Driving Factors of Decision Making for Prophylactic Salpingectomy Versus Tubal Ligation at the Time of Cesarean Section

Study Overview
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Brief Summary
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Prophylactic (Opportunistic) salpingectomy is a cost-effective strategy recommended for reducing the risk of ovarian cancer at the time of gynecologic surgery in women who have completed childbearing. Similar evidence for cesarean section is growing. However, salpingectomy refers to the surgical removal of a female reproductive organ. Some women may have hesitations about salpingectomy with regard to religious concerns, reduced self-image, tubal reanastomosis or lack of knowledge. The investigators aimed to explore the underlying factors that motivate women for either decisions.

Detailed Description
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Prophylactic and opportunistic bilateral salpingectomy is an increasing trend among surgeons and also proven as an effective risk-reducing method for ovarian cancer. The investigators have experienced denials among women who were seeking tubal ligation as a sterilization procedure during cesarean section after a comprehensive counseling for prophylactic salpingectomy. Therefore, the investigators aimed to assess the driving factors of decision making for prophylactic salpingectomy or tubal ligation. It is planned to preoperatively have a non-validated questionnaire for the women after a detailed briefing.

Official Title
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Driving Factors of Decision Making for Prophylactic Salpingectomy Versus Tubal Ligation at the Time of Cesarean Section

Conditions
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Salpingectomy, Sterilization, Tubal

Intervention / Treatment
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* Procedure: Surgical sterilization


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women seeking for surgical sterilization during their cesarean section Elective and Category 2 or more planned cesarean sections Exclusion Criteria: Clinical conditions that lead to planned cesarean hysterectomy such as placenta percreata History of ovarian cancer, previous chemotherapy or radiation Women who previously underwent sterilization

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Salpingectomy<br>Women who gave consent for opportunistic prophylactic bilateral salpingectomy during cesarean section as a Surgical sterilization procedure | Procedure: Surgical sterilization<br>* Surgical sterilization either standard salpingectomy or tubal ligation with Pomeroy technique<br>|
| Tubal ligation<br>Women who refused salpingectomy and gave consent for tubal ligation during cesarean section as a Surgical sterilization procedure | Procedure: Surgical sterilization<br>* Surgical sterilization either standard salpingectomy or tubal ligation with Pomeroy technique<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Motivators for sterilization type | A non-validated data collection tool with open-ended questions assessing the factors behind the decision of salpingectomy or tubal ligation. Data collection tool questions why patients choosed or refused salpingectomy in detail. It is not a scale and does not have a range. | Evaluation at preoperative 32th gestational weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Prophylactic salpingectomy, Opportunistic salpingectomy, Risk-reducing