Risk For Ectopic Pregnancy After Tubal Sterilization Varies By Method

Ectopic pregnancy (EP) is a potential complication of tubal sterilization, but what determines the magnitude of risk for EP? Investigators conducted a population-based retrospective cohort study of some 45,000 women (age range, 18–44) who underwent tubal sterilization between 1990 and 2010 in Western Australian hospitals. Eleven methods of tubal sterilization were compared: five laparoscopic (partial salpingectomy, tubal electrodestruction, salpingectomy, unspecified tubal destruction, and occlusion with titanium clips), five by minilaparotomy (partial salpingectomy, other unspecified tubal destruction or occlusion, electrodestruction, salpingectomy, and an open abdominal approach with titanium clips), and one hysteroscopic (transcervical s…