Introduction:
Tubal ligation is a safe surgical method of contraception. We retrospectively studied tubal ligations done after caesarian section in a Greek public hospital during a 5-year period.

Material and Methods:
We recorded women undergoing tubal ligation during caesarian section, using the records of our maternity ward. We documented parity and number of previous caesarian sections in each patient. Statistical method used was chi-squared test.

Results:
Between July 2017 to June 2022, 97 tubal ligations during caesarian section were conducted. In a total number of 107 patients with a previous history of two caesarian sections, 56 tubal ligations were performed i.e., 52.33%. In 13 patients with a previous history of three caesarian sections, 7 tubal ligations were done i.e., 53.84%, while in 3 patients with a previous history of four caesarian sections, none underwent tubal ligation. Women with ≥3 caesarian sections were not more likely to have postpartum tubal ligation during caesarian section compared with women with 2 prior cesarean sections. (x2=0.011 df=1, p<0.001). It is worth mentioning that 12 tubal ligations were performed in women with previous history of one caesarian section due to multigravidity, while 22 women without previous history of caesarian section underwent tubal ligation due to desired sterilization.

Conclusions:
Our findings show that, 1 in 2 women in our institution who had a previous history of 2 or more caesarian sections underwent tubal ligation. Despite receiving full counseling for laparoscopic sterilization, 22 women chose, after giving informed consent, to have a caesarian section for the sole purpose of sterilization.