Effectiveness of phenol-atabrine-paste (PAP) instillation for female sterilization

Abstract
Two groups of sterilized women, 3307 by phenol‐atabrine‐paste (PAP) instillation and 1026 by mini‐lap technique, were follow‐up interviewed to determine their relative effectiveness. PAP, if successfully performed, was as effective as the mini‐lap. The life table pregnancy rates among successful PAP women were 0.21 and 0.28 at 12 and 24 months, respectively. The rates among the unsuccessful PAP women, however, were high: 15.1 and 30.5 at 12 and 24 months, respectively. In spite of its distinctive advantage of being non‐surgical, wider promotion of PAP sterilization procedure deserves caution.

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