Bilateral Tubal Ligation in Southeast Nigeria: Indications and Uptake Trends Over Five Years
Authors
Department of obstetrics and gynaecology, Enugu State University Teaching Hospital/College of Medicine, Enugu (Nigeria)
Department of obstetrics and gynaecology, Enugu State University Teaching Hospital/College of Medicine, Enugu (Nigeria)
Department of obstetrics and gynaecology, University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu (Nigeria)
Article Information
DOI: 10.47772/IJRISS.2026.100300434
Subject Category: Pharmaceutics
Volume/Issue: 10/3 | Page No: 6003-6011
Publication Timeline
Submitted: 2026-03-18
Accepted: 2026-03-23
Published: 2026-04-11
Abstract
Background: Bilateral tubal ligation (BTL) is a highly effective and permanent method of contraception with a failure rate of less than 1%. Despite its safety and effectiveness, uptake remains low in many parts of sub-Saharan Africa, including Nigeria. This study assessed the uptake, indications, and clinical characteristics of BTL in a tertiary health institution in Southeast Nigeria.
Methods: This was a five-year retrospective descriptive study conducted at Enugu State University Teaching Hospital (ESUTH), Enugu, Nigeria. Records of all women who underwent BTL during the study period were reviewed. Data on socio-demographic characteristics, type of procedure, associated surgical interventions, indications; previous awareness and uptake of contraception, and complications were extracted and analyzed using descriptive statistics and chi-square tests, with statistical significance set at p < 0.05.
Keywords
Bilateral tubal ligation, permanent contraception, uptake, obstetric indications
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