Cohort Study of Risk Reducing Salpingectomy

Cohort Study of Risk Reducing Salpingectomy (RRS) Versus Standard Tubal Sterilization Among Women Who Desire Sterilization

Women undergoing surgical sterilization will be interested in risk reducing salpingectomy, and surgeons performing the procedure will be able to successfully complete the salpingectomy.

Inclusion Criteria:

• Women > 35 years requesting sterilization as interval procedure OR at time of cesarean delivery
• At least one living child
• English or Spanish speaking
• Sterilization planned as interval (laparoscopic) procedure via Family Planning Clinic services or at time of delivery
• Delivery by cesarean section (planned or following labor)

Exclusion Criteria:

• Age < 30
• Medical complications that increase risk for surgical bleeding (e.g. Idiopathic thrombocytopenic purpura (ITP); von Willebrand disease (vWD); need for prophylactic or therapeutic anticoagulation)