7%) always used condoms during coitus post sterilisation (n=38).
Table 3 outlines menstrual patterns pre and post sterilisation controlling for previous contraceptive use.
2% (n=28) reported abnormal uterine bleeding post sterilisation (prolonged bleeding, heavy bleeding and cycle irregularity).
6%) sought medical attention post sterilisation for heavy menses and cycle irregularity.
In SA, female sterilisation accounts for up to 14% of contraceptive use among sexually active women.
Reassuring findings from our study were that the majority of HIV-positive women used condoms post sterilisation (66.
Methods of laparoscopic sterilisation include electrocoagulation, silicone band and clip being the most common.
The round ligament, tube and fimbrial ends must be reviewed before closure to avoid the chance of operator-related sterilisation failure.
Some recommendations for future research would include looking at the acceptability of the laparoscopic procedure among the SA patient population, the long-term follow-up of sterilisation failure from this procedure, an assessment of anaesthetic options to provide an ambulatory service and a quality improvement study to assess ways of improving the provision of requested postpartum sterilisations.
It is feasible, safe and advantageous to provide a laparoscopic postpartum sterilisation service in SA.
Minilaparotomy and endoscopic techniques for tubal sterilisation.
The study is a retrospective descriptive study and reviews all clinical records of patients who underwent both open and laparoscopic postpartum sterilisations at Worcester Hospital, a secondary level hospital in the Western Cape Province, SA, between June 2012 and December 2013.