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Clips are generally less successful than rings or the Pomeroy procedure. Often, this is due to failure to detect an early implantation at the time of operation. Steps that may be taken to reduce this include:
Sterilisation is best avoided immediately after delivery as operation is more difficult because the uterus is large and highly vascular, and the tubes are high in the abdomen. The failure rate is increased if the procedure is undertaken immediately post-partum (about 14 per 1000 cases).
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