PMID: 9179458Apr 1, 1997Paper

A fifteen-year review of female sterilization by minilaparotomy under local anesthesia in Kenya

Contraception
J K Ruminjo, P F Lynam

Abstract

This paper is a comprehensive review of literature concerning the Kenyan experience with female sterilization through minilaparotomy under local anesthesia (ML/LA). A composite picture from analysis of several studies that include some 12,000 clients since 1979 reveals an average Kenyan user to be 31-34 years old (SD 4.9) with 5.9-6.8 children (SD 1.7-1.8). In up to 96% of cases, the indication for choosing sterilization is personal socio-economic considerations. The majority of clients (97%-99%) report satisfaction with their choice of sterilization at the first follow-up visit, and 96-99% state that they would recommend the method to others. The operation takes an average of 14 min (SD 4.5-5.3) "skin-to-skin" through a 2.5.2.8 cm incision (SD 0.5). A mean of 18 cm3 of 1% lignocaine is used (SD 2.7). Most clients (76.4%) have no post-operative complaints; those who do have any complaints report minor transitory problems. Similarly, most clients (96%) have moderate, little, or no peri-operative pain, but 1.9%-5% report much pain. The intra-operative and early complication rate is 0.9%. Some 3.3% of clients suffer at least one complication, some multiple, and the complication rate at 6 weeks is 4.1%, with major complications occ...Continue Reading

References

Jan 1, 1986·Obstetrical & Gynecological Survey·I C ChiL Wilkens
Jun 1, 1994·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·P F LynamJ Dwyer
Dec 1, 1993·Advances in Contraception : the Official Journal of the Society for the Advancement of Contraception·I B Manuaba

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Citations

Oct 26, 2013·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Cristin Gordon-MacleanThoai D Ngo
Jul 14, 2001·European Journal of Obstetrics, Gynecology, and Reproductive Biology·J M MorenoA J Herruzo
May 13, 1999·Anesthesia and Analgesia·S VisalyaputraP Suwanapeum
Oct 12, 2010·Annals of African Medicine·T Z Swende, T S Hwande
Nov 20, 2014·American Journal of Primatology·Pin-Huan YuChau-Hwa Chi
Jan 7, 2011·The Journal of Obstetrics and Gynaecology Research·Rajiv MahendruTina Anand Mahendru

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