POST-PARTUM TUBAL LIGATION BY NURSE-MIDWIVES AND DOCTORS IN THAILAND

Nikorn Dusitsin; Somsak Varakamin; Pairoj Ningsanon; Sopon Chalapati; Banpot Boonsiri; Ronald H. Gray

doi:10.1016/S0140-6736(80)91129-0

POST-PARTUM TUBAL LIGATION BY NURSE-MIDWIVES AND DOCTORS IN THAILAND

Nikorn Dusitsin, Somsak Varakamin, Pairoj Ningsanon, Sopon Chalapati, Banpot Boonsiri, Ronald H. Gray

Research output: Contribution to journal › Article › peer-review

Abstract

A shortage of doctors limits the provision of post-partum sterilisation services in rural areas of Thailand. To overcome this problem nurse-midwives with theatre experience were trained to perform post-partum tubal ligation by a mini-laparotomy incision under local anaesthesia. The performance of the nurse-midwives was compared with that of doctors in a controlled, randomised clinical trial. Some operative difficulty was encountered by the nurses in 4-9% of cases and by the doctors in 2·0% of cases. This difference is not statistically significant and arose largely because the nurse-midwife cases were more obese. Nurse-midwives required a significantly longer operating-time (18·5 min) than doctors (11·9 min). However, postoperative morbidity was similar in the two groups (7·0% and 6·0%, respectively). These results suggest that trained nurse-midwives with theatre experience can safely provide post-partum sterilisation services. A further field trial is underway.

Original language	English (US)
Pages (from-to)	638-639
Number of pages	2
Journal	The Lancet
Volume	315
Issue number	8169
DOIs	https://doi.org/10.1016/S0140-6736(80)91129-0
State	Published - Mar 22 1980
Externally published	Yes

ASJC Scopus subject areas

Medicine(all)

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title = "POST-PARTUM TUBAL LIGATION BY NURSE-MIDWIVES AND DOCTORS IN THAILAND",

abstract = "A shortage of doctors limits the provision of post-partum sterilisation services in rural areas of Thailand. To overcome this problem nurse-midwives with theatre experience were trained to perform post-partum tubal ligation by a mini-laparotomy incision under local anaesthesia. The performance of the nurse-midwives was compared with that of doctors in a controlled, randomised clinical trial. Some operative difficulty was encountered by the nurses in 4-9% of cases and by the doctors in 2·0% of cases. This difference is not statistically significant and arose largely because the nurse-midwife cases were more obese. Nurse-midwives required a significantly longer operating-time (18·5 min) than doctors (11·9 min). However, postoperative morbidity was similar in the two groups (7·0% and 6·0%, respectively). These results suggest that trained nurse-midwives with theatre experience can safely provide post-partum sterilisation services. A further field trial is underway.",

author = "Nikorn Dusitsin and Somsak Varakamin and Pairoj Ningsanon and Sopon Chalapati and Banpot Boonsiri and Gray, {Ronald H.}",

year = "1980",

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AU - Dusitsin, Nikorn

AU - Varakamin, Somsak

AU - Ningsanon, Pairoj

AU - Chalapati, Sopon

AU - Boonsiri, Banpot

AU - Gray, Ronald H.

PY - 1980/3/22

Y1 - 1980/3/22

N2 - A shortage of doctors limits the provision of post-partum sterilisation services in rural areas of Thailand. To overcome this problem nurse-midwives with theatre experience were trained to perform post-partum tubal ligation by a mini-laparotomy incision under local anaesthesia. The performance of the nurse-midwives was compared with that of doctors in a controlled, randomised clinical trial. Some operative difficulty was encountered by the nurses in 4-9% of cases and by the doctors in 2·0% of cases. This difference is not statistically significant and arose largely because the nurse-midwife cases were more obese. Nurse-midwives required a significantly longer operating-time (18·5 min) than doctors (11·9 min). However, postoperative morbidity was similar in the two groups (7·0% and 6·0%, respectively). These results suggest that trained nurse-midwives with theatre experience can safely provide post-partum sterilisation services. A further field trial is underway.

AB - A shortage of doctors limits the provision of post-partum sterilisation services in rural areas of Thailand. To overcome this problem nurse-midwives with theatre experience were trained to perform post-partum tubal ligation by a mini-laparotomy incision under local anaesthesia. The performance of the nurse-midwives was compared with that of doctors in a controlled, randomised clinical trial. Some operative difficulty was encountered by the nurses in 4-9% of cases and by the doctors in 2·0% of cases. This difference is not statistically significant and arose largely because the nurse-midwife cases were more obese. Nurse-midwives required a significantly longer operating-time (18·5 min) than doctors (11·9 min). However, postoperative morbidity was similar in the two groups (7·0% and 6·0%, respectively). These results suggest that trained nurse-midwives with theatre experience can safely provide post-partum sterilisation services. A further field trial is underway.

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