ArticleObstetrics and gynecology2023
Medicaid and Fulfillment of Postpartum Permanent Contraception Requests.
Article in Obstetrics and gynecology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 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
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, 32 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
- 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
- Future reproductive outcomes and contraceptive access in the first year postpartum after non-receipt of postpartum permanent contraception.Contraception · 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
- Long-Acting Reversible Contraception Use after Non-Receipt of Postpartum Permanent Contraception: A Retrospective Analysis.Journal of women's health (2002) · 2025Article
- Patient Perspectives on Clinician Support When Pursuing Permanent Contraception in the United States.Perspectives on sexual and reproductive health · 2025Article
- Postpartum Patient Perspectives on the US Medicaid Waiting Period for Permanent Contraception.Open access journal of contraception · 2025Article
- Ongoing contraceptive goals of patients who did not achieve desired postpartum permanent contraception prior to hospital discharge.Contraception · 2024Article
- Modeling the impact of decreasing waiting period length for Medicaid sterilization: A multi-site cohort study.Contraception · 2024Article
- Fulfillment of Permanent Contraception among Patients with Cesarean Delivery in a Multi-Site Cohort.Maternal and child health journal · 2024Article
- Neighbourhood socioeconomic position, prenatal care and fulfilment of postpartum permanent contraception: Findings from a multisite cohort study.Reproductive, female and child health · 2024Article
- Documentation of prenatal contraceptive counseling and fulfillment of permanent contraception: a retrospective cohort study.Reproductive health · 2024Article
- Ovarian Cancer: From Precursor Lesion Identification to Population-Based Prevention Programs.Current oncology (Toronto, Ont.) · 2023Review
- Uncertainty in Postpartum Permanent Contraception Decision-Making: Physician and Patient Perspectives.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
- Reproductive outcomes of patients with unfulfilled postpartum permanent contraception requests.Women's health (London, England)Article
- Obstetricians' experiences caring for pregnant people experiencing incarceration who request 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
- Multi-level barriers to equitable postpartum permanent contraception.Women's health (London, England)Article
Corrections and comments
- Erratum issued
Authors and funding
10 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo evaluate the association between Medicaid insurance and fulfillment of postpartum permanent contraception requests.
methodsWe conducted a retrospective cohort study of 43,915 patients across four study sites in four states, of whom 3,013 (7.1%) had a documented contraceptive plan of permanent contraception at the time of postpartum discharge and either Medicaid insurance or private insurance. Our primary outcome was permanent contraception fulfillment before hospital discharge; we compared individuals with private insurance with individuals with Medicaid insurance. Secondary outcomes were permanent contraception fulfillment within 42 and 365 days of delivery, as well as the rate of subsequent pregnancy after nonfulfillment. Bivariable and multivariable logistic regression analyses were used.
resultsPatients with Medicaid insurance (1,096/2,076, 52.8%), compared with those with private insurance (663/937, 70.8%), were less likely to receive desired permanent contraception before hospital discharge (P≤.001). After adjustment for age, parity, weeks of gestation, mode of delivery, adequacy of prenatal care, race, ethnicity, marital status, and body mass index, private insurance status was associated with higher odds of fulfillment at discharge (adjusted odds ratio [aOR] 1.48, 95% CI 1.17-1.87) and 42 days (aOR 1.43, 95% CI 1.13-1.80) and 365 days (aOR 1.36, 95% CI 1.08-1.71) postpartum. Of the 980 patients with Medicaid insurance who did not receive postpartum permanent contraception, 42.2% had valid Medicaid sterilization consent forms at the time of delivery.
conclusionDifferences in fulfillment rates of postpartum permanent contraception are observable between patients with Medicaid insurance and patients with private insurance after adjustment for clinical and demographic factors. The disparities associated with the federally mandated Medicaid sterilization consent form and waiting period necessitate policy reassessment to promote reproductive autonomy and to ensure equity.
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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.