{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:50:50Z","timestamp":1777917050939,"version":"3.51.4"},"reference-count":50,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,6,21]],"date-time":"2025-06-21T00:00:00Z","timestamp":1750464000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1 TR002001"],"award-info":[{"award-number":["UL1 TR002001"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100011125","name":"School of Medicine and Dentistry, University of Rochester","doi-asserted-by":"publisher","award":["Maternal-Fetal Medicine Division"],"award-info":[{"award-number":["Maternal-Fetal Medicine Division"]}],"id":[{"id":"10.13039\/100011125","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Med Decis Making"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Although sterilization is one of the most effective methods of birth control, some physicians may hesitate to perform postpartum sterilizations on patients after preterm birth, as preterm labor and delivery may preclude adequate counseling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is a cross-sectional study conducted at a single, tertiary care, academic institution of adult pregnant patients who experienced a spontaneous or iatrogenic preterm delivery between March 15, 2011, and May 10, 2014 and underwent postpartum female surgical sterilization within 12\u2009wk of delivery. A validated Decision Regret Scale was administered 7 to 11\u2009y later. Univariate and bivariate analyses were conducted. Unadjusted and multivariate logistic regression analyses identified factors associated with moderate to severe decision regret.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Most participants (75.5%) with a preterm delivery reported no or mild regret associated with their sterilization. Circumstances surrounding the sterilization decision were positive, as 85.7% reported having enough information, 81.6% reported enough emotional support, and 75.5% reported adequate decision time. Adjusting for maternal and gestational age at delivery plus other covariates, only those reporting they had adequate time to make their sterilization decision remained significantly associated with no or mild regret (odds ratio: 0.002, 95% confidence interval: &lt;0.001\u20130.61).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Study results indicated high confidence in the sterilization decision, which was not affected by maternal age at delivery or the fact that the individual had a preterm delivery, emphasizing the importance of individualized counseling and support for patients during the decision-making process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Providing adequate time for patients to decide on postpartum surgical sterilization was the most important factor for decreased sterilization regret.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications<\/jats:title>\n                    <jats:p>The decision for sterilization should be made using a patient-centered, shared decision-making framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                    <jats:list list-type=\"bullet\">\n                      <jats:list-item>\n                        <jats:p>Among patients with a preterm delivery who underwent postpartum surgical sterilization, maternal age at delivery was not associated with increased decision regret.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>Providing adequate time for patients to decide on postpartum surgical sterilization was the most important factor for decreased sterilization regret among patients with a preterm delivery.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>We must trust the patient knows they are making the right decision for themselves in that moment, even if this is at the time of a preterm delivery.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:sec>","DOI":"10.1177\/0272989x251341478","type":"journal-article","created":{"date-parts":[[2025,6,21]],"date-time":"2025-06-21T05:19:57Z","timestamp":1750483197000},"page":"654-664","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Postpartum Sterilization after a Preterm Delivery Is Not Associated with Decision Regret"],"prefix":"10.1177","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7746-2866","authenticated-orcid":false,"given":"Marika","family":"Toscano","sequence":"first","affiliation":[{"name":"Department of Gynecology &amp; Obstetrics, Johns Hopkins University School of Medicine, Baltimore MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6322-3576","authenticated-orcid":false,"given":"Sarah J.","family":"Betstadt","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology, University of Rochester, Rochester, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Spielman","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology, University of Rochester, Rochester, NY, USA"},{"name":"Indiana University School of Medicine, Indianapolis, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gayathri","family":"Guru Murthy","sequence":"additional","affiliation":[{"name":"Translational Biomedical Science Program, University of Rochester, Rochester, NY, USA"},{"name":"Clinical and Translational Sciences Institute, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3716-3818","authenticated-orcid":false,"given":"Brooke A.","family":"Levandowski","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology, University of Rochester, Rochester, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,6,21]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"1","article-title":"Current contraceptive use in the United States, 2006\u20132010, and changes in patterns of use since 1995","volume":"60","author":"Jones J","year":"2012","unstructured":"Jones J, Mosher W, Daniels K. 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