Tubal Sterilization

Overview

5 out of 5 (4 Reviews)

Credits

1.00

Post Assessment Questions

9

Start Date

1 Sep 2023

Last Review Date

16 Feb 2024

Expiration Date

31 Aug 2026

Estimated Time To Finish

60 Minutes


 
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Activity Description

Tubal sterilization is the intentional occlusion or partial or complete removal of the fallopian tubes to provide permanent contraception in females, and it is the most common method of contraception used worldwide. The procedure is indicated when it is desired by the patient for permanent contraception; the only absolute contraindication is a lack of informed consent from the patient. Therefore, the consent process should stress the permanent nature of the procedure and review the entire spectrum of alternative contraceptive options with a focus on long-acting reversible contraceptives (LARCs), including the intrauterine device (IUD) and contraceptive implant, which both have efficacy rates similar to traditional tubal sterilization techniques. 

In recent years, complete bilateral salpingectomy has become the sterilization procedure of choice because it appears to decrease the risk of future epithelial ovarian cancer and post-sterilization contraceptive failure compared with traditional sterilization techniques without increasing surgical risk. Previously, interval sterilization was often accomplished by laparoscopically occluding the tubes with clips, bands, or electrocautery. In contrast, postpartum sterilization was typically performed as a partial salpingectomy through a mini-laparotomy incision. These methods are still viable options for sterilization and may be preferable in some circumstances.

This activity for healthcare professionals is designed to enhance the learner’s competence in recognizing the indications and contraindications for tubal sterilization; understanding the ethical concerns regarding sterilization in special populations, including incarcerated individuals; performing appropriate preoperative counseling, which involves a discussion of the risks, benefits, and complications of tubal sterilization, including the risk of regret; explaining the techniques available to perform tubal sterilization; and understanding the role of the interprofessional team in caring for patients who undergo the procedure.


Target Audience

This activity has been designed to meet the educational needs of physicians, physician associates, nurses, pharmacists, and nurse practitioners.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Identify the indications and contraindications for tubal sterilization, and know how to effectively counsel patients regarding the procedure.

  • Implement the proper techniques for performing tubal sterilization.

  • Identify the complications of tubal sterilization.

  • Employ interprofessional team strategies for optimizing care coordination and communication to optimize patient outcomes after tubal sterilization.

Disclosures

StatPearls, LLC requires everyone who influences the content of an educational activity to disclose relevant financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All relevant conflict(s) of interest have been mitigated. Hover over contributor names for financial disclosures. Others involved in planning this educational activity have no relevant financial relationships to disclose.

Commercial Support: This activity has received NO commercial support.

Continuing Education Accreditation Information

In support of improving patient care, StatPearls, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

 

Physicians and Physician Associates: StatPearls, LLC designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)TM. Physicians and PAs should only claim credit commensurate with the extent of their participation in the activity.

American Board of Anesthesiology: This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.

American Board of Internal Medicine: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

American Board of Pathology: Successful completion of this Continuing Certification activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00 Lifelong Learning (CME) credits in the American Board of Pathology’s Continuing Certification Program.

Royal College of Physicians and Surgeons of Canada: Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Please consult your professional licensing board for information on the applicability and acceptance of continuing education credit for this activity.

Method of Participation and Credit

  1. Register for the activity.    
  2. Review the target audience, learning objectives, and disclosure information.
  3. Study the educational content of the enduring material.
  4. Choose the best answer to each activity test question. To receive credit and a certificate, you must pass the test questions with a minimum score of 100%.
  5. Complete the post-activity assessment survey.

If you have concerns regarding the CE/CME system, please contact support@statpearls.com.

Disclaimer

This educational activity was planned and produced in accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education. Faculty may discuss investigational products or off-label uses of products regulated by the FDA. Readers should verify all information before employing any therapies described in this educational activity.

The information provided for this activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The information presented does not necessarily reflect the views of StatPearls or any commercial supporters of educational activities on statpearls.com. StatPearls expressly disclaims responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through a participant's misunderstanding of the content.

Unapproved Uses of Drugs/Devices: In accordance with FDA requirements, the audience is advised that information presented in this continuing education activity may contain references to unlabeled or unapproved uses of drugs or devices. Please refer to the FDA-approved package insert for each drug/device for full prescribing/utilization information.

Cancellation Policy: Please see the cancellation policy. StatPearls, LLC reserves the right to cancel any course due to unforeseen circumstances.

 

 
 

Reviews

Bhupendra M. on 8/29/2021

Rene G. on 12/28/2022

Adel s. on 4/8/2023

Helean Z. on 3/10/2024

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