Barriers to obtaining a desired postpartum tubal sterilization
Barriers to obtaining a desired postpartum tubal sterilization
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DOI：
10.1016/j.contraception.2005.10.014
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发表时间：
2006-04-01
期刊：
影响因子：
2.9
通讯作者：
Gilliam, M
中科院分区：
文献类型：
--
作者：
Zite, N;Wuellner, S;Gilliam, M
目的：确定为何尽管在产前护理期间表达了意愿，但女性仍不接受产后绝育。方法：在回顾性图表审查中，我们确定了 2002 年 3 月至 2003 年 11 月期间在产前护理期间要求产后绝育但未接受手术的所有女性。我们报告了未进行绝育的原因。结果：我们审查了 6589 份产前护理和分娩记录，确定了 324 名符合纳入标准的妇女。一百零四个女人改变了主意。在出院时仍希望绝育的女性中，不接受手术的最常见原因是缺乏有效的医疗补助绝育同意书 [n = 121； 37.3%，95%置信区间（CI）32.0-42.6%]；因健康状况而无法进行手术（n=47；14.5%，95% CI 10.7-18.3%）；缺乏手术室（n=2；6.5%，95% CI 3.8-9.2%）。结论：我们发现医疗补助同意程序、医疗条件和手术室空间不足阻碍了女性进行所需的手术。 (c) 2006 Elsevier Inc. 保留所有权利。
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. (c) 2006 Elsevier Inc. All rights reserved.