Abstract
Population control is of vital concern to everyone and, since many patients are seeking surgical sterilization following delivery, various forms must be immediately available. In this series, 241 patients had an elective total abdominal hysterectomy for sterilization following delivery. Of these, 108 had a cesarean hysterectomy and 133 had a postpartum hysterectomy. Morbidity was highest in the cesarean hysterectomy group and lowest when the hysterectomy was done on the third postpartum day. Ninety-five per cent of patients went home within a week of surgery, 58 per cent had no complication, and patient acceptance was high. Hysterectomy following delivery can be a beneficial proceedure from both a sterilization and a gynecologic viewpoint because many patients with gynecologic disease will require surgery in the near future and, in certain populations, follow-up care is unreliable. It is desirable for patient convenience and from an economic standpoint because only one hospitalization is required.
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