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Editorial
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Volume 343:1724-1726 December 7, 2000 Number 23
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Tubal Sterilization — Safe and Effective

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 by Peterson, H. B.
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Eleven million U.S. women rely on tubal sterilization to prevent pregnancy.1 Although the annual number of women undergoing sterilization (approximately 700,000) remains stable, the techniques, timing, and setting of the surgery have changed.2 In the early 1970s, the usual sterilization procedure was partial salpingectomy with the use of laparotomy, and it was usually performed after delivery. Subsequently, nonpuerperal sterilization with a laparoscopic approach became as common as the postpartum open procedures, and now nearly all nonpuerperal, or interval, sterilizations are performed as outpatient procedures.3 Only postpartum procedures are still performed in the hospital.

The mortality rates associated with sterilization in . . . [Full Text of this Article]

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