If you undergo this procedure, you will most likely be in the hospital for 1 to 3 days. You should be able to return to work in 1 to 2 weeks. Surgery can be performed immediately following childbirth (postpartum tubal ligation). Or, the surgery can be done during another operation (e.g., a c-section). In this case, you would need only one day in the hospital.
After tubal ligations, women may experience some pain and cramping in their abdomens or pelvis. This is normal and usually goes away within a few months. If the pain does not go away, then see your doctor.
Typically, open surgery is used. You should not be able to conceive after the operation. While there is a very little risk that you will become pregnant, tubal ligation is a very effective method of birth control.
How do you prepare for tubal ligations? In addition to preparing yourself physically and mentally for the surgery, it is important to discuss with your surgeon how to care for the tubal segments after they have been removed. The tube segments are usually removed with a small microscope-assisted procedure or using simple stitches. After this part of the surgery, the nurse will show you what to expect next. She will also help you understand any postoperative instructions from your doctor.
Can you get pregnant again? Yes, once you have had tubal sterilization, you can successfully carry another child to full term. However, nearly 100% effective methods of contraception are recommended until you have passed the one year mark since your surgery.
After surgery, expect to be in the hospital for three to five days. The length of your hospital stay depends on several factors, such as your age and health before surgery, the type of operation performed, and any complications that arise.
You should plan on spending about half of your time in the hospital after stomach surgery sitting up or lying down. Most patients are able to go home within two days after their surgery. However, if you have many complex medical problems before or after your surgery, this may not be possible.
Your doctor will tell you how to care for yourself at home after surgery. Follow his or her instructions carefully. These tips may help:
Eat only bland foods for a couple of days after surgery. It is important not to eat anything spicy, acidic, or salty for at least two weeks after surgery to prevent irritations of the new intestine site. Drink plenty of fluids during this time period to keep yourself hydrated.
Take pain medications as prescribed by your doctor. You may need to take them for a few days after surgery.
Do what you can around the house until you are back on your feet.
Can I get my tubes tied immediately after giving birth? Yes, it is possible to have it done during a c-section or immediately after a vaginal delivery (while you are still in the hospital) before your uterus shrinks too much. Discuss this with your doctor as soon as possible. (For example, if you use Medicaid, you may be required to sign a permission document 30 days in advance.)
The exact procedure will vary depending on how many babies you birthed and where they were located. But, generally, the surgeon will make an incision through your belly button and into the cavity of your abdomen. He or she will then cut the ligament connecting your ovaries to your uterus and remove them. The surgery takes about 30 minutes per side.
After the surgery, you will be given pain medication to help with any discomfort and be encouraged to drink plenty of water to keep yourself hydrated. You should also be given guidance on when you can return to work and resume your normal activities.
Your doctor may recommend that you not move your bowels for 24 hours following a c-section. This is necessary so that the area does not become infected. If you cannot pass gas naturally, the nurse may give you a rectal thermometer to take home with you. You will be asked to insert the thermometer into your bottom until it clicks, which indicates that your temperature has been taken. Then, you will be instructed to call your doctor if it reaches 100.0 degrees Fahrenheit or higher within 24 hours of giving birth.