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Female sterilization can be provided by any health professional who has been appropriately trained to perform a minilaparotomy (interval or postpartum). Minilaparotomy can be successfully performed by properly trained doctors, medical officers, nurses, nurse midwives, and other health personnel with surgical experience.
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Various types of doctors, including general medical practitioners, general surgeons, and other specialists (such as obstetrician-gynecologists), can receive training to perform minilaparotomy, as can paramedical professionals (such as midwives) who routinely perform surgery in a country. It is important that candidates selected for training be interested in and supportive of voluntary sterilization as a family planning choice. In addition, trainees who have demonstrated their surgical ability and who have prior experience in abdominal surgery are suitable to be trained in minilaparotomy and management of surgical complications. Those with no or minimal previous abdominal surgery experience may be safely trained to competently perform minilaparotomy in settings where surgical backup is available on site or by referral.
- Minilaparotomy under local anesthesia: service delivery guidelines. New York: AVSC International, May 1996.
- AVSC International. Safe and voluntary surgical contraception. New York: AVSC International, 1988.
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