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Avoiding pregnancy at the time of sterilisation

Specialist Registrar in Obstetrics and Gynaecology, Royal Sussex County Hospital, Eastern Road, Brighton, BN2 5BE, UK. e-mail: nickyroberts{at}easynet.co.uk (corresponding author)

Vincent P Argent, FRCOG LLB, Consultant Obstetrician and Gynaecologist

Eastbourne District General Hospital, Eastbourne, UK.

This article will address the risk management issues surrounding a pre-existing pregnancy at the time of female sterilisation. It will concentrate on risk avoidance through counselling and issues of consent, as well as illustrating a number of important precautions that can be taken to reduce the risk of complications occurring. The investigation and analysis of confirmed pregnancies and those at risk of a pre-existing pregnancy will also be discussed. Good practice, careful documentation and adherence to guidelines by healthcare professionals may help reduce the large number of medico-legal claims arising from female sterilisation.

Keywords Keywords / failed sterilisation / female sterilisation / luteal phase pregnancy / risk management / tubal occlusion