난관피임술 = Tubal Sterilization

다국어 초록 (Multilingual Abstract)

Much concerm has been turned our attention to the increasing need for population control. Permanent sterilization by a tubal porcedure has gained acceptance among there are the most commonly used methods for birth control in Korea. Between August 1,1971 and the end of July, 1973,269 women were admitted to the Department of Obstetrics & Gynecology, Ewha Womans University hospital for sterilization as well as delivery. 1) Of these, 267 cases had abdominal tubal ligation and 2 cases (1.5%) had vaginal tubal ligation. Among abdominal procedures (267 cases), 50 cases (18.6%) had postpartum tubal ligation. 2) Spinal anesthesia was performed in 34 cases (68%). 7(14%) cases was done under local anesthesia fairly well. 3) The average age of the women with sterilization was 32.4 years old and the majority of the wamen (52%) were at age of 30 to 34. 4) The ideal time of postpartum tubal sterilization seems to be in 24 hours after delivery. 5) In viewing the acceptor`s motivarion, more than one half of the women (56%) tind to have 3 living children or 2 boys plus one girl or 3 girls. At least to have one boy seemed to be minimal requerement or custom for the acceptance. 6) There was significantly showed some less incidence of histologic salpingitis in cases operated in 36 hours after delevery. However there was no significant correlationship noticed between the incidence of histologic salpingitis and the time of surgery performed in the postpartum pereod. 7) Most morbidity attributable to the sterilization was accounted for wound infection (3.3%). 8) Failure rate for sterilization was nil yet in this series follows up.