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Published on: January 17, 2019
Reproductive outcomes of patients with unfulfilled postpartum permanent contraception requests
Grace A Trompeter1,2, James Shelton1, Kavita Shah Arora2
1Department of Obstetrics and Gynecology, University at Buffalo, NY, USA.
Background:
Patients who request but do not receive postpartum permanent contraception (PC) are at high risk of subsequent short-interval pregnancy.
Objective:
To describe contemporary subsequent pregnancy rates in patients requesting but not receiving postpartum PC.
Design:
Single-site retrospective cohort study using medical record data of 2720 patients, 388 of whom presented for delivery with a signed Medicaid sterilization form.
Methods:
Reproductive outcomes of patients with unfulfilled postpartum PC requests (n = 234) were compared to a comparison group (n = 246) who did not request postpartum PC using descriptive statistics and multivariate logistic regression.
Results:
The overall PC completion rate was 39.7%. Among those with unfulfilled requests, 15.0% had a subsequent pregnancy within 18 months, compared to 27.1% of the comparison group.
Conclusions:
The subsequent pregnancy rate following an unfulfilled postpartum PC request is lower than historic estimates; however procedure nonfulfillment remains high.
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