{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:27:01Z","timestamp":1787009221988,"version":"build-2736575974"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"5-6","license":[{"start":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T00:00:00Z","timestamp":1736294400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,4,23]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Female sterilization is a common form of contraception in the United States. On June 24, 2022, the United States Supreme Court eliminated the federal standard protecting a woman\u2019s right to abortion via Dobbs v. Jackson Women\u2019s Health Organization. Since that time, there have been anecdotal increases in sterilization requests across the country, although there are no publications demonstrating this change. This study hypothesized that there would be increased female sterilization rates at a Texas military hospital post-Dobbs decision due to state restrictions as compared with a Washington military hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study retrospectively reviewed female sterilization rates from March 2022 to April 2023. The average rate of sterilization procedures performed pre-Dobbs decision was compared to the average rate following the Dobbs decision in a Texas and Washington military facility due to different state restrictions. The rates of sterilization were also stratified among demographic groups at the Texas military facility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Female sterilizations encompassed 24\/230 (10.4%) of the gynecologic surgeries performed pre-Dobbs compared to 110\/629 (17.5%) cases performed post-Dobbs (P\u2009=\u2009.01) in Texas. However, sterilization rates in Washington state remained the same, with 15\/80 (18.7%) benign gynecologic surgeries pre-Dobbs and 28\/185 (15.1%) post-Dobbs (P\u2009=\u2009.59). The average age of sterilization pre-Dobbs was 35\u2009years compared to 33\u2009years post-Dobbs (P\u2009=\u2009.04). Post-Dobbs group was less likely to use a barrier method prior to sterilization (P\u2009=\u20090.01).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The reproductive health of military medical beneficiaries at one military hospital was significantly impacted by the Dobbs v. Jackson Women\u2019s Health Organization decision. Rates of female sterilization increased significantly. In addition, patients choosing permanent sterilization were younger and were less likely to use alternative, reversible contraceptive methods prior to surgery. This study demonstrates a significant change in contraceptive choices toward methods that incur greater surgical risks and potential for regret, as well as greater financial costs to the military health system.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/milmed\/usae575","type":"journal-article","created":{"date-parts":[[2024,12,29]],"date-time":"2024-12-29T07:23:34Z","timestamp":1735457014000},"page":"e1139-e1143","source":"Crossref","is-referenced-by-count":2,"title":["Impact of\n                    <i>Dobbs v. Jackson Women\u2019s Health Organization<\/i>\n                    on Female Sterilization Rates at a Texas Military Medical Center, a Retrospective Cohort Study"],"prefix":"10.1093","volume":"190","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4685-7689","authenticated-orcid":false,"given":"Jessica L","family":"Gottula","sequence":"first","affiliation":[{"name":"Department of Gynecologic Surgery and Obstetrics, Brooke Army Medical Center , Fort Sam Houston, TX 78234,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abigail G","family":"Downey","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Surgery and Obstetrics, Brooke Army Medical Center , Fort Sam Houston, TX 78234,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shenika P","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Surgery and Obstetrics, Brooke Army Medical Center , Fort Sam Houston, TX 78234,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meghan K","family":"Munisteri-Duff","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Surgery and Obstetrics, General Leonard Wood Army Community Hospital , Leonard Wood, MO 65473,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin A","family":"Keyser","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Surgery and Obstetrics, Brooke Army Medical Center , Fort Sam Houston, TX 78234,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,1,8]]},"reference":[{"issue":"1","key":"2025042308433240300_R1","first-page":"23","article-title":"Sterilization in the United States","volume":"1","author":"Bartz","year":"2008","journal-title":"Rev Obstet Gynecol"},{"issue":"1","key":"2025042308433240300_R2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.fertnstert.2010.03.029","article-title":"Tubal sterilization trends in the United States","volume":"94","author":"Chan","year":"2010","journal-title":"Fertil Steril"},{"issue":"4","key":"2025042308433240300_R3","doi-asserted-by":"publisher","first-page":"161","DOI":"10.2307\/2673719","article-title":"Tubal sterilization in the United States, 1994\u20131996","volume":"33","author":"MacKay","year":"2001","journal-title":"Fam Plann Perspect"},{"key":"2025042308433240300_R4","article-title":"National Center for Health Statistics 2023","volume-title":"U.S. pregnancy rates drop during last decade","author":"Centers for Disease Control and Prevention"},{"key":"2025042308433240300_R5","article-title":"19-1392 Dobbs v. Jackson Women\u2019s Health Organization","author":"Supreme Court of the United States"},{"issue":"6","key":"2025042308433240300_R6","doi-asserted-by":"publisher","first-page":"924","DOI":"10.1177\/10901981221125430","article-title":"Dobbs: navigating the new quagmire and its impacts on abortion and reproductive health care","volume":"49","author":"Kulczycki","year":"2022","journal-title":"Health Educ Behav"},{"key":"2025042308433240300_R7","article-title":"Interactive map: US abortion policies and access after Roe","author":"Guttmacher Institute"},{"issue":"1","key":"2025042308433240300_R8","doi-asserted-by":"publisher","first-page":"324","DOI":"10.1002\/ijgo.14392","article-title":"The state of abortion rights in the US","volume":"159","author":"Davis","year":"2022","journal-title":"Int J Gynaecol Obstet"},{"key":"2025042308433240300_R9","article-title":"More people are opting to get sterilized - and some are being turned away","author":"National Public Radio"},{"key":"2025042308433240300_R10","article-title":"More women are seeking sterilization since Roe vs. Wade was overturned","author":"Los Angeles Times"}],"container-title":["Military Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/190\/5-6\/e1139\/61381516\/usae575.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/190\/5-6\/e1139\/61381516\/usae575.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T08:43:54Z","timestamp":1745397834000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/milmed\/article\/190\/5-6\/e1139\/7945649"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,8]]},"references-count":10,"journal-issue":{"issue":"5-6","published-online":{"date-parts":[[2025,1,8]]},"published-print":{"date-parts":[[2025,4,23]]}},"URL":"https:\/\/doi.org\/10.1093\/milmed\/usae575","relation":{},"ISSN":["0026-4075","1930-613X"],"issn-type":[{"value":"0026-4075","type":"print"},{"value":"1930-613X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,5]]},"published":{"date-parts":[[2025,1,8]]}}}