BTL counseling

Introduction
Introduce yourself
Explain procedure
Bilateral Tubal Ligation is a surgical
procedure aimed to achieve permanent
sterilization/permanent contraception.
Under anesthesia (you will be put to
sleep) your doctor will make a small cut
on the abdomen just below the navel.
 Intro Contd
Explain terms
Bilateral : on both sides
Tubal ligation : your fallopian tubes will
be blocked to prevent fertilization of the
egg and prevent the eggs from reaching
the uterus. Thus preventing pregnancy
 Enquires
Do you desire to have anymore kids
in the future?
Do you understand that this is a
permanent method of birth control
and you will not be able to get
pregnant/have any children in the
future
BTL does not protect you from STDs
 Complications
Surgical
Anesthetic Complications
Aspiration Pneumonia
Hypersensitivity rxns
Neurological, cardiovascular, respiratory
complications
Internal bleeding
Infection
Damage to
Uterus, ovaries, ureter, bladder. bowel
 Complications Contd
Surgical
Blood clots: DVT, PE
Nerve injury
Hernia
Bruising and infection at incision site
 Complications Contd
Failure
There is a 1 in 200 possibility that you can
get pregnant again
If you do get pregnant there is a high
possibility it will be a pregnancy in the tube
(Ectopic Pregnancy) which will have to be
removed with medicine or surgery
Tubal Regret
Patient wants children in future and regrets
tying tubes
 Complications Contd
Patients
Post Tubal Syndrome (SE caused by
procedure)
Hormonal imbalance that may require
medical treatment if damage to ovary blood
supply
Back flow of blood during menstruation can
cause pain
Adenometriosis if the blood supply to the
uterus was affected
Death
 Other forms of contraception
Periodic
Barrier
Hormonal : OCP
IUCD
Male sterilization
Verbal and written information should be
provided and a consent form outlining the
possible risk and complications obtained
from the patient