ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health
Uncertainty in Postpartum Permanent Contraception Decision-Making: Physician and Patient Perspectives.
Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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Who cites it
5 citing papers in PubMed.
- Trust, autonomy, and informed consent: a qualitative investigation of youth experiences accessing contraception in Canada.Sexual and reproductive health matters · 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
- 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
- Obstetricians' experiences caring for pregnant people experiencing incarceration who request permanent contraception.Women's health (London, England)Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
purposeWe sought to understand how patients and physicians conceptualize uncertainty in the permanent contraception decision-making process. BASIC PROCEDURES: In 2022-2023, we interviewed postpartum patients with a documented desire for permanent contraception (n = 81) and their delivering physicians (n = 67). Eligible patients gave birth at one of our four study hospitals in California, Ohio, Illinois, and Alabama. We used rapid content analysis and thematic content analysis to develop and refine themes related to uncertainty in permanent contraceptive decision-making. MAIN
findingsMost patients reported full certainty in their decision regarding permanent contraception, although some expressed doubts. After receiving permanent contraception, some patients discussed grief but overall affirmed their decision. One patient said they wished they had considered other contraceptive options. Physicians reported using a range of strategies to safeguard from patient regret, including ensuring patients were 100% certain with their decision, inferring certainty based on their characteristics, asking patients to think through all scenarios that could affect decision-making, and repeat counseling during multiple interactions. PRINCIPAL
conclusionsPatient experiences reveal the depth, fluidity, and nuance of patients' contraceptive decision-making processes. Physicians sometimes failed to grapple with this nuance by centering potential regret in their counseling. Personalized and supportive contraceptive counseling that acknowledges the complexity of contraceptive decision-making is imperative. Shared decision-making can help ensure patients can make informed and autonomous decisions about their reproductive lives.
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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.