Barriers to salpingectomy for permanent contraception: A qualitative study with obstetricians and gynaecologists.

Autor: Obermair HM; Department of Obstetrics and Gynaecology, Royal North Shore Hospital, Sydney, NSW, Australia., Muir G; Department of Obstetrics and Gynaecology, Royal North Shore Hospital, Sydney, NSW, Australia., Gard GB; Department of Obstetrics and Gynaecology, Royal North Shore Hospital, Sydney, NSW, Australia.; University of Sydney, Sydney, NSW, Australia.
Jazyk: angličtina
Zdroj: The Australian & New Zealand journal of obstetrics & gynaecology [Aust N Z J Obstet Gynaecol] 2021 Dec; Vol. 61 (6), pp. 973-977. Date of Electronic Publication: 2021 Sep 23.
DOI: 10.1111/ajo.13429
Abstrakt: Consideration of risk-reducing bilateral salpingectomy has been recommended instead of tubal occlusive procedures for female sterilisation due to the role of the Fallopian tubes in the aetiology of serous ovarian malignancies. This study identified barriers to performing salpingectomy for permanent contraception. Twenty-two semi-structured interviews were conducted with Australian gynaecologists, and transcripts analysed qualitatively. Barriers to performing bilateral salpingectomy included: (a) patient factors (younger age and risk of regret); (b) operative complexity and complications (particularly risk of bleeding); (c) surgeon factors (lack of awareness of guidelines supporting salpingectomy; less comfort with laparoscopic surgery); and (d) practical system challenges (including cost and equipment availability).
(© 2021 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.)
Databáze: MEDLINE
Externí odkaz: