{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:35:33Z","timestamp":1777944933668,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T00:00:00Z","timestamp":1753660800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T00:00:00Z","timestamp":1753660800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Patients who request but do not receive postpartum permanent contraception (PC) are at high risk of subsequent short-interval pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To describe contemporary subsequent pregnancy rates in patients requesting but not receiving postpartum PC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Single-site retrospective cohort study using medical record data of 2720 patients, 388 of whom presented for delivery with a signed Medicaid sterilization form.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Reproductive outcomes of patients with unfulfilled postpartum PC requests (n\u2009=\u2009234) were compared to a comparison group (n\u2009=\u2009246) who did not request postpartum PC using descriptive statistics and multivariate logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The subsequent pregnancy rate following an unfulfilled postpartum PC request is lower than historic estimates; however procedure nonfulfillment remains high.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057251356883","type":"journal-article","created":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T06:15:00Z","timestamp":1753769700000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Reproductive outcomes of patients with unfulfilled postpartum permanent contraception requests"],"prefix":"10.1177","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2539-7131","authenticated-orcid":false,"given":"Grace A.","family":"Trompeter","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, University at Buffalo, NY, USA"},{"name":"Department of Obstetrics and Gynecology, The University of North Carolina at Chapel Hill, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Shelton","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University at Buffalo, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kavita Shah","family":"Arora","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, The University of North Carolina at Chapel Hill, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"Lazarov","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University at Buffalo, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elliana","family":"Gianacopoulos","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University at Buffalo, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachelle St.","family":"Onge","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University at Buffalo, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,7,28]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000005130"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000004406"},{"key":"e_1_3_3_4_2","first-page":"10","article-title":"Association between comorbidities and inpatient postpartum permanent contraception completion","volume":"5","author":"Carmody MD","year":"2022","unstructured":"Carmody MD, Schultz AL, Berg KA, et al Association between comorbidities and inpatient postpartum permanent contraception completion. Obstet Gynecol 2022; 5: 10\u201397.","journal-title":"Obstet Gynecol"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2018.11.005"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2005.10.014"},{"key":"e_1_3_3_7_2","article-title":"Multi-level barriers to equitable postpartum permanent contraception","volume":"21","author":"Larkin S","year":"2025","unstructured":"Larkin S, Bullington BW, Berg KA, et al Multi-level barriers to equitable postpartum permanent contraception. Womens Health (Lond) 2025; 21: 17455057251325977.","journal-title":"Womens Health (Lond)"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181f73eaa"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/GCO.0000000000000750"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.11.1269"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2022.922053"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000157208.37923.17"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61602-X"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.xagr.2022.100151"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-016-2184-9"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2024.110533"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2022.02.031"}],"container-title":["Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17455057251356883","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17455057251356883","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17455057251356883","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:29:27Z","timestamp":1777710567000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17455057251356883"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,28]]},"references-count":16,"alternative-id":["10.1177\/17455057251356883"],"URL":"https:\/\/doi.org\/10.1177\/17455057251356883","relation":{},"ISSN":["1745-5057","1745-5065"],"issn-type":[{"value":"1745-5057","type":"print"},{"value":"1745-5065","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,28]]},"article-number":"17455057251356883"}}