Failure to obtain desired postpartum sterilization: risk and predictors.
OBJECTIVE
The 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.


CONCLUSIONS
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.


METHODS
II-2.
Zite
Nikki
N
Department of Obstetrics and Gynecology, University of Illinois at Chicago, 60612, USA.
Wuellner
Sara
S
Gilliam
Melissa
M
D000328:Adult; D015331:Cohort Studies; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007087:Illinois / Q000453:epidemiology; D008427:Maternal Health Services; D008499:Medical Records; D010358:Patient Participation; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D049590:Postpartum Period; D011247:Pregnancy; D011295:Prenatal Care; D012189:Retrospective Studies; D013246:Sterilization, Tubal / Q000706:statistics & numerical data*