Barriers to obtaining a desired postpartum tubal sterilization

Contraception
Nikki B ZiteMelissa Gilliam

Abstract

To determine why women do not undergo postpartum sterilization despite expressing desire during antepartum care. In a retrospective chart review, we identified all women between March 2002 and November 2003 who requested postpartum sterilization during antepartum care but did not undergo the procedure. We report the reasons why sterilizations were not performed. We reviewed 6,589 prenatal care and delivery records identifying 324 women meeting inclusion criteria. One hundred and four women changed their mind. Of women still desiring sterilization at discharge, the most common reasons for not undergoing the procedure were lack of valid Medicaid sterilization consent forms [n=121; 37.3%, 95% confidence interval (CI) 32.0-42.6%]; a medical condition precluding the procedure (n=47; 14.5%, 95% CI 10.7-18.3%); lack of availability of an operating room (n=2; 6.5%, 95% CI 3.8-9.2%). We found that the Medicaid consent process, medical conditions and insufficient operating room space prevented women from having the desired surgery.

References

May 14, 2003·Contraception·Joseph E PotterMarta Rovery Souza
Apr 2, 2005·Obstetrics and Gynecology·Nikki ZiteMelissa Gilliam

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Citations

Aug 18, 2012·American Journal of Public Health·Sonya BorreroMitchell D Creinin
May 9, 2014·Obstetrics and Gynecology·Benjamin P Brown, Julie Chor
Aug 19, 2014·Contraception·Joseph E PotterDaniel Grossman
Sep 30, 2014·Clinical Obstetrics and Gynecology·Stephanie Sober, Courtney A Schreiber
Nov 8, 2014·Current Opinion in Obstetrics & Gynecology·Lisa H Harris, Taida Wolfe
Oct 23, 2010·Obstetrics and Gynecology·Andrea Ries Thurman, Torri Janecek
Dec 13, 2012·Perspectives on Sexual and Reproductive Health·Joseph E PotterDaniel Grossman
Dec 25, 2012·Obstetrics and Gynecology·Joseph E PotterDaniel Grossman
Mar 27, 2015·Clinical Obstetrics and Gynecology·Dana Block-AbrahamRebekah E Gee
Jan 21, 2014·Contraception·Kari White, Joseph E Potter
Aug 30, 2016·Contraception·Alexandra AlbaneseDana R Gossett
Nov 9, 2016·Contraception·Katrina KimportSonya Borrero
Mar 24, 2017·Obstetrics and Gynecology·UNKNOWN Committee on Ethics
Sep 4, 2014·Qualitative Health Research·Laurie James-Hawkins, Christie Sennott
Jul 12, 2017·Obstetrics and Gynecology·Joseph E PotterDaniel Grossman
Jun 21, 2017·Anesthesia and Analgesia·Michael G RichardsonLisa C Zuckerwise
Dec 8, 2017·Obstetrics and Gynecology·Gretchen S Stuart, Shanthi S Ramesh
Nov 10, 2018·Journal of Midwifery & Women's Health·Taylor A HahnBrownsyne Tucker Edmonds
Apr 18, 2019·Journal of Women's Health·Ginny Garcia-AlexanderElizabeth Hauck
Nov 8, 2019·Obstetrics and Gynecology·Jane MorrisKavita Shah Arora
Sep 9, 2020·Health Care for Women International·Eva K WelchFrancine McLeod
Nov 26, 2019·Obstetrics and Gynecology·Jane MorrisKavita Shah Arora
Jan 1, 2021·Contraception·Heather Bouma-JohnstonKavita Shah Arora
Mar 25, 2021·Obstetrics and Gynecology·UNKNOWN American College of Obstetricians and Gynecologists’ Committee on Health Care for Underserved Women

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