Barriers to obtaining a desired postpartum tubal sterilization.
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 6,589 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%).


CONCLUSIONS
We found that the Medicaid consent process, medical conditions and insufficient operating room space prevented women from having the desired surgery.
Department of Obstetrics and Gynecology, University of Illinois at Chicago, 60612, USA.
Nikki
N
Zite
Sara
S
Wuellner
Melissa
M
Gilliam
D000328:Adult; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D008484:Medicaid / Q000706:statistics & numerical data; D017060:Patient Satisfaction; D049590:Postpartum Period; D012189:Retrospective Studies; D013246:Sterilization, Tubal / Q000706:statistics & numerical data*