title: Does a history of unintended pregnancy lessen the likelihood of desire for sterilization reversal?
abstract: BACKGROUND
  Unintended pregnancy has been significantly associated with subsequent female sterilization. Whether women who are sterilized after experiencing an unintended pregnancy are less likely to express desire for sterilization reversal is unknown.
  
  
  METHODS
  This study used national, cross-sectional data collected by the 2006-2010 National Survey of Family Growth. The study sample included women ages 15-44 who were surgically sterile from a tubal sterilization at the time of interview. Multivariable logistic regression was used to examine the relationship between a history of unintended pregnancy and desire for sterilization reversal while controlling for potential confounders.
  
  
  RESULTS
  In this nationally representative sample of 1,418 women who were sterile from a tubal sterilization, 78% had a history of at least one unintended pregnancy and 28% expressed a desire to have their sterilization reversed. In unadjusted analysis, having a prior unintended pregnancy was associated with higher odds of expressing desire for sterilization reversal (odds ratio [OR]: 1.80; 95% confidence interval [CI]: 1.15-2.79). In adjusted analysis controlling for sociodemographic factors, unintended pregnancy was no longer significantly associated with desire for reversal (OR: 1.46; 95% CI: 0.91-2.34).
  
  
  CONCLUSIONS
  Among women who had undergone tubal sterilization, a prior history of unintended pregnancy did not decrease desire for sterilization reversal.
authors.affiliation: University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
authors.forename: Cynthia D
authors.initials: CD
authors.lastname: Grady
authors.forename: Eleanor Bimla
authors.initials: EB
authors.lastname: Schwarz
authors.forename: Chetachi A
authors.initials: CA
authors.lastname: Emeremni
authors.forename: Jonathan
authors.initials: J
authors.lastname: Yabes
authors.forename: Aletha
authors.initials: A
authors.lastname: Akers
authors.forename: Nikki
authors.initials: N
authors.lastname: Zite
authors.forename: Sonya
authors.initials: S
authors.lastname: Borrero
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D009042:Motivation; D011247:Pregnancy; D049168:Pregnancy, Unplanned / Q000523:psychology*; D013243:Sterilization Reversal / Q000523:psychology* / Q000706:statistics & numerical data; D013246:Sterilization, Tubal / Q000523:psychology / Q000706:statistics & numerical data*; D014481:United States / Q000453:epidemiology; D055815:Young Adult