ArticleReproductive sciences (Thousand Oaks, Calif.)2022
Fulfillment of Desired Postpartum Permanent Contraception: a Health Disparities Issue.
Article in Reproductive sciences (Thousand Oaks, Calif.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 26 citations in OpenAlex.
- Understanding delivery type as a mediator in the relationship between insurance type and permanent contraception fulfillment: a mixed-methods multi-site study.Reproductive health · 2025Article
- The association of patient and clinician demographics and concordance with medicaid sterilization consent form validity.Journal of the National Medical Association · 2025Article
- Association Between Comorbidities and Inpatient Postpartum Permanent Contraception Completion.Obstetrics and gynecology · 2025Article
- Association Between Preterm Birth and Fulfillment of Desired Permanent Contraception.Maternal and child health journal · 2025Article
- Patient Perspectives on Clinician Support When Pursuing Permanent Contraception in the United States.Perspectives on sexual and reproductive health · 2025Article
- Patient and obstetrician-gynecologist perspectives on considering long-acting reversible contraception for postpartum patients who desire permanent contraception.Contraception · 2025Article
- Long-Acting Reversible Contraception Use after Non-Receipt of Postpartum Permanent Contraception: A Retrospective Analysis.Journal of women's health (2002) · 2025Article
- Identifying Health Systems Gaps as Perceived by Postpartum Patient Navigators at an Urban Academic Medical Center.Women's health reports (New Rochelle, N.Y.) · 2025Article
- Postpartum Patient Perspectives on the US Medicaid Waiting Period for Permanent Contraception.Open access journal of contraception · 2025Article
- Modeling the impact of decreasing waiting period length for Medicaid sterilization: A multi-site cohort study.Contraception · 2024Article
- Ongoing contraceptive goals of patients who did not achieve desired postpartum permanent contraception prior to hospital discharge.Contraception · 2024Article
- Fulfillment of Permanent Contraception among Patients with Cesarean Delivery in a Multi-Site Cohort.Maternal and child health journal · 2024Article
- Evaluating feedback from an implementation advisory board to assess the rollout of a postpartum patient navigation program.Implementation science communications · 2024Article
- Racial and ethnic disparities in long-term contraception use among the birthing population at an academic hospital in the Southeastern United States.Proceedings of the Human Factors and Ergonomics Society ... Annual Meeting. Human Factors and Ergonomics Society. Annual meeting · 2023Article
- Non-Hormonal Contraception.Journal of clinical medicine · 2023Review
- Medicaid and Fulfillment of Postpartum Permanent Contraception Requests.Obstetrics and gynecology · 2023Article
- Does socioeconomic factors and healthcare coverage affect postpartum sterilization uptake in an urban, tertiary hospital?Reproductive health · 2023Article
- Shared Decision-Making: The Way Forward for Postpartum Contraceptive Counseling.Open access journal of contraception · 2022Review
- Multi-level barriers to equitable postpartum permanent contraception.Women's health (London, England)Article
- Obstetrician-Gynecologist Perspectives and Counseling Practices on the U.S. Medicaid Waiting Period for Permanent Contraception.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
Women of color experience marked disparities in fulfillment of desired postpartum permanent contraception. While many attribute the disparity to the required Medicaid sterilization consent form and 30-day waiting period established in response to forced and coerced sterilizations, the policy does not entirely explain the disparity; racial and ethnic disparities persist even within strata of insurance type. We therefore propose framing postpartum permanent contraception as a health disparities issue that requires multi-level interventions to address. Based on the literature, we identify discrete levels of barriers to postpartum permanent contraception fulfillment at the patient, physician, hospital, and policy levels that interact and compound within and between individual levels, affecting each individual patient differently. At the patient level, sociodemographic characteristics such as age, race and ethnicity, and parity impact desire for and fulfillment of permanent contraception. At the physician level, implicit bias and paternalistic counseling contribute to barriers in permanent contraception fulfillment. At the hospital level, Medicaid reimbursement, operating room availability, and religious affiliation influence fulfillment of permanent contraception. Lastly, at the policy level, the Medicaid consent form and waiting period pose a known barrier to fulfillment of desired postpartum permanent contraception. Unpacking each of these discrete barriers and untangling their collective impact is necessary to eliminate racial and ethnic disparities in permanent contraception fulfillment.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.