When should tubal ligation be performed?

The article is professionally consulted by Master, Doctor Phung Quang Thuy - Department of Obstetrics and Gynecology - Vinmec Times City International Hospital.

The advantage of tubal ligation method is that it is highly effective in preventing pregnancy, the procedure is simple, and it does not affect physiological health. However, choosing the right time is also important for the safety and effectiveness of contraception. This article will provide you with more detailed information.

Tubal ligation, also known as sterilization, is a permanent method of contraception in women. The essence of this work is to block the fallopian tube to prevent sperm and egg from meeting by tying and cutting the fallopian tube. Including surgical procedures such as: segmentation, destruction by electrocautery, clamping with rings or forceps, plugging or freezing,...
Tubal ligation is usually indicated for women over 30 age with a sufficient number of healthy children; the couple does not want to have more children; stable husband and wife relationship,...
Some indications for sterilization because childbirth can affect both the mother's and the fetus's life such as: Mother's heart failure, respiratory failure, chronic kidney disease. The reason is related to diseases in the genital organs such as uterine prolapse, uterine fibroids,...

The best time for tubal ligation is immediately after cesarean section, in the first 24 - 36 hours after vaginal delivery, usually 6 hours after delivery but not later than 48 hours. The purpose is to reduce the risk of bleeding and conveniently avoid causing pain repeatedly for pregnant women. However, if there are abnormalities during delivery such as premature rupture of membranes, fever during labor, uterine control procedures, and risk factors for infection, tubal ligation should be delayed. Can be performed 6 weeks postpartum.

Postpartum sterilization is best done before the uterus returns to its normal position, usually within a few hours or days after birth. For women who give birth naturally, a small incision (about 2cm) is made in the abdomen (this procedure is called a laparotomy).
Tubal ligation right after giving birth, in addition to providing prophylactic antibiotics, women need to take pain relievers because of postpartum uterine pain. Painkillers such as Paracetamol 500mg x 2v (oral) in the first 24 hours, give good pain relief. After 8 hours, most women can move, eat, take care of the baby and can be discharged the next day if there are no abnormalities.
In the non-pregnant period, right after the menstrual period is 3 - 5 days, the couple abstain from sex is the best time to perform the tubal ligation procedure. This will rule out sterilization in early pregnancy.

Usually your doctor will advise you to do it during surgery. However, if the surgery is not favorable, the sterilization will be postponed. You can completely have a tubal ligation after you have recovered from surgery. Every woman has different pain levels and different health conditions, so the recovery time will also be different. Most mothers will make a full recovery after 6 weeks. After this time, you can make an appointment with your doctor for sterilization. However, doing this will cause you pain for a while and other unwanted side effects. So, make sure your health is fully recovered before sterilization.

After tubal ligation, women may experience some side effects such as: Fatigue, slight abdominal pain, shoulder pain, bloating, dizziness, nausea due to the effect of anesthesia. However, most are not too serious and will go away after a few days.

Menstrual cycle may become irregular and bleed more, the number of days of menstruation may be longer. Only contraception cannot avoid sexually transmitted diseases such as: genital warts, gonorrhea, syphilis, genital herpes,...
In fact, the possibility of pregnancy after tubal ligation only accounts for about 0.01 - 1% because the two ends of the fallopian tubes are connected. However, these women have a higher risk of having an ectopic pregnancy.

At Vinmec International General Hospital, tubal ligation procedures are guaranteed to be sterile with a team of experienced clinical staff, performing the procedures in accordance with the technical process. The doctors at the hospital are experienced doctors and have been trained in an international environment. At the same time, the hospital also upholds the quality and management of equipment, high-quality surgical instruments, which are guaranteed sterility through a high-quality infection control system, sterilization equipment. imported from countries with modern medicine.
Attentive service style with customers is also one of Vinmec's advantages, pregnant women before and after tubal ligation all undergo a detailed care process, from the health advice to know the risks, know the wishes of the family, and give appropriate advice to avoid unfortunate things from happening; With meticulous health monitoring, the doctors will make appropriate treatment decisions about the time and method of implementation, ensuring that you are safest during the procedure; Receive dedicated care from medical staff and a system of international standard rooms, helping you to rest peacefully after treatment at the hospital.