Obstetrician-gynecologists' counseling regarding postpartum sterilization

International Journal of Women's Health
Kavita Shah AroraJay Schulkin

Abstract

Obstetrician-gynecologists (ob-gyns) play a prominent role in counseling patients regarding sterilization, offering alternative contraception, fulfilling sterilization requests, and referring patients if unable to provide the service due to a personal moral belief. Therefore, we sought to better characterize the counseling practices of ob-gyns with respect to postpartum sterilization. This is a prospective, electronic survey-based study of 1,000 ob-gyn members of the American College of Obstetricians and Gynecologists, half of whom are members of the Collaborative Ambulatory Research Network. A total of 188 of 957 surveyed physicians (19.6%) opened and responded to the survey, after accounting for exclusions. Age (31.9%), body mass index (28.7%), and medical history (27.1%) were the three most frequent reasons for an ob-gyn reported declining to perform sterilization in a patient requesting sterilization. Medical history (36.2%), parity (31.9%), and availability of alternative contraception (27.7%) were the three most frequent reasons that an ob-gyn reported recommending postpartum sterilization in a patient not requesting sterilization. Our study has identified both medical and nonmedical factors that impact ob-gyns likelihood...Continue Reading

Citations

Nov 8, 2019·Obstetrics and Gynecology·Jane MorrisKavita Shah Arora
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
May 11, 2021·Maternal and Child Health Journal·David Sheyn, Kavita Shah Arora
Jul 24, 2021·Gynecologic Oncology Reports·Michael FialkowVrunda B Desai
Sep 18, 2021·Current Opinion in Obstetrics & Gynecology·Andrea HenkelLisa M Goldthwaite

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Methods Mentioned

BETA
contraception

Software Mentioned

R

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