Request and fulfillment of postpartum tubal ligation in patients after high-risk pregnancy
Request and fulfillment of postpartum tubal ligation in patients after high-risk pregnancy
复制标题
DOI：
10.1016/j.contraception.2016.08.009
复制
发表时间：
2017-03-01
期刊：
影响因子：
2.9
通讯作者：
Gossett, Dana R.
中科院分区：
文献类型：
--
作者：
Albanese, Alexandra;French, Maureen;Gossett, Dana R.
目的：女性绝育是美国最流行的避孕方法之一。先前的研究表明，近一半的产后输卵管结扎术(PPTL)请求没有得到满足。本研究旨在确定产科或医疗风险状况是否影响患者要求或随后完成PPTL。方法：本研究是一项回顾性队列研究，研究对象是2009-2010年间在一所大学医院分娩的在教职员工和住院医生诊所接受产前护理的产妇。高危状态由母婴医学学会指南定义。避孕计划的记录和避孕方法的管理是从患者记录中提取出来的。结果：在3063名参与者(2048名低风险和1015名高危)中，231名(7.5%)要求PPTL。这在高危患者中比低危患者中更有可能(10.0%比6.3%，P
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