Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
, 116 (5), 1071-7

One-year Follow-Up of Women With Unfulfilled Postpartum Sterilization Requests


One-year Follow-Up of Women With Unfulfilled Postpartum Sterilization Requests

Andrea Ries Thurman et al. Obstet Gynecol.


Objective: To track outcomes of women in three cohorts-those who requested postpartum tubal ligation and received the procedure (postpartum tubal ligation [PPTL] YES), those who requested postpartum tubal ligation but did not receive the procedure (PPTL NO), and a control group (those who did not request postpartum tubal ligation)-for 1 year postpartum.

Methods: This was a record review evaluating women who delivered a liveborn singleton between December 2007 and May 2008 at the University of Texas San Antonio. Those in the case group were monitored until 1 year postdelivery. The primary outcome was pregnancy within 1 year of the index delivery among women in the control group compared with those in the PPTL NO group. Secondary outcomes included birth control requested at obstetric-admission discharge, attendance at a postpartum or other gynecology visit, contraceptive use between delivery and the postpartum visit, and request for contraception at the postpartum visit among the three cohorts.

Results: During the observation period, 429 of 1,460 women requested postpartum tubal ligation; 296 (69%) received the procedure and 133 (31%) did not. Within 1 year of the index delivery, 46.7% of women in the PPTL NO group became pregnant compared with 22.3% of those in the control group (P<.001). Attendance at the postpartum visit was lowest for women in the PPTL YES group (12.8%; P=.004) compared with the similarly low attendance among those in the PPTL NO (18.8%) and control groups (20.3%; P=.73). Women in the PPTL NO group and those in the control group selected similar methods of postpartum contraception at hospital discharge.

Conclusion: Women who did not receive a requested postpartum tubal ligation were more likely to become pregnant within 1 year of delivery than were those in the control group (women not requesting permanent sterilization).

Level of evidence: II.

Similar articles

  • Unfulfilled Postpartum Sterilization Requests
    AR Thurman et al. J Reprod Med 54 (8), 467-72. PMID 19769190.
    Although financial and policy barriers exist, the majority of patients requesting a PPTL received the procedure.
  • Request and Fulfillment of Postpartum Tubal Ligation in Patients After High-Risk Pregnancy
    A Albanese et al. Contraception 95 (3), 234-238. PMID 27570140.
    Though women with high-risk pregnancies were more likely to request PPTL, they were not more likely to complete the procedure. Over one third of high-risk patients' reque …
  • Factors Predictive for Failure to Perform Postpartum Tubal Ligations Following Vaginal Delivery
    J Seibel-Seamon et al. J Reprod Med 54 (3), 160-4. PMID 19370901.
    Postpartum tubal ligations are often not performed despite patient request. Additional measures should be undertaken to ensure that patient requests for postpartum tubal …
  • Counseling Issues in Tubal Sterilization
    IC Baill et al. Am Fam Physician 67 (6), 1287-94. PMID 12674457. - Review
    Female sterilization is the number one contraceptive choice among women in the United States. Counseling issues include ensuring that the woman understands the permanence …
  • Sterilization
    JR Newton. Clin Obstet Gynaecol 11 (3), 603-40. PMID 6239731. - Review
    Male and female sterilization is a safe and effective form of permanent contraception. The number of patients accepting this method has rapidly increased over the last te …
See all similar articles

Cited by 19 PubMed Central articles

See all "Cited by" articles

LinkOut - more resources