{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T18:48:33Z","timestamp":1782586113871,"version":"3.54.5"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T00:00:00Z","timestamp":1693958400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Opportunistic bilateral salpingectomy during benign gynaecologic surgery is advocated as a risk\u2010reducing strategy due to the inverse association of epithelial ovarian cancers observed in epidemiological studies in a low\u2010risk setting. Currently, no formal guidance exists for permanent surgical contraception at time of caesarean section in Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>Our aim was to survey Fellows of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) regarding bilateral salpingectomy compared to other procedures offered for permanent contraception at the time of caesarean section.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>An online survey was utilised to collect clinician demographics, opinions, barriers, and justifications in regard to options of permanent surgical contraception at time of caesarean section.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Bilateral salpingectomy was identified as the most effective method of permanent contraception at time of caesarean section. However, only 62% of respondents offer the procedure as a method of permanent contraception. The two most common reasons for clinicians to offer bilateral salpingectomy at time of caesarean section were evidence suggesting a link between the fallopian tube and gynaecological cancer (80%) and efficacy as a permanent form of contraception (16%). The primary barrier identified by 51% of respondents was perceived increased risk of surgical complications, followed by reasoning that it would not allow the possibility of future tubal reversal.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study identifies diverse opinions on surgical approach to permanent contraception at time of caesarean section and offered by clinicians of RANZCOG. Further research is required to establish safety profiles and short\u2010 and long\u2010term risks of bilateral salpingectomy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13748","type":"journal-article","created":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T05:35:20Z","timestamp":1694064920000},"page":"72-76","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Bilateral salpingectomy as an option of permanent contraception at time of caesarean section: A survey of practice"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7027-3862","authenticated-orcid":false,"given":"Nargis","family":"Noori","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology Department Westmead Hospital  Sydney New South Wales Australia"},{"name":"Sydney West Advanced Pelvic Surgery Unit  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Edwards","sequence":"additional","affiliation":[{"name":"Chris O'Brien Lifehouse  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Apputhurai","family":"Anpalagan","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology Department Westmead Hospital  Sydney New South Wales Australia"},{"name":"Sydney West Advanced Pelvic Surgery Unit  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramanand","family":"Athavale","sequence":"additional","affiliation":[{"name":"Gynaecological Oncology Department Prince of Wales Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Burling","sequence":"additional","affiliation":[{"name":"University of Sydney  Sydney New South Wales Australia"},{"name":"Gynaecological Oncology Department Westmead Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Unine","family":"Herbst","sequence":"additional","affiliation":[{"name":"Gynaecological Oncology Department Westmead Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Brand","sequence":"additional","affiliation":[{"name":"University of Sydney  Sydney New South Wales Australia"},{"name":"Gynaecological Oncology Department Westmead Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Supuni","family":"Kapurubandara","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology Department Westmead Hospital  Sydney New South Wales Australia"},{"name":"Sydney West Advanced Pelvic Surgery Unit  Sydney New South Wales Australia"},{"name":"University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,9,6]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2013.02.010"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2014.01.003"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2021.01.016"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/5828071"},{"key":"e_1_2_5_6_1","unstructured":"SGO.SGO Clinical Practice Statement: Sapingectomy for ovarian cancer prevention.2013. 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