The effect of special training for quinacrine sterilization (QS) in Faisalabad, Pakistan: a report on an 1833-women subset of 11,000 cases

被引：6

作者：

Bashir, A ^{[1
]}

Bashir, M ^{[1
]}

Afzal, S ^{[1
]}

机构：

[1] Mother & Child Welfare Assoc, Faisalabad 38000, Pakistan

来源：

INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS | 2003年 / 83卷

关键词：

quinacrine sterilization; female sterilization; sterilization training;

D O I：

10.1016/S0020-7292(03)90092-0

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective: To determine the impact of retrained clinicians on the efficacy of transcervical quinacrine sterilization. Method: Retraining of clinicians in the accepted insertion technique was conducted in 1996. From I January 1997 through 2001, they performed 1089 quinacrine sterilizations in 11 MCH clinics of the Mother & Child Welfare Association at Faisalabad, Pakistan. Of these, 885 women had a recorded follow-up visit (81.4%) by 31 December 2001. Result: Reported pregnancy failures declined after retraining from 5.4% (SE 2.3) for one year of use to 1.1% (SE 0.4) for 5 years of use. The rates at 4 years of use showed the expected increase in failures for women 30 years old or younger of 1.5% (SE 0.7) compared to 0.9% (SE 0.4) for those over 30; a lower rate of 0.8% (SE 0.4) for breastfeeding subjects and 2.2% (SE 1.1) for mothers not breastfeeding; but rates were similar for uterine length and post insertion traumatic bleeding. Conclusion: Quinacrine sterilization appears safe with acceptable efficacy. (C) 2003 International Federation of Gynecology and Obstetrics. Published by Elsevier Science Ltd. All rights reserved.

引用

页码：S67 / S71

页数：5