产后永久性避孕需求未得到满足的患者的生殖结局
Reproductive outcomes of patients with unfulfilled postpartum permanent contraception requests.
作者信息
Trompeter Grace A, Shelton James, Arora Kavita Shah, Lazarov Victoria, Gianacopoulos Elliana, Onge Rachelle St
机构信息
Department of Obstetrics and Gynecology, University at Buffalo, NY, USA.
Department of Obstetrics and Gynecology, The University of North Carolina at Chapel Hill, USA.
出版信息
Womens Health (Lond). 2025 Jan-Dec;21:17455057251356883. doi: 10.1177/17455057251356883. Epub 2025 Jul 28.
BACKGROUND
Patients who request but do not receive postpartum permanent contraception (PC) are at high risk of subsequent short-interval pregnancy.
OBJECTIVE
To describe contemporary subsequent pregnancy rates in patients requesting but not receiving postpartum PC.
DESIGN
Single-site retrospective cohort study using medical record data of 2720 patients, 388 of whom presented for delivery with a signed Medicaid sterilization form.
METHODS
Reproductive outcomes of patients with unfulfilled postpartum PC requests (n = 234) were compared to a comparison group (n = 246) who did not request postpartum PC using descriptive statistics and multivariate logistic regression.
RESULTS
The overall PC completion rate was 39.7%. Among those with unfulfilled requests, 15.0% had a subsequent pregnancy within 18 months, compared to 27.1% of the comparison group.
CONCLUSIONS
The subsequent pregnancy rate following an unfulfilled postpartum PC request is lower than historic estimates; however procedure nonfulfillment remains high.
背景
要求但未接受产后永久性避孕（PC）的患者随后发生短间隔妊娠的风险很高。
目的
描述要求但未接受产后PC的患者当代后续妊娠率。
设计
使用2720例患者的病历数据进行单中心回顾性队列研究，其中388例患者签署了医疗补助绝育表格前来分娩。
方法
使用描述性统计和多变量逻辑回归，将产后PC请求未得到满足的患者（n = 234）的生殖结局与未请求产后PC的对照组（n = 246）进行比较。
结果
总体PC完成率为39.7%。在请求未得到满足的患者中，15.0%在18个月内再次妊娠，而对照组为27.1%。
结论
产后PC请求未得到满足后的后续妊娠率低于历史估计值；然而，手术未完成率仍然很高。
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