A summary of reported pregnancies after hysteroscopic sterilization

Barbara Levy, Mark D. Levie, Meredith E. Childers

Research output: Contribution to journalArticle

73 Citations (Scopus)

Abstract

The purpose of this article is to describe 64 unintended pregnancies reported by patients who had undergone hysteroscopic sterilization and to provide recommendations for avoiding post-procedure pregnancies. Sixty-four pregnancies out of an estimated 50 000 procedures were reported to the device manufacturer from 1997 through December 2005. Most occurred in patients without appropriate follow-up. Other causes included misread hysterosalpingograms, undetected preprocedure pregnancies, and failure to follow product-labeling guidelines. The risk of pregnancy with hysteroscopic sterilization may be reduced by educating patients about the necessity of follow-up, ensuring that patients use effective contraception before and after placement, following the instructions for use, and adhering to the hysterosalpingography protocol.

Original languageEnglish (US)
Pages (from-to)271-274
Number of pages4
JournalJournal of Minimally Invasive Gynecology
Volume14
Issue number3
DOIs
StatePublished - May 2007

Fingerprint

Pregnancy
Product Labeling
Hysterosalpingography
Contraception
Guidelines
Equipment and Supplies

Keywords

  • Essure
  • Hysteroscopic sterilization
  • Hysteroscopy
  • Permanent birth control
  • Pregnancy

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

A summary of reported pregnancies after hysteroscopic sterilization. / Levy, Barbara; Levie, Mark D.; Childers, Meredith E.

In: Journal of Minimally Invasive Gynecology, Vol. 14, No. 3, 05.2007, p. 271-274.

Research output: Contribution to journalArticle

Levy, Barbara ; Levie, Mark D. ; Childers, Meredith E. / A summary of reported pregnancies after hysteroscopic sterilization. In: Journal of Minimally Invasive Gynecology. 2007 ; Vol. 14, No. 3. pp. 271-274.
@article{be081be931bd4b7c9eb7de005b6950d3,
title = "A summary of reported pregnancies after hysteroscopic sterilization",
abstract = "The purpose of this article is to describe 64 unintended pregnancies reported by patients who had undergone hysteroscopic sterilization and to provide recommendations for avoiding post-procedure pregnancies. Sixty-four pregnancies out of an estimated 50 000 procedures were reported to the device manufacturer from 1997 through December 2005. Most occurred in patients without appropriate follow-up. Other causes included misread hysterosalpingograms, undetected preprocedure pregnancies, and failure to follow product-labeling guidelines. The risk of pregnancy with hysteroscopic sterilization may be reduced by educating patients about the necessity of follow-up, ensuring that patients use effective contraception before and after placement, following the instructions for use, and adhering to the hysterosalpingography protocol.",
keywords = "Essure, Hysteroscopic sterilization, Hysteroscopy, Permanent birth control, Pregnancy",
author = "Barbara Levy and Levie, {Mark D.} and Childers, {Meredith E.}",
year = "2007",
month = "5",
doi = "10.1016/j.jmig.2006.11.007",
language = "English (US)",
volume = "14",
pages = "271--274",
journal = "Journal of Minimally Invasive Gynecology",
issn = "1553-4650",
publisher = "Elsevier",
number = "3",

}

TY - JOUR

T1 - A summary of reported pregnancies after hysteroscopic sterilization

AU - Levy, Barbara

AU - Levie, Mark D.

AU - Childers, Meredith E.

PY - 2007/5

Y1 - 2007/5

N2 - The purpose of this article is to describe 64 unintended pregnancies reported by patients who had undergone hysteroscopic sterilization and to provide recommendations for avoiding post-procedure pregnancies. Sixty-four pregnancies out of an estimated 50 000 procedures were reported to the device manufacturer from 1997 through December 2005. Most occurred in patients without appropriate follow-up. Other causes included misread hysterosalpingograms, undetected preprocedure pregnancies, and failure to follow product-labeling guidelines. The risk of pregnancy with hysteroscopic sterilization may be reduced by educating patients about the necessity of follow-up, ensuring that patients use effective contraception before and after placement, following the instructions for use, and adhering to the hysterosalpingography protocol.

AB - The purpose of this article is to describe 64 unintended pregnancies reported by patients who had undergone hysteroscopic sterilization and to provide recommendations for avoiding post-procedure pregnancies. Sixty-four pregnancies out of an estimated 50 000 procedures were reported to the device manufacturer from 1997 through December 2005. Most occurred in patients without appropriate follow-up. Other causes included misread hysterosalpingograms, undetected preprocedure pregnancies, and failure to follow product-labeling guidelines. The risk of pregnancy with hysteroscopic sterilization may be reduced by educating patients about the necessity of follow-up, ensuring that patients use effective contraception before and after placement, following the instructions for use, and adhering to the hysterosalpingography protocol.

KW - Essure

KW - Hysteroscopic sterilization

KW - Hysteroscopy

KW - Permanent birth control

KW - Pregnancy

UR - http://www.scopus.com/inward/record.url?scp=34247537147&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34247537147&partnerID=8YFLogxK

U2 - 10.1016/j.jmig.2006.11.007

DO - 10.1016/j.jmig.2006.11.007

M3 - Article

C2 - 17478354

AN - SCOPUS:34247537147

VL - 14

SP - 271

EP - 274

JO - Journal of Minimally Invasive Gynecology

JF - Journal of Minimally Invasive Gynecology

SN - 1553-4650

IS - 3

ER -