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Active COVID-19 infection as a barrier to postpartum tubal ligation
Natalie DiCenzo1, Nayna Shah1, Danielle Glassman1
1Department of Obstetrics and Gynecology, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, United States.
Objectives:
To identify patients unable to obtain postpartum bilateral tubal ligations (ppBTLs) due to policy prohibiting "elective" procedures for COVID-positive patients at a single academic medical center in New Jersey.
Results:
Upon retrospective chart review of patients requesting ppBTLS, of 110 ppBTL requests between identified via retrospective chart review between February 1, 2020, and February 28, 2022, 24 (22%) were canceled due to COVID infection. Of these patients, 10 (42%) were uninsured, 13 (54%) had Medicaid, and 22 (92%) were Hispanic/Latinx. Postpartum, five (21%) obtained interval tubal ligation, seven (37%) never received contraception, and one had a future pregnancy.
Conclusions:
This policy affected uninsured patients by preventing access to permanent contraception.
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