11. Seton contracts with nurses from another health-care company for nursing services during tubal ligations . 12. This time, she underwent a tubal ligation to lessen the chance of another ectopic pregnancy. 13. A gynecologist testified that Miller had had a tubal ligation in 1995, making pregnancy impossible. 14. Like other forms of neutering, vasectomy and tubal ligation eliminate the ability to produce offspring. 15. A tubal ligation is approximately 99 % effective in the first year following the procedure. 16. Because Robynn is young and the tubal ligation was recent, the odds are even better. 17. Women undergo tubal ligation and men undergo a vasectomy. 18. She'd had two daughters, then had a tubal ligation . 19. Essure was designed as an alternative to tubal ligation , the standard procedure for surgical sterilization. 20. Betty ( Annaleigh Ashford ) confronts Bill about his refusal to reverse her tubal ligation .
