Live delivery outcome after tubal sterilization reversal: a population-based study.

Abstract:

OBJECTIVE:To determine the cumulative incidence of live delivery in women who underwent reversal of tubal sterilization. DESIGN:Population-based retrospective cohort study. SETTING:Hospitals in Western Australia. PATIENT(S):All women aged 20-44 years, with a history of hospital admission for tubal sterilization, who subsequently underwent reversal of sterilization during the period 1985 to 2009 in Western Australia (n = 1,898). INTERVENTION(S):Data regarding reversal of sterilization and prior tubal sterilization were extracted from routinely collected administrative hospital separation records, until commencement of IVF treatment. MAIN OUTCOME MEASURE(S):First live-delivery rates. RESULT(S):There were 969 first live deliveries observed during the study period. The overall cumulative live-delivery rate was 20% (95% confidence interval [CI] 18-23) within the first year after reversal, 40% (95% CI 38-42) at 2 years, 51% (95% CI 48-53) at 5 years, and 52% (95% CI 50-55) at 10 years. The 5-year cumulative live-delivery rate was significantly lower in women who were aged 40-44 years (26%) compared with younger women (aged 20-29, 30-34, and 35-39 years) (50%, 56%, and 51%, respectively). CONCLUSION(S):Women undergoing reversal of sterilization before they reach age 40 years have at least a 50% chance of delivering a live baby within the next 5 years. Up to that age, there is no significant difference in live deliveries. The live-delivery rate halves after the age of 40 years.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Malacova E,Kemp-Casey A,Bremner A,Hart R,Stewart LM,Preen DB

doi

10.1016/j.fertnstert.2015.06.042

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

921-926

issue

4

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(15)00471-9

journal_volume

104

pub_type

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