Severe antepartum or postpartum hemorrhage D Severe trauma to the genital (cervical or vaginal tear at time of delivery) Clarification: If exploratory surgery or S Uterine rupture or laparoscopy is conducted and the patient is perforation stable, repair of the problem and tubal sterilization may be performed concurrently if no additional risk is involved. POSTABORTION* A Uncomplicated D Postabortal sepsis or fever D Severe postabortal hemorrhage Severe trauma to the genital D tract (cervical or vaginal tear at time of abortion) Uterine perforation S Clarification: If exploratory surgery or laparoscopy is conducted and the patient is stable, repair of the problem and sterilization may be performed concurrently if no additional risk is involved. Acute hematometra D PAST ECTOPIC PREGNANCY A SMOKING Age <35 years A Age years ≥35 <15 cigarettes/day A cigarettes/day A ≥15 CONDITION CATEGORYa CLARIFICATIONS/EVIDENCE * additional comments after A = accept, this table C = caution, D = S = special PERSONAL CHARACTERISTICS AND REPRODUCTIVE HISTORY (cont.) OBESITY Clarification: The procedure may be more difficult. is an increased risk of wound
Severe antepartum or postpartum hemorrhage Severe trauma to the genital (cervical or vaginal tear at time of delivery) Uterine rupture or perforation D S Clarification: If exploratory surgery or laparoscopy is conducted and the patient is stable, repair of the problem and tubal sterilization may be performed concurrently if no additional risk is involved. POSTABORTION* Uncomplicated Postabortal sepsis or fever Severe postabortal hemorrhage Severe trauma to the genital tract (cervical or vaginal tear at time of abortion) Uterine perforation Acute hematometra A D D D S D Clarification: If exploratory surgery or laparoscopy is conducted and the patient is stable, repair of the problem and sterilization may be performed concurrently if no additional risk is involved. PAST ECTOPIC PREGNANCY A SMOKING Age <35 years Age ≥35 years <15 cigarettes/day ≥15 cigarettes/day A A A CONDITION * additional comments after this table CATEGORYa A = accept, C = caution, D = S = special CLARIFICATIONS/EVIDENCE PERSONAL CHARACTERISTICS AND REPRODUCTIVE HISTORY (cont.) OBESITY Clarification: The procedure may be more difficult. is an increased risk of wound
trp-en-tubal-ligation-handout3.docx