent4 pagesen_ZA
dc.identifier.citationPrince, D. L., et al. 2016. Postpartum laparoscopic sterilisation : a role in South African healthcare?. South African Journal of Obstetrics and Gynaecology, 22(1):4-7, doi:10.7196/sajog.1019
dc.identifier.issn2305-8862 (online)
dc.identifier.issn0038-2329 (print)
dc.identifier.otherdoi:10.7196/sajog.1019
dc.identifier.urihttp://hdl.handle.net/10019.1/100456
dc.language.isoen_ZAen_ZA
dc.publisherHealth and Medical Publishing Groupen_ZA
dc.rights.holderAuthor retains copyrighten_ZA
dc.subjectPostpartum careen_ZA
dc.subjectLaparoscopic surgeryen_ZA
dc.subjectSterilization (Birth control)en_ZA
dc.subjectHealthcare -- South Africaen_ZA
dc.titlePostpartum laparoscopic sterilisation : a role in South African healthcare?en_ZA
dc.typeArticleen_ZA
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
prince_postpartum_2016.pdf
Size:
123.21 KB
Format:
Adobe Portable Document Format
Description:
Download article
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
1.71 KB
Format:
Plain Text
Description:
Download
Collections
Research Articles (Obstetrics and Gynaecology)