Live delivery outcome after tubal sterilization reversal: A population-based study
© 2015 American Society for Reproductive Medicine. Objective - To determine the cumulative incidence of live delivery in women who underwent reversal of tubal sterilization. Design - Population-based retrospective cohort study. Setting - Hospitals in Western Australia. Patient(s) - All women aged 20...
| Main Authors: | , , , , , |
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| Format: | Journal Article |
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Elsevier Inc.
2015
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| Online Access: | http://hdl.handle.net/20.500.11937/5523 |
| _version_ | 1848744820939423744 |
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| author | Malacova, E. Kemp-Casey, A. Bremner, A. Hart, R. Stewart, Louise Preen, D. |
| author_facet | Malacova, E. Kemp-Casey, A. Bremner, A. Hart, R. Stewart, Louise Preen, D. |
| author_sort | Malacova, E. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | © 2015 American Society for Reproductive Medicine. Objective - To determine the cumulative incidence of live delivery in women who underwent reversal of tubal sterilization. Design - Population-based retrospective cohort study. Setting - Hospitals in Western Australia. Patient(s) - All women aged 20-44 years, with a history of hospital admission for tubal sterilization, who subsequently underwent reversal of sterilization during the period 1985 to 2009 in Western Australia (n = 1,898). Intervention(s) - Data regarding reversal of sterilization and prior tubal sterilization were extracted from routinely collected administrative hospital separation records, until commencement of IVF treatment. Main Outcome Measure(s) - First live-delivery rates. Result(s) - There were 969 first live deliveries observed during the study period. The overall cumulative live-delivery rate was 20% (95% confidence interval [CI] 18-23) within the first year after reversal, 40% (95% CI 38-42) at 2 years, 51% (95% CI 48-53) at 5 years, and 52% (95% CI 50-55) at 10 years. The 5-year cumulative live-delivery rate was significantly lower in women who were aged 40-44 years (26%) compared with younger women (aged 20-29, 30-34, and 35-39 years) (50%, 56%, and 51%, respectively). Conclusion(s) - Women undergoing reversal of sterilization before they reach age 40 years have at least a 50% chance of delivering a live baby within the next 5 years. Up to that age, there is no significant difference in live deliveries. The live-delivery rate halves after the age of 40 years. |
| first_indexed | 2025-11-14T06:07:33Z |
| format | Journal Article |
| id | curtin-20.500.11937-5523 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T06:07:33Z |
| publishDate | 2015 |
| publisher | Elsevier Inc. |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-55232017-09-13T14:39:54Z Live delivery outcome after tubal sterilization reversal: A population-based study Malacova, E. Kemp-Casey, A. Bremner, A. Hart, R. Stewart, Louise Preen, D. © 2015 American Society for Reproductive Medicine. Objective - To determine the cumulative incidence of live delivery in women who underwent reversal of tubal sterilization. Design - Population-based retrospective cohort study. Setting - Hospitals in Western Australia. Patient(s) - All women aged 20-44 years, with a history of hospital admission for tubal sterilization, who subsequently underwent reversal of sterilization during the period 1985 to 2009 in Western Australia (n = 1,898). Intervention(s) - Data regarding reversal of sterilization and prior tubal sterilization were extracted from routinely collected administrative hospital separation records, until commencement of IVF treatment. Main Outcome Measure(s) - First live-delivery rates. Result(s) - There were 969 first live deliveries observed during the study period. The overall cumulative live-delivery rate was 20% (95% confidence interval [CI] 18-23) within the first year after reversal, 40% (95% CI 38-42) at 2 years, 51% (95% CI 48-53) at 5 years, and 52% (95% CI 50-55) at 10 years. The 5-year cumulative live-delivery rate was significantly lower in women who were aged 40-44 years (26%) compared with younger women (aged 20-29, 30-34, and 35-39 years) (50%, 56%, and 51%, respectively). Conclusion(s) - Women undergoing reversal of sterilization before they reach age 40 years have at least a 50% chance of delivering a live baby within the next 5 years. Up to that age, there is no significant difference in live deliveries. The live-delivery rate halves after the age of 40 years. 2015 Journal Article http://hdl.handle.net/20.500.11937/5523 10.1016/j.fertnstert.2015.06.042 Elsevier Inc. restricted |
| spellingShingle | Malacova, E. Kemp-Casey, A. Bremner, A. Hart, R. Stewart, Louise Preen, D. Live delivery outcome after tubal sterilization reversal: A population-based study |
| title | Live delivery outcome after tubal sterilization reversal: A population-based study |
| title_full | Live delivery outcome after tubal sterilization reversal: A population-based study |
| title_fullStr | Live delivery outcome after tubal sterilization reversal: A population-based study |
| title_full_unstemmed | Live delivery outcome after tubal sterilization reversal: A population-based study |
| title_short | Live delivery outcome after tubal sterilization reversal: A population-based study |
| title_sort | live delivery outcome after tubal sterilization reversal: a population-based study |
| url | http://hdl.handle.net/20.500.11937/5523 |