The effect of special training for quinacrine sterilization (QS) in Faisalabad, Pakistan: a report on an 1833-women subset of 11,000 cases.
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.
Bashir
A
A
Mother & Child Welfare Association, 18 Gulzar Colony (near Passport Office), Faisalabad 38000, Pakistan. macwafsdyahoo.com
Bashir
M
M
Afzal
S
S
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
D012102:Reproductive Control Agents; D011796:Quinacrine