ArticleAJOG global reports2023
Nonfulfillment of desired postpartum permanent contraception and resultant maternal and pregnancy health outcomes.
Article in AJOG global reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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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
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Who cites it
7 citing papers in PubMed, 8 citations in OpenAlex.
- Future reproductive outcomes and contraceptive access in the first year postpartum after non-receipt of postpartum permanent contraception.Contraception · 2025Article
- Postpartum Sterilization after a Preterm Delivery Is Not Associated with Decision Regret.Medical decision making : an international journal of the Society for Medical Decision Making · 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
- Ongoing contraceptive goals of patients who did not achieve desired postpartum permanent contraception prior to hospital discharge.Contraception · 2024Article
- Documentation of prenatal contraceptive counseling and fulfillment of permanent contraception: a retrospective cohort study.Reproductive health · 2024Article
- Reproductive outcomes of patients with unfulfilled postpartum permanent contraception requests.Women's health (London, England)Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUp to half of the patients requesting postpartum permanent contraception do not undergo the desired procedure. Although nonfulfillment of desired postpartum permanent contraception is associated with increased risk of pregnancy within 12 months of delivery, its long-term reproductive and maternal health outcomes are less clear.
objectiveThis study aimed to determine the association of fulfillment of postpartum permanent contraception with number and timing of subsequent pregnancies and maternal health outcomes. STUDY
designThis was a retrospective single-center cohort chart review study of health outcomes in the 4 years following delivery (2016-2018) for 1331 patients with a documented contraceptive plan of female permanent contraception at time of postpartum discharge from 2012 to 2014. Rates of permanent contraception fulfillment within 90 days of delivery and clinical and demographic characteristics associated with permanent contraception were calculated. We determined number of and time to subsequent pregnancies, and diagnoses of medical comorbidities (hypertension, diabetes mellitus, depression, anxiety, asthma, anemia), sexually transmitted infection, and pregnancy comorbidities (preterm birth, gestational diabetes mellitus, gestational hypertension, preeclampsia, postpartum hemorrhage, low birthweight, intrauterine fetal demise) in the 4 years following delivery.
resultsOf the 1331 patients desiring permanent contraception postpartum, 588 (44.1%) had their requests fulfilled within 90 days of delivery and 743 (55.8%) did not. Patients who achieved permanent contraception fulfillment tended to have attended more outpatient prenatal visits, delivered via cesarean delivery, and were older, married, college-educated, and privately insured. Patients who received their desired postpartum permanent contraception were less likely to have subsequent intrauterine pregnancies (
conclusionNonfulfillment of desired postpartum permanent contraception is associated with subsequent maternal reproductive and nonreproductive health ramifications. Given the barriers to permanent contraception, alternative plans for contraception should be discussed proactively if permanent contraception is not provided.
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Registered trials
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