Failure to obtain desired postpartum sterilization: Risk and predictors
Failure to obtain desired postpartum sterilization: Risk and predictors
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DOI：
10.1097/01.aog.0000157208.37923.17
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发表时间：
2005-04-01
影响因子：
7.2
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：本研究的一个目的是评估率和风险因素，没有获得产后绝育的妇女表示希望绝育在产前care.METHODS：在这项回顾性研究中，我们确定了一个队列的妇女表示希望产后绝育在我们的中心在2002年3月和2003年11月。我们根据人口统计学、产前和产时因素，比较了接受和未接受该手术的女性。结果：在产前护理期间表达产后绝育愿望的712名女性中，327名（46%）没有接受该手术。在多变量分析中，年龄在21至25岁之间的女性（调整后的比值比[OR] 0.56，95%置信区间[CI] 0.35-0.89），非裔美国人（OR 0.68，95% CI 0.47-1.00），妊娠中期要求绝育（OR 0.50，95% CI 0.29-0.86）），并有阴道分娩（OR 0.21，95%CI 0.14-0.32）而非剖宫产者最不可能进行产后绝育。尽管她们最初提出了要求，但在我们的样本中，只有54%的妇女接受了绝育手术。年轻、非裔美国人、孕中期要求和阴道分娩与不接受绝育显著相关。我们的数据表明，提供者应该咨询所有希望产后绝育的妇女关于各种各样的避孕方法，了解大约一半的妇女可能不会接受绝育手术。
OBJECTIVE: ne 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.