{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T18:24:02Z","timestamp":1777919042590,"version":"3.51.4"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,11,8]],"date-time":"2018-11-08T00:00:00Z","timestamp":1541635200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>This study aimed to assess unfulfilled sterilization requests, specifically regarding issues with the Medicaid consent for sterilization, and determine the proportion of women who subsequently received interval sterilization by 3 months postpartum.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The authors conducted a prospective observational cohort study of women who gave birth over an 8\u2010month period and requested immediate postpartum sterilization. Records of women with unfulfilled requests were reviewed up to 3 months postpartum to determine rates of postpartum follow\u2010up and interval sterilization. Primary analysis examined unfulfilled sterilization requests associated with the Medicaid consent form and, secondarily, all other reasons for unfulfilled requests, as well as alternative contraceptive methods chosen.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 334 women who requested immediate postpartum sterilization, 173 (52%) received the requested sterilization and 161 (48%) did not. Among those whose request was unfulfilled, 91 (56.5%) still wanted the procedure, and of those women, more than two\u2010thirds were unable to receive it because of Medicaid consent issues. Within this group, only 6 received interval sterilization by 3 months postpartum; more than one\u2010third received a form of long\u2010acting reversible contraception, and 24.6% did not receive postpartum care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>A sizable proportion of women requesting postpartum sterilization have unfulfilled requests because of an issue with the Medicaid consent and also have a low likelihood of receiving interval sterilization by 3 months postpartum. The Medicaid consent may create barriers for women requesting postpartum sterilization, the vast majority of whom face subsequent barriers obtaining interval sterilization, thereby increasing the risk for unintended pregnancy in an at\u2010risk population. This has important implications for reproductive justice efforts to protect vulnerable populations while minimizing barriers to desired care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jmwh.12909","type":"journal-article","created":{"date-parts":[[2018,11,9]],"date-time":"2018-11-09T06:13:41Z","timestamp":1541744021000},"page":"186-193","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["A Prospective Study on the Effects of Medicaid Regulation and Other Barriers to Obtaining Postpartum Sterilization"],"prefix":"10.1111","volume":"64","author":[{"given":"Taylor A.","family":"Hahn","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatima","family":"McKenzie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shelley M.","family":"Hoffman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanne","family":"Daggy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brownsyne","family":"Tucker Edmonds","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,11,8]]},"reference":[{"issue":"173","key":"e_1_2_6_3_2_1","first-page":"1","article-title":"Current contraceptive status among women aged 15\u201044: United States, 2011\u20102013","author":"Daniels K","year":"2014","journal-title":"NCHS Data Brief"},{"issue":"60","key":"e_1_2_6_3_3_1","first-page":"1","article-title":"Current contraceptive use in the United States, 2006\u20102010, and changes in patterns of use since 1995","author":"Jones J","year":"2012","journal-title":"Natl Health Stat Report"},{"key":"e_1_2_6_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2010.03.029"},{"issue":"2","key":"e_1_2_6_3_5_1","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1097\/01.AOG.0000426425.33845.b2","article-title":"American College of Obstetricians and Gynecologists. ACOG Practice Bulletin No. 133: benefits and risks of sterilization","volume":"121","year":"2013","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_3_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2007.09.011"},{"key":"e_1_2_6_3_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318262e354"},{"issue":"3","key":"e_1_2_6_3_8_1","first-page":"160","article-title":"Factors predictive for failure to perform postpartum tubal ligations following vaginal delivery","volume":"54","author":"Seibel\u2010Seamon J","year":"2009","journal-title":"J Reprod Med"},{"key":"e_1_2_6_3_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000157208.37923.17"},{"key":"e_1_2_6_3_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1313325"},{"key":"e_1_2_6_3_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2013.06.006"},{"key":"e_1_2_6_3_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2005.10.014"},{"key":"e_1_2_6_3_13_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.300850"},{"key":"e_1_2_6_3_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2017.05.009"},{"key":"e_1_2_6_3_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2013.11.019"},{"key":"e_1_2_6_3_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181f73eaa"},{"key":"e_1_2_6_3_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_6_3_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000249604.78234.d3"},{"key":"e_1_2_6_3_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2015.08.008"},{"key":"e_1_2_6_3_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2013.08.004"},{"key":"e_1_2_6_3_21_1","doi-asserted-by":"crossref","first-page":"e140","DOI":"10.1097\/AOG.0000000000002633","article-title":"ACOG Committee Opinion No. 736: optimizing postpartum care","volume":"131","year":"2018","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_3_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000265"},{"key":"e_1_2_6_3_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2015.03.049"},{"issue":"1","key":"e_1_2_6_3_24_1","first-page":"41","article-title":"An updated assessment of postpartum sterilization fulfillment after vaginal delivery","volume":"96","author":"Wolfe KK","year":"2017","journal-title":"Contraception"},{"key":"e_1_2_6_3_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002023"},{"key":"e_1_2_6_3_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2016.10.009"},{"issue":"127","key":"e_1_2_6_3_27_1","first-page":"39,869\u201039,899","article-title":"Coverage of certain preventive services under the Affordable Care Act. Final rules","volume":"78","author":"Internal Revenue Service, Department of the Treasury; Employee Benefits Security Administration, Department of Labor; Centers for Medicare & Medicaid Services, Department of Health and Human Services","year":"2015","journal-title":"Fed Regist"},{"key":"e_1_2_6_3_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/GCO.0000000000000121"},{"key":"e_1_2_6_3_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2014.04.015"}],"container-title":["Journal of Midwifery &amp; Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjmwh.12909","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jmwh.12909","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jmwh.12909","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jmwh.12909","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T23:38:07Z","timestamp":1694216287000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jmwh.12909"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11,8]]},"references-count":28,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1111\/jmwh.12909"],"URL":"https:\/\/doi.org\/10.1111\/jmwh.12909","archive":["Portico"],"relation":{},"ISSN":["1526-9523","1542-2011"],"issn-type":[{"value":"1526-9523","type":"print"},{"value":"1542-2011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11,8]]},"assertion":[{"value":"2018-03-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-08-21","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-11-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}