Should I get tubes tied during 3rd section?

[helpamamaout]

Apologies if this isn't the right section of talk, wasn't sure where to post.

In the past would have liked 3-4 dc but owing to age and history etc dc3 is realistically likely to be the last.

Failure rate of tubal ligation done during section is high but is it a wasted opportunity not to get it done while I'm lying on the operating table, already sliced open?

Hospital won't do it keyhole at a larer date owing to three previous sections and it being non-essential surgery.

Am not keen on anything that interferes with hormones long term eg pills, coil, bar.

(In past dh said he'd be up for vasectomy but he's not so sure now).

Unless there's complications during delivery it seems a good opportunity though getting dh to the gp would be better!

Failure rate of tubal ligation done during section is high

Ask them to remove your tubes completely.

Wouldn't removing tubes result in removing ovaries also, as they are attached? Would that not be entering the territory of a partial hysterectomy?

Or maybe I've misunderstood?

Apparently not. I discussed sterilisation with an obstetrician last year and raised the concern that there is a higher failure rate when the operation is carried out at the same time as a c section and he said there was no failure rate with the way they do it. Can you ask to have a chat with someone at your hospital who would know more?