Barriers to obtaining a desired postpartum tubal sterilization
Received 28 June 2005; received in revised form 17 October 2005; accepted 21 October 2005. published online 16 January 2006.
Abstract
Objective
To determine why women do not undergo postpartum sterilization despite expressing desire during antepartum care.
Methods
In a retrospective chart review, we identified all women between March 2002 and November 2003 who requested postpartum sterilization during antepartum care but did not undergo the procedure. We report the reasons why sterilizations were not performed.
Results
We reviewed 6589 prenatal care and delivery records identifying 324 women meeting inclusion criteria. One hundred and four women changed their mind. Of women still desiring sterilization at discharge, the most common reasons for not undergoing the procedure were lack of valid Medicaid sterilization consent forms [n=121; 37.3%, 95% confidence interval (CI) 32.0–42.6%]; a medical condition precluding the procedure (n=47; 14.5%, 95% CI 10.7–18.3%); lack of availability of an operating room (n=2; 6.5%, 95% CI 3.8–9.2%).
Conclusion
We found that the Medicaid consent process, medical conditions and insufficient operating room space prevented women from having the desired surgery.
ABSTRACT