Reproductive outcomes of patients with unfulfilled postpartum permanent contraception requests
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 retrospectiv...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2025-07-01
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| Series: | Women's Health |
| Online Access: | https://doi.org/10.1177/17455057251356883 |
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| Summary: | 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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| ISSN: | 1745-5065 |