A qualitative study of barriers to postpartum sterilization and women's attitudes toward unfulfilled sterilization requests

Melissa Gilliam, Shawna D. Davis, Amy Berlin, Nikki Zite

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Background: This longitudinal, qualitative study explores barriers to postpartum sterilization from the perspective of low-income minority women. We examine women's feelings and attitudes regarding a canceled or postponed procedure over time. Study Design: We conducted structured, in-depth baseline interviews with 34 postpartum women with unfulfilled sterilization requests in a university hospital setting. Follow-up phone interviews were conducted at 6 weeks and 6 months postpartum. Results: Reasons for unfulfilled sterilization requests included last-minute misgivings, maternal medical complications, lack of a valid Medicaid consent form, fear of the procedure and provider influence. Sense of autonomy regarding sterilization decision making and ability to obtain interval sterilization or initiate and/or successfully use reversible contraception influenced subsequent attitudes regarding an unfulfilled request. Conclusions: Sterilization counseling should include comprehensive information regarding the surgical procedure and associated risks and the development of a backup contraceptive plan, with particular emphasis on increasing contraceptive self-efficacy and autonomy in sterilization decision making.

Original languageEnglish (US)
Pages (from-to)44-49
Number of pages6
JournalContraception
Volume77
Issue number1
DOIs
StatePublished - Jan 1 2008
Externally publishedYes

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Postpartum Period
Contraceptive Agents
Decision Making
Interviews
Consent Forms
Aptitude
Medicaid
Self Efficacy
Contraception
Fear
Longitudinal Studies
Counseling
Emotions
Mothers

All Science Journal Classification (ASJC) codes

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

A qualitative study of barriers to postpartum sterilization and women's attitudes toward unfulfilled sterilization requests. / Gilliam, Melissa; Davis, Shawna D.; Berlin, Amy; Zite, Nikki.

In: Contraception, Vol. 77, No. 1, 01.01.2008, p. 44-49.

Research output: Contribution to journalArticle

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