{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T06:43:15Z","timestamp":1782801795277,"version":"3.54.5"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003The objective of this study is to examine the relationship between body mass index (BMI) and complications for patients undergoing postpartum permanent contraception.<\/jats:p><jats:p>\n          Study Design\u2003Retrospective cohort study of patients aged 18 or older who had a vaginal delivery at an academic hospital between 2011 and 2016 and underwent a postpartum tubal ligation during the delivery admission. There were three comparative groups: nonobese (BMI \u2264 29\u2009kg\/m2), obese (BMI 30\u201339\u2009kg\/m2), and morbidly obese BMI (\u226540\u2009kg\/m2). The outcome of interest was composite operative complications which included any occurrence of an intraoperative, postoperative, or anesthesia complication.<\/jats:p><jats:p>\n          Results\u2003A total of 921 patients were included for analysis. Average operative time was statistically longer for patients in the morbidly obese group (33\u2009minutes) vs. the nonobese (25\u2009minutes) and obese (29\u2009minutes) groups (p\u2009&lt;\u20090.0001). Composite complications were greater for the obese groups, but not statistically significant (5.1 vs. 6 vs. 16%, p\u2009=\u20090.06). Wound complications were significantly greater for the obese groups (0.8 vs. 1.5 vs. 5.5%, p\u2009=\u20090.01). A logistic regression model demonstrated that only operative time was predictive of operative complications.<\/jats:p><jats:p>\n          Conclusion\u2003Overall complications of postpartum tubal complications are low; however, our study did demonstrate significantly longer operative time and wound complications for patients with obesity. The findings of our study indicate that postpartum permanent contraception can remain as an option for these patients. Further studies may help identify the best practices to decrease operative time and subsequent wound complications. This study contributes to the limited data regarding obesity and postpartum permanent contraception. We found increased operative time and wound complications for obese patients. Additional studies may identity best practices to decrease these complications. Given our findings of overall low operative complications, postpartum permanent contraception can remain an option for obese patients.<\/jats:p>","DOI":"10.1055\/a-1788-4900","type":"journal-article","created":{"date-parts":[[2022,3,7]],"date-time":"2022-03-07T07:18:57Z","timestamp":1646637537000},"page":"909-914","source":"Crossref","is-referenced-by-count":3,"title":["The Relationship between Body Mass Index and Operative Complications in Patients undergoing Immediate Postpartum Tubal Ligation"],"prefix":"10.1055","volume":"41","author":[{"given":"Jewel A.","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of South Florida Morsani College of Medicine, Tampa, Florida"},{"name":"Tampa General Circle, STC, Tampa, Florida"},{"name":"Department of Obstetrics and Gynecology, University of California Davis Health, Sacramento, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mallorie L.","family":"Huff","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of South Florida Morsani College of Medicine, Tampa, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bianca L.","family":"Arboleda","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of South Florida Morsani College of Medicine, Tampa, Florida"},{"name":"Department of Obstetrics and Gynecology, University of Kentucky, Lexington, Kentucky"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judette M.","family":"Louis","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of South Florida Morsani College of Medicine, Tampa, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,5,6]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1097\/AOG.0000000000003134","article-title":"ACOG Practice Bulletin No. 208 Summary: Benefits and Risks of Sterilization","volume":"133","year":"2019","journal-title":"Obstet Gynecol"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1097\/AOG.0b013e318262e354","article-title":"Committee opinion no. 530: access to postpartum sterilization","volume":"120","author":"Committee on Health Care for Underserved Women","year":"2012","journal-title":"Obstet Gynecol"},{"issue":"09","key":"ref3","first-page":"625","article-title":"Provision of contraception: key recommendations from the CDC","volume":"91","author":"D A Klein","year":"2015","journal-title":"Am Fam 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Grimes","year":"2005","journal-title":"Contraception"},{"issue":"06","key":"ref8","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1016\/j.contraception.2009.08.001","article-title":"Contraceptive considerations in obese women: release date 1 September 2009, SFP Guideline 20091","volume":"80","author":"S Higginbotham","year":"2009","journal-title":"Contraception"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1097\/GRF.0000000000000176","article-title":"Postpartum care and contraception in obese women","volume":"59","author":"C C Maclean","year":"2016","journal-title":"Clin Obstet Gynecol"},{"issue":"04","key":"ref10","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1016\/j.contraception.2007.10.012","article-title":"The relationship between body mass index and unintended pregnancy: results from the 2002 National Survey of Family Growth","volume":"77","author":"B Kaneshiro","year":"2008","journal-title":"Contraception"},{"issue":"02","key":"ref11","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/j.contraception.2018.11.005","article-title":"Barriers and outcomes associated with unfulfilled requests for permanent contraception following vaginal delivery","volume":"99","author":"R Flink-Bochacki","year":"2019","journal-title":"Contraception"},{"key":"ref12","volume-title":"BMI classification percentile and cut off points","author":"C B Weir","year":"2022"},{"issue":"03","key":"ref13","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1111\/iwj.12088","article-title":"Determining risk factors for surgical wound dehiscence: a literature review","volume":"12","author":"K Sandy-Hodgetts","year":"2015","journal-title":"Int Wound J"},{"issue":"07","key":"ref14","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1016\/S1473-3099(06)70523-0","article-title":"Obesity and infection","volume":"6","author":"M E Falagas","year":"2006","journal-title":"Lancet Infect Dis"},{"issue":"06","key":"ref15","doi-asserted-by":"crossref","first-page":"e0216157","DOI":"10.1371\/journal.pone.0216157","article-title":"Predictors of surgical site skin infection and clinical outcome at caesarean section in the very severely obese: a retrospective cohort study","volume":"14","author":"M Dias","year":"2019","journal-title":"PLoS One"},{"issue":"02","key":"ref16","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1016\/j.contraception.2019.05.003","article-title":"Relationship between body mass index and operative time in women receiving immediate postpartum tubal ligation","volume":"100","author":"N A Deshpande","year":"2019","journal-title":"Contraception"},{"issue":"06","key":"ref17","doi-asserted-by":"crossref","first-page":"722","DOI":"10.1089\/sur.2017.089","article-title":"Prolonged operative duration increases risk of surgical site infections: a systematic review","volume":"18","author":"H Cheng","year":"2017","journal-title":"Surg Infect (Larchmt)"}],"container-title":["American Journal of 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