Failure to obtain desired postpartum sterilization: Risk and predictors

Nikki Zite, Sara Wuellner, Melissa Gilliam

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

OBJECTIVE: The aim of this study was to assess the rate of and risk factors for not obtaining postpartum sterilization among women who expressed a desire for sterilization during antepartum care. METHODS: In this retrospective study, we identified a cohort of women who expressed desire for postpartum sterilization at our center between March 2002 and November 2003. We compared women who did and those who did not undergo the procedure, based on demographic, antenatal, and intrapartum factors. RESULTS: Of the 712 women who expressed desire for postpartum sterilization during antepartum care, 327 (46%) did not undergo the procedure. In multivariable analysis, women who were between the ages of 21 and 25 years (adjusted odds ratio [OR] 0.56, 95% confidence interval [CI] 0.35-0.89), were African American (OR 0.68, 95% CI 0.47-1.00), requested sterilization in the second trimester (OR 0.50, 95% CI 0.29-0.86)), and had a vaginal delivery (OR 0.21, 95% CI 0.14-0.32) rather than cesarean delivery were least likely to undergo postpartum sterilization. CONCLUSION: Despite their initial request, only 54% of women in our sample underwent sterilization. Young age, African-American race, request in the second trimester, and vaginal delivery were significantly associated with not undergoing sterilization. Our data suggest that providers should counsel all women who desire postpartum sterilization about the wide array of contraceptive methods available, with the understanding that approximately half of all women may not undergo the sterilization procedure.

Original languageEnglish (US)
Pages (from-to)794-799
Number of pages6
JournalObstetrics and gynecology
Volume105
Issue number4
DOIs
StatePublished - Apr 1 2005

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Postpartum Period
Odds Ratio
Confidence Intervals
Second Pregnancy Trimester
African Americans
Contraception
Retrospective Studies
Demography

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynecology

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Failure to obtain desired postpartum sterilization : Risk and predictors. / Zite, Nikki; Wuellner, Sara; Gilliam, Melissa.

In: Obstetrics and gynecology, Vol. 105, No. 4, 01.04.2005, p. 794-799.

Research output: Contribution to journalArticle

Zite, Nikki ; Wuellner, Sara ; Gilliam, Melissa. / Failure to obtain desired postpartum sterilization : Risk and predictors. In: Obstetrics and gynecology. 2005 ; Vol. 105, No. 4. pp. 794-799.
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N2 - OBJECTIVE: The aim of this study was to assess the rate of and risk factors for not obtaining postpartum sterilization among women who expressed a desire for sterilization during antepartum care. METHODS: In this retrospective study, we identified a cohort of women who expressed desire for postpartum sterilization at our center between March 2002 and November 2003. We compared women who did and those who did not undergo the procedure, based on demographic, antenatal, and intrapartum factors. RESULTS: Of the 712 women who expressed desire for postpartum sterilization during antepartum care, 327 (46%) did not undergo the procedure. In multivariable analysis, women who were between the ages of 21 and 25 years (adjusted odds ratio [OR] 0.56, 95% confidence interval [CI] 0.35-0.89), were African American (OR 0.68, 95% CI 0.47-1.00), requested sterilization in the second trimester (OR 0.50, 95% CI 0.29-0.86)), and had a vaginal delivery (OR 0.21, 95% CI 0.14-0.32) rather than cesarean delivery were least likely to undergo postpartum sterilization. CONCLUSION: Despite their initial request, only 54% of women in our sample underwent sterilization. Young age, African-American race, request in the second trimester, and vaginal delivery were significantly associated with not undergoing sterilization. Our data suggest that providers should counsel all women who desire postpartum sterilization about the wide array of contraceptive methods available, with the understanding that approximately half of all women may not undergo the sterilization procedure.

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