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December 4, 1981

Hospitalization for Tubal Sterilization-Reply

Author Affiliations

Centers for Disease Control Atlanta

JAMA. 1981;246(22):2576. doi:10.1001/jama.1981.03320220028014

In Reply.—  We appreciate learning of Drs Brown and Schanzer's experience but believe that present data do not permit a definitive assessment of the safety and efficacy of alternative methods of tubal sterilization. A preliminary analysis of recent data1 does, however, support their belief that the length of hospitalization for tubal sterilization has declined further since the 1970 to 1975 period we studied. The recent data from the National Hospital Discharge Survey indicate that the length of hospitalization for tubal sterilization declined an additional 14% from 1976 to 1978.1A limitation of the analysis of recent hospital-based data on tubal sterilization is that an increasing proportion of tubal sterilizations are being performed in free-standing clinics that are not included in the National Hospital Discharge Survey. To clarify that impact of this trend, the Family Planning Evaluation Division of the Centers for Disease Control, in collaboration with the American Association