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Barriers to Contraception After Vaginal Delivery

Contraception; ePub 2018 Nov 19; Flink-Bochacki, et al

Fewer than half of women obtained desired postpartum permanent contraception after vaginal delivery, with obesity and logistical issues being the most common reported barriers, a recent study found. Researchers performed a retrospective cohort of women requesting postpartum permanent contraception after vaginal delivery from July 1, 2011 to June 30, 2014 at Strong Memorial Hospital in Rochester, NY. Among the findings:

  • Of 189 women in the study, 78 (41.3%) had a postpartum permanent contraception procedure.
  • Factors associated with unfulfilled request included body mass index (BMI) ≥40, federal sterilization consent signed ≥36 weeks, and delivery in the latter half of the week.
  • Documented reasons for unfulfilled permanent contraception requests included patients changing her mind related to procedural issues, invalid consent, maternal obesity, lack of operating room availability, and ambivalence about permanent contraception.


Flink-Bochacki R, Flaum S, Betstadt SJ. Barriers and outcomes associated with unfulfilled requests for permanent contraception following vaginal delivery. [Published online ahead of print November 19, 2018]. Contraception. doi:10.1016/j.contraception.2018.11.005.