Driving Factors of Decision Making for Prophylactic Salpingectomy Versus Tubal Ligation at the Time of Cesarean Section
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Salpingectomy
- Sponsor
- Bartin State Hospital
- Enrollment
- 58
- Locations
- 3
- Primary Endpoint
- Motivators for sterilization type
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
Prophylactic (Opportunistic) salpingectomy is a cost-effective strategy recommended for reducing the risk of ovarian cancer at the time of gynecologic surgery in women who have completed childbearing. Similar evidence for cesarean section is growing. However, salpingectomy refers to the surgical removal of a female reproductive organ. Some women may have hesitations about salpingectomy with regard to religious concerns, reduced self-image, tubal reanastomosis or lack of knowledge.
The investigators aimed to explore the underlying factors that motivate women for either decisions.
Detailed Description
Prophylactic and opportunistic bilateral salpingectomy is an increasing trend among surgeons and also proven as an effective risk-reducing method for ovarian cancer. The investigators have experienced denials among women who were seeking tubal ligation as a sterilization procedure during cesarean section after a comprehensive counseling for prophylactic salpingectomy. Therefore, the investigators aimed to assess the driving factors of decision making for prophylactic salpingectomy or tubal ligation. It is planned to preoperatively have a non-validated questionnaire for the women after a detailed briefing.
Investigators
Murat Yassa
Principal Investigator
Bartin State Hospital
Eligibility Criteria
Inclusion Criteria
- •Women seeking for surgical sterilization during their cesarean section
- •Elective and Category 2 or more planned cesarean sections
Exclusion Criteria
- •Clinical conditions that lead to planned cesarean hysterectomy such as placenta percreata
- •History of ovarian cancer, previous chemotherapy or radiation
- •Women who previously underwent sterilization
Outcomes
Primary Outcomes
Motivators for sterilization type
Time Frame: Evaluation at preoperative 32th gestational weeks
A non-validated data collection tool with open-ended questions assessing the factors behind the decision of salpingectomy or tubal ligation. Data collection tool questions why patients choosed or refused salpingectomy in detail. It is not a scale and does not have a range.