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Suggest best family planning methods for women with caesarean delivery

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Posted on Mon, 25 May 2015
Question: sir, my wife is 37 years we have two kids both times she had caesarean, we have decided to go for family planning, kindly suggest us which method of operation is suitable normal/buttonhole/laparoscopy.
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Answered by Dr. Deepti Verma (25 minutes later)
Brief Answer:
Laparoscopic tubal ligation after informed consent

Detailed Answer:
Hi XXXX, I have gone through your question and understand your concerns.

In case of previous 2 caesarean section, the chances of intra abdominal adhesions are high and therefore laparoscopic tubal ligation is challenging and difficult. A skilled laparoscopic surgeon can do it, though the consent of open tubal ligation in case of difficulty or severe adhesions will be taken.

I would suggest your wife to opt for laparoscopic tubal ligation, but be ready for open surgery if the surgeon encounters any problem.

Hope you found the answer helpful. Please do get back for further queries.
Wishing you both good health.
Regards,
Dr Deepti Verma
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Deepti Verma

OBGYN, Maternal and Fetal Medicine

Practicing since :2009

Answered : 5068 Questions

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Suggest best family planning methods for women with caesarean delivery

Brief Answer: Laparoscopic tubal ligation after informed consent Detailed Answer: Hi XXXX, I have gone through your question and understand your concerns. In case of previous 2 caesarean section, the chances of intra abdominal adhesions are high and therefore laparoscopic tubal ligation is challenging and difficult. A skilled laparoscopic surgeon can do it, though the consent of open tubal ligation in case of difficulty or severe adhesions will be taken. I would suggest your wife to opt for laparoscopic tubal ligation, but be ready for open surgery if the surgeon encounters any problem. Hope you found the answer helpful. Please do get back for further queries. Wishing you both good health. Regards, Dr Deepti Verma