Tubal Ligation (Female Sterilization)

Like all of the modules in the TRP, the female sterilization module is a complete package of resources needed to address the learning objectives of the module, including a session plan, PowerPoint presentations, and accompanying activities and resources. The module is designed for training a surgical team comprising a surgeon, a surgical assistant, a circulating nurse, and a client monitor. In most instances, it is a doctor-nurse team that is invited to the training. The module materials should be tailored and adapted according to the education and training background and learning needs of the identified participants.

The module is designed for the providers in developing countries who most often are tasked with providing a full range of FP services—primarily nurses and nurse-midwives, as well as primary care physicians (including obstetricians and gynecologists)—and it assumes that participants will have a minimum level of clinical training (such as family planning counseling, infection prevention, and operating theatre management for the surgical assistant, and basic surgical skills for the surgeon).

Learning Objectives

By the end of the training, trainees should be able to:

  1. Describe the characteristics of tubal ligation in a manner that clients can understand:
    1. What tubal ligation is and how it works
    2. Effectiveness
    3. Side effects
    4. Non-contraceptive health benefits
    5. Other characteristics (lack of protection from sexually transmitted infections, including HIV, ease of use, etc.)
    6. Possible health risks and complications
  2. Demonstrate the ability to
    1. Screen clients for medical eligibility for tubal ligation 
    2. Counsel clients on female sterilization
    3. Address common concerns, misconceptions, and myths
    4. Conduct postoperative care, discharge, and follow-up for female sterilization clients in a way that enchances safety, satisfaction, and acceptance
  3. Describe when to perform the minilaprotomy procedure
  4. Explain how to manage side effects and complications
  5. Demonstrate use of recommended pain management regimens
  6. Demonstrate on anatomical models and on clients how to competently perform the minilaparotomy procedure

Read the Quick Start guide below, if you haven't already--and then explore the tabs at right to walk through the Facilitator's Guide, illustrative examples, presentation slides, handouts, and more--all of which you are free to adapt for your training participants' needs.