Related Experiment Videos
Tubal sterilization in the United States, 1994-1996
A P MacKay1, B A Kieke, L M Koonin
1Office of Analysis, Epidemiology, and Health Promotion, National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, MD, USA.
Family Planning Perspectives
|August 11, 2001
Summary
Tubal sterilization procedures in the U.S. (1994-1996) show an increase in outpatient and laparoscopic methods. Data collection is crucial for monitoring contraceptive trends and the evolving landscape of female sterilization.
Area of Science:
- Reproductive Health
- Contraception
- Public Health Surveillance
Background:
- Tubal sterilization data in the U.S. had not been systematically collected for many years.
- Understanding sterilization trends is vital for assessing contraceptive practices.
Purpose of the Study:
- To estimate the number, characteristics, and rates of tubal sterilizations in the U.S. (1994-1996).
- To examine trends in sterilization settings, timing, and patient demographics compared to previous studies.
Main Methods:
- Analysis of data from the National Hospital Discharge Survey and National Survey of Ambulatory Surgery.
- Estimation of sterilization numbers, rates, and patient characteristics.
- Comparative analysis with historical sterilization data.
Main Results:
- Over two million tubal sterilizations performed annually (1994-1996) at a rate of 11.5 per 1,000 women.
- Half of procedures were postpartum (inpatient), half were interval (96% outpatient).
- Sterilization rates varied by age and region; insurance sources differed between postpartum and interval procedures.
Conclusions:
- Significant increase in outpatient and laparoscopic tubal sterilizations indicates technological impact.
- Continued surveillance of both inpatient and outpatient sterilization is essential for monitoring contraceptive trends.