Tubal ligation consent forms are completed by the patient and the prenatal care provider.
Must be signed 30 days in advance and is valid for 180 days.
Components of counseling:
- contraception options (including Essure)
- patient should consider Tubal Ligation irreversible.
Cost $5-10,000 is usually not covered by insurance and often DOES NOT WORK.
Risk factors for tubal ligation regret detectable prior to surgery.
Less than 25 years of age
Less informed about procedure
Less informed about contraception
Factors related to success of reversal:
Age under 35yrs
BMI less than 25
Sterilization less than 8 years prior
Why do we bother to consent during pregnancy?
Why do we bother during pregnancy when patients rarely get the TL during postpartum stay?
1/3 have c-sections, TL can be done then.
Sample completed consent
Patients do not have to see a gynecologist at FHC or WB "unless their history is peculiar and need advise as to which procedure is medically advised because of their unusual medical history." Dr Hirsh
Where to refer
The Essure procedure can be done in the office under local anesthesia via hysteroscopy at:
Centennial - refer to Dr. Levie or Chudnoff or at EPC refer to Dr Kim, Banks, or Dragoman.
For Tubal ligation, counsel the patient and obtain consent. Refer to: CFCC Tuesday afternoon Resident Gyn Pre-OP Clinic.
Why are there so many rules?
Created 1/7/09 Update 6/28/09 RW Thanks to Dr. Robert Hirsh & Dr Erika Banks for providing this information