Request and fulfillment of postpartum tubal ligation in patients after high-risk pregnancy

Abstract Objective Female sterilization is one of the most prevalent methods of contraception in the United States. Prior studies have shown that nearly half of postpartum tubal ligation (PPTL) requests go unfulfilled. This study seeks to establish whether obstetric or medical risk status influences...

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Bibliographic Details
Published in:Contraception (Stoneham) 2017-03, Vol.95 (3), p.234-238
Main Authors: Albanese, Alexandra, French, Maureen, Gossett, Dana R
Format: Article
Language:English
Subjects:
Adult
Contraception
Contraception - methods
Female
Health Services Accessibility - statistics & numerical data
High-risk pregnancy
Humans
Logistic Models
Obstetrics and Gynecology
Parity
Postpartum
Postpartum Period
Pregnancy
Pregnancy, High-Risk
Pregnancy, Unplanned
Retrospective Studies
Sterilization, Tubal - statistics & numerical data
Tubal ligation
United States
Young Adult
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Summary:Abstract Objective Female sterilization is one of the most prevalent methods of contraception in the United States. Prior studies have shown that nearly half of postpartum tubal ligation (PPTL) requests go unfulfilled. This study seeks to establish whether obstetric or medical risk status influences patients' request for or subsequent completion of PPTL. Methods This study was a retrospective cohort study of women delivering at a university hospital in 2009–2010 who received prenatal care in the faculty and resident clinics. High-risk status was defined by Society for Maternal-Fetal Medicine guidelines. Documentation of contraceptive plan and administration of contraceptive methods was abstracted from patient records. Subsequent pregnancies through March 1, 2013, were abstracted. Results Of 3063 participants (2048 low risk and 1015 high risk), 231 requested PPTL (7.5%). This was more likely among high-risk patients than low-risk patients (10.0% vs. 6.3%, p
ISSN:0010-7824
1879-0518
DOI:10.1016/j.contraception.2016.08.009