Trends and Disparities in Postpartum Sterilization after Cesarean Section, 2000 through 2008

Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health
Ginny GarciaAdolfo G Cuevas

Abstract

Tubal sterilization patterns are influenced by factors including patient race, ethnicity, level of education, method of payment, and hospital size and affiliation. However, less is known about how these factors influence tubal sterilizations performed as secondary procedures after cesarean sections (C-sections). Thus, this study examines variations in the prevalence of postpartum tubal sterilizations after C-sections from 2000 to 2008. We used data from the National Hospital Discharge Survey to estimate odds ratios for patient-level (race, marital status, age) and system-level (hospital size, type, region) factors on the likelihood of receiving tubal sterilization after C-section. A disproportionate share of postpartum tubal sterilizations after C-section was covered by Medicaid. The likelihood of undergoing sterilization was increased for Black women, women of older age, and non-single women. Additionally, they were increased in proprietary and government hospitals, smaller hospital settings, and the Southern United States. Our findings indicate that Black women and those with Medicaid coverage in particular were substantially more likely to undergo postpartum tubal sterilization after C-section. We also found that hospital ch...Continue Reading

References

Apr 2, 2005·Obstetrics and Gynecology·Nikki ZiteMelissa Gilliam
Jan 2, 2007·Obstetrics and Gynecology·Sonya BorreroSaid A Ibrahim
Sep 1, 2007·American Journal of Public Health·Roberta A DowningHeather E Bullock
May 26, 2010·Fertility and Sterility·Lolita M Chan, Carolyn L Westhoff
Jun 29, 2010·Fertility and Sterility·Sonya BorreroSaid Ibrahim
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Aug 24, 2012·Obstetrics and Gynecology·UNKNOWN Committee on Health Care for Underserved Women
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Dec 25, 2012·Obstetrics and Gynecology·UNKNOWN American College of Obstetricians and Gynecologists
Apr 12, 2013·Journal of General Internal Medicine·Elizabeth N ChapmanMolly Carnes

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Citations

Apr 18, 2019·Journal of Women's Health·Ginny Garcia-AlexanderElizabeth Hauck
Apr 24, 2020·Archives of Gynecology and Obstetrics·Roy KessousEyal Sheiner
May 10, 2017·Obstetrics and Gynecology·Michelle H MonizMatthew M Davis
Jun 29, 2021·American Journal of Obstetrics and Gynecology·Rachel S MandelbaumKoji Matsuo

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