title: The effect of special training for quinacrine sterilization (QS) in Faisalabad, Pakistan: a report on an 1833-women subset of 11,000 cases.
abstract: OBJECTIVE
  To determine the impact of retrained clinicians on the efficacy of transcervical quinacrine sterilization.
  
  
  METHODS
  Retraining of clinicians in the accepted insertion technique was conducted in 1996. From 1 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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  Quinacrine sterilization appears safe with acceptable efficacy.
authors.affiliation: Mother & Child Welfare Association, 18 Gulzar Colony (near Passport Office), Faisalabad 38000, Pakistan. macwafsdyahoo.com
authors.forename: A
authors.initials: A
authors.lastname: Bashir
authors.forename: M
authors.initials: M
authors.lastname: Bashir
authors.forename: S
authors.initials: S
authors.lastname: Afzal
mesh_terms: D000328:Adult; D004509:Education, Nursing, Continuing; D004518:Education, Professional, Retraining; D005260:Female; D006801:Humans; D008880:Midwifery / Q000193:education*; D010154:Pakistan; D011247:Pregnancy; D011796:Quinacrine / Q000008:administration & dosage*; D012102:Reproductive Control Agents / Q000008:administration & dosage*; D013246:Sterilization, Tubal / Q000193:education* / Q000379:methods*; D014599:Uterus / Q000473:pathology
chemical_list: D012102:Reproductive Control Agents; D011796:Quinacrine