Final answer:
The most likely complication after postpartum tubal ligation is chronic cyclic pain with menstrual cycles. option (B)
Step-by-step explanation:
The most likely complication that a 35-year-old G5P4 patient might experience after postpartum tubal ligation is chronic cyclic pain with menstrual cycles.
According to the information provided, the procedure of tubal ligation permanently blocks the Fallopian tubes, preventing eggs from traveling from the ovaries to the uterus for fertilization. However, the procedure may lead to the development of chronic pain during menstruation, also known as dysmenorrhea.
It is important for the patient to weigh the potential risks and benefits of postpartum tubal ligation and discuss them with her healthcare provider to make an informed decision.