First and subsequent pregnancies after tubal microsurgery: evaluation of the fertility index

Fertility and Sterility
W R GillettG P Herbison

Abstract

To determine the number of children born after a tubal microsurgical operation and to evaluate the fertility index, a long-term measure of reproductive potential. A case series involving a follow-up questionnaire. A tertiary care university hospital. Three hundred twelve women undergoing microsurgery for tubal disease. A range of open microsurgical procedures including reversal of sterilizations. Cumulative pregnancy rates to the first and second normal pregnancies and calculation of the fertility index. The 2-year cumulative pregnancy rates (probability +/- SE) for a first normal pregnancy for proximal disease, distal disease, tubal reanastomoses, and tubal adhesions were 0.51 +/- 0.05, 0.29 +/- 0.06, 0.47 +/- 0.06, and 0.30 +/- 0.07, respectively. Of the 288 (92%) women responding to the questionnaire, 142 women had at least one child. Of the 100 women who wanted a second child, 68 succeeded, the proportions being similar in each surgery category. The fertility index described restoration of normal fertility in 30%, 12%, 34%, and 23% for women with proximal disease, distal disease, anastomotic procedures, and adhesion disease, respectively. The fertility index is a useful measure of long-term reproductive potential. The high ...Continue Reading

References

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Citations

Nov 4, 2004·BJOG : an International Journal of Obstetrics and Gynaecology·Gavin Sacks, Geoff Trew

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