Anaesthetic experience in female sterilisation at Jos University Teaching Hospital, Nigeria.
OBJECTIVE
To present the trend of anaesthetics used for interval and post-partum female sterilisation.


METHODS
A retrospective descriptive study.


METHODS
Jos University Teaching Hospital, Jos, Nigeria from 1985 to 2004.


METHODS
All cases of female sterilisation in Jos University Teaching Hospital within the study period.


METHODS
Clients were allowed free choice of the method of anaesthesia after appropriate counseling. Written consent by the patient and her husband was obtained.


RESULTS
During the period, 4,313 female sterilisations were performed. The mean (+/-SD) age and parity of the clients were 36.8 +/- 4.8 years, and 7.6 +/- 2.4 respectively. Local anaesthesia alone was the most commonly used (75.0%), followed by general anaesthesia (15.8%) and local anaesthesia with sedation (9.2%). The use of local anaesthesia alone for minilaparotomy under local anaesthesia for female sterilisation rose from 0.0% in 1985 to 83.0% in 2004. Majority (79.1%) of the cases were performed as interval procedures, 15.1% performed at Caesarean section and 5.8% as postpartum procedures. There were no serious morbidity and/or mortality associated with the types of anaesthesia used.


CONCLUSIONS
Minilaparotomy under local anaesthesia for sterilisation has been found to be feasible, and now acceptable in our institution.
Mutihir
J T
JT
Department of Obstetrics and Gynaecology, Jos University Teaching Hospital, Jos, Plateau State, Nigeria.
Aisien
A O
AO
Ujah
I A O
IA
D000328:Adult; D000758:Anesthesia / Q000379:methods*; D000772:Anesthesia, Local / Q000379:methods; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D007813:Laparotomy; D008875:Middle Aged; D009549:Nigeria; D012189:Retrospective Studies; D013245:Sterilization, Reproductive / Q000379:methods*