HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by PETERSON, H. B. Articles by TRUSSELL, J. Search for Related Content PubMed PubMed Citation Articles by PETERSON, H. B. Articles by TRUSSELL, J.

Pregnancy After Tubal Sterilization With Silicone Rubber Band and Spring Clip Application

From the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia; and the Office of Population Research, Princeton University, Princeton, New Jersey.

Address reprint requests to: Herbert B. Peterson, MD Centers for Disease Control and Prevention Division of Reproductive Health 4770 Buford Highway NE Mailstop K-34 Atlanta, GA 30341

Objective: To determine risk factors for pregnancy after tubal sterilization with silicone rubber bands or spring clips.

Methods: A total of 3329 women sterilized using silicone rubber bands and 1595 women sterilized using spring clips were followed for up to 14 years as part of a prospective cohort study conducted in medical centers in nine US cities. We assessed the risk of pregnancy by cumulative life-table probabilities and proportional hazards analysis.

Results: The risk of pregnancy for women who had silicone rubber band application differed by location of band application and study site. The 10-year cumulative probabilities of pregnancy varied from a low of 0.0 per 1000 procedures at one study site to a high of 42.5 per 1000 procedures in the four combined sites in which fewer than 100 procedures per site were performed. The risk of pregnancy for women who had spring clip application varied by location of clip application, study site, race or ethnicity, tubal disease, and history of abdominal or pelvic surgery. The probabilities across study sites ranged from 7.1 per 1000 procedures at 10 years to 78.0 per 1000 procedures at 5 years (follow-up was limited to 5 years at that site).

Conclusion: The 10-year cumulative probability of pregnancy after silicone rubber band and spring clip application is low but varies substantially by both clinical and demographic characteristics.

This article has been cited by other articles:

				P. Litta, E. Cosmi, G. Sacco, C. Saccardi, A. Ciavattini, and G. Ambrosini Hysteroscopic permanent tubal sterilization using a nitinol-dacron intratubal device without anaesthesia in the outpatient setting: procedure feasibility and effectiveness Hum. Reprod., December 1, 2005; 20(12): 3419 - 3422. [Abstract] [Full Text] [PDF]