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