Evidence map›Paper›PMID 39878863›Full record

ArticleMaternal and child health journal2025

Association Between Preterm Birth and Fulfillment of Desired Permanent Contraception.

Andrea Chalem, Claire E Jensen, Brooke W Bullington, Kristen A Berg, Emily S Miller, Margaret Boozer, Tania Serna, Jennifer L Bailit, Kavita Shah Arora

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Maternal and child health journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Andrea Chalem *Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Claire E Jensen *Department of Obstetrics and Gynecology, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Brooke W BullingtonDepartment of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Kristen A BergCenter for Health Care Research & Policy, Population Health Research Institute, MetroHealth Medical System, Cleveland, OH, USA.
Emily S MillerDivision of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Alpert Medical School of Brown University, Providence, RI, USA.
Margaret BoozerDepartment of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL, USA.
Tania SernaDepartment of Obstetrics and Gynecology, University of California San Francisco, San Francisco, CA, USA.
Jennifer L BailitCase Western Reserve University, Cleveland, OH, USA.
Kavita Shah AroraDepartment of Obstetrics and Gynecology, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. Kavita.Shah.Arora@gmail.com.ORCID http://orcid.org/0000-0002-9912-9466

Funding

Multi-level factors affecting postpartum sterilizationR01HD098127 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ARORA, KAVITA SHAH · 2020 to 2023
$2.5M
Research Training Program in Reproductive and Sexual HealthR25HD115514 · NICHD · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI JESSICA N SANDERS, David Turok · 2024 to 2026
$474k
National Institute of Child Health and Human Development 1R01HD098127National Institute of Child Health and Human Development P2CHD050924national research service award T32HD052468NICHD NIH HHS R01 HD098127NICHD NIH HHS R25 HD115514
6 · The paper itself

Abstract

objectivesIn cases of preterm delivery, the Medicaid sterilization policy mandates a signed consent form at least 72 h before surgery for permanent contraception, which is less than the 30 day minimum waiting period for term births. This study evaluated the association between preterm birth and fulfillment of planned permanent contraception. STUDY

designThis was a secondary analysis of a multi-center retrospective cohort study of 3013 patients with a postpartum contraceptive plan of permanent contraception. Primary outcomes were permanent contraception fulfillment, compared between preterm and term deliveries. Secondary analyses examined moderation by delivery mode and insurance type.

resultsAt hospital discharge, patients who had a preterm delivery were less likely to undergo desired permanent contraception than those with a term delivery (adjusted odds ratio (aOR): 0.67, 95% CI: 0.53-0.84), and this finding persisted up to one year postpartum (aOR: 0.65, 95% CI: 0.53-0.8). For patients with cesarean deliveries, the odds of permanent contraception fulfillment were significantly lower among those with preterm compared to term deliveries (aOR: 0.54, 95% CI: 0.39-0.76). Among patients with Medicaid insurance, those who delivered preterm were less likely than those who delivered term to undergo desired permanent contraception (aOR: 0.66, 95% CI: 0.59-0.88). CONCLUSIONS FOR PRACTICE: Patients delivering preterm face barriers to fulfillment of desired permanent contraception postpartum. Prioritization of contraceptive goals is important for patient autonomy and increasing equitable access to contraception for all.

Indexed as

ContraceptionPremature BirthSterilization, ReproductiveAdultCohort StudiesFemaleHumansMedicaidPregnancyRetrospective StudiesUnited StatesMedicaidPostpartum contraceptionPrematurityPreterm birthShort interpregnancy intervalSterilizationWaiting period

Identifiers

PMID39878863
PMCPMC13231518

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.