PREGNANCY-BIRTH Messages for May, 2000: Re: Can a tubal ligation be done after C-section without patient knowing?

search:

Re: Can a tubal ligation be done after C-section without patient knowing?

From: anonymous@obgyn.net
Wed, 24 May 2000 10:38:37 -0500 (CDT)

Messages sorted by: [ date ][ thread ][ subject ][ author ]
Next message: Jane: "Desperately need some advice about insurance coverage....."
Previous message: anonymous@obgyn.net: "Re: Pregnant!!!!YeeHawww!"
In reply to: Rae: "Re: Can a tubal ligation be done after C-section without patient knowing?"
Next in thread: Claudia Twisdale RN: "Re: Can a tubal ligation be done after C-section without patient knowing?"

>1.)I was 42 years old when my last child was born, by C-section. Since
>then I have not again conceived. I have been pregnant 12 times, with 6
>living children. GETTING pregnant has never been a problem for me. The
>only delivery by C-section was the last one.
>2.)The OB group I used REPEATEDLY asked me what form of birth control I
>planned to use after the birth. It appeared as though, in their
>opinion, I most certainly should use something.
>3.)In casual conversation with other patients of this group, I have been
>told that THEY were given tubal ligations without consent, but were
>asked to sign the consent upon awakening from anasthesia. These women
>were in their early 20's! They had no "axe to grind." They were
>perfectly happy with what had been done.
>
>I have been happily married for almost 16 years(no affairs!)and am in
>excellent health. I take no regular medicines other than for a headache
>or cold. I have regular and normal menstrual cycles. I cannot think of
>any "other situations" that could have caused no babies.
>
>I wonder if it is possible, during a C-section, to simply crush the
>fallopian tubes with a hemostat, and no one be the wiser?

It would be possible to do such a thing, but I have extreme difficulty believing that anyone would risk their license in such a foolish manner. A more likely explanation is that your own natural fertility has declined now that you are in your middle 40s. I realize that your fertility has been a given for many, many years but you are dramatically less fertile now than you were even 2-3 years ago, an assumption reliably based on age alone. Another possibility is that the C/S inadvertently damaged your fertility, a possibility at any age.

I would spend a lot of time talking contraception with a patient in the circumstance that you were in too. Another pregnancy would be dangerous to say the least. But I would never, never, never sterilize a patient without their full informed consent, and I doubt anyone else would either. That is a criminal act, and frankly, I am not going to go to prison just because I don't agree with a patient as to how she should live her life. It is simply not a reasonable choice.

--
William D. McIntosh, MD, FACOG
Clarksville, TN

This is for educational purposes only, and is not intended to be replacement
or substitute for consultation and examination by an appropriate medical
professional.  Due to time constraints, private e-mails cannot be answered.

Next message: Jane: "Desperately need some advice about insurance coverage....."
Previous message: anonymous@obgyn.net: "Re: Pregnant!!!!YeeHawww!"
In reply to: Rae: "Re: Can a tubal ligation be done after C-section without patient knowing?"
Next in thread: Claudia Twisdale RN: "Re: Can a tubal ligation be done after C-section without patient knowing?"

recommended search...

OBGYN.net forums endometriosis zone Web

use when must restrict search to only the pregnancy & birth forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to Report TECHNICAL Problems ONLY to: webmaster@obgyn.net
Last Updated: Thu Jun 18 13:37:44 2009

Women's Insurance Checklist from Auto Insurance Quote