Study on permanent tubal sterilisation in a semi-urban based medical college hospital

Background: Tubal sterilisation is a permanent method of contraception in use for many years. Main objective of our study is to find the acceptance of permanent method of tubal sterilisation in women delivering in a semi-urban based medical college hospital. Methods: Retrospective analysis was carried to find the number of women undergoing tubal sterilisation in our hospital for period of one year from April 2015 to March 2016. Results: Total women delivered over a period of one year were 10959 out of them 2619 women underwent tubal sterilisation. Analysis showed acceptance was high when combined with lower segment cesarian section (LSCS) and more among women in the age of 20-29 years. Conclusions: The present study showed the acceptance of tubal sterilisation following vaginal delivery to undergo mini lap is still low compared to concurrent sterilisation with LSCS. High order births are still prevalent in semi-urban based hospitals. Not only motivation, also regular review of registers that update the eligible couples, identification of complications and timely referral to higher centers will help in achieving the goal of bringing down the number of high order birth which in turn will reducing the maternal and perinatal mortality and morbidity.