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Barriers to completion of desired postpartum sterilization
Lori A Boardman1, Michael DeSimone, Rebecca H Allen
1Assistant Dean, Medical Education and Professor of Obstetrics and Gynecology at the University of Central Florida College of Medicine.
Rhode Island Medical Journal (2013)
|May 4, 2013
Summary
Many women desiring postpartum tubal sterilization face barriers, with only half successfully obtaining the procedure. Older age and cesarean delivery facilitate sterilization, while higher BMI and marital status are associated with incompletion.
Area of Science:
- Reproductive Health
- Obstetrics & Gynecology
- Contraception Research
Background:
- Tubal sterilization is a safe and effective permanent contraception method.
- A significant number of women desiring postpartum sterilization encounter barriers preventing them from obtaining it.
- Understanding these barriers is crucial for improving access to desired sterilization procedures.
Purpose of the Study:
- To identify factors associated with the successful completion of postpartum tubal sterilization.
- To analyze barriers preventing women from obtaining postpartum sterilization.
- To evaluate the rate of postpartum sterilization completion among women desiring the procedure.
Main Methods:
- Retrospective cohort study of patients from a single obstetrics practice delivering between January 1, 2007, and June 30, 2007.
- Analysis of 626 deliveries, focusing on 87 women who desired postpartum sterilization.
- Multivariable analysis controlling for age, BMI, delivery mode, and marital status.
Main Results:
- Only 51.7% (45 of 87) of women who desired postpartum sterilization completed the procedure.
- Older age (OR 2.15) and cesarean delivery (OR 19.65) were significantly associated with sterilization completion.
- Higher BMI (OR 0.60) and being married (OR 0.10) were significantly associated with sterilization incompletion.
Conclusions:
- Approximately half of women who antenatally desire postpartum sterilization do not obtain it.
- Cesarean delivery and older maternal age are key factors facilitating postpartum sterilization.
- Barriers related to BMI and marital status may impede access to desired tubal sterilization.
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