Women's decision making for postpartum sterilization: does the Medicaid waiting period add value?

Foley, Olivia W.; Janiak, Elizabeth; Dutton, Caryn

doi:10.1016/j.contraception.2018.07.004

Cited by 15 publications

(20 citation statements)

References 11 publications

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“…67 Most participants in this study reported being 100% certain of their decision for sterilization in the second or third trimester of pregnancy. 67 The subject of sterilization needs to be set in the context of historical and continuing coercion. These abuses have often targeted marginalized groups and there has been a pervasive bias towards sterilizing women.…”

Section: Sterilizationmentioning

confidence: 80%

“…When they are asked to look back, women who have undergone postpartum sterilization describe an iterative decision-making process running throughout their reproductive lives. 67 Most participants in this study reported being 100% certain of their decision for sterilization in the second or third trimester of pregnancy. 67 …”

Section: Sterilizationmentioning

confidence: 80%

“… 67 Most participants in this study reported being 100% certain of their decision for sterilization in the second or third trimester of pregnancy. 67 …”

Section: Sterilizationmentioning

confidence: 80%

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<p>Mandatory Waiting Periods Before Abortion and Sterilization: Theory and Practice</p>

Rowlands

Thomas

2020

IJWH

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Some laws insist on a fixed, compulsory waiting period between the time of obtaining consent and when abortions or sterilizations are carried out. Waiting periods are designed to allow for reflection on the decision and to minimize regret. In fact, the cognitive processing needed for these important decisions takes place relatively rapidly. Clinicians are used to handling cases individually and tailoring care appropriately, including giving more time for decision-making. Psychological considerations in relation to the role of emotion in decision-making, eg, regret, raise the possibility that waiting periods could have a detrimental impact on the emotional wellbeing of those concerned which might interfere with decision-making. Having an extended period of time to consider how much regret one might feel as a consequence of the decision one is faced with may make a person revisit a stable decision. In abortion care, waiting periods often result in an extra appointment being needed, delays in securing a procedure and personal distress for the applicant. Some women end up being beyond the gestational limit for abortion. Those requesting sterilization in a situation of active conflict in their relationship will do well to postpone a decision on sterilization. Otherwise, applicants for sterilization should not be forced to wait. Forced waiting undermines people's agency and autonomous decision-making ability. Low-income groups are particularly disadvantaged. It may be discriminatory when applied to marginalized groups. Concern about the validity of consent is best addressed by protective clinical guidelines rather than through rigid legislation. Waiting periods breach reproductive rights. Policymakers and politicians in countries that have waiting periods in sexual and reproductive health regulation should review relevant laws and policies and bring them into line with scientific and ethical evidence and international human rights law.

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Section: Sterilizationmentioning

confidence: 80%

Section: Sterilizationmentioning

confidence: 80%

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<p>Mandatory Waiting Periods Before Abortion and Sterilization: Theory and Practice</p>

Rowlands

Thomas

2020

IJWH

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“…It was also noted by some physicians that rather than eliminating the waiting period entirely, it would be preferred to extend the waiting period to all women, regardless of insurance. One prior qualitative study demonstrated that the waiting period did not add value for the women interviewed, but the interviewees felt may be useful for other women [20]. Therefore, further exploration of the decision-making process surrounding sterilization could illuminate the value of the waiting period and the potential for regret.…”

Section: Discussionmentioning

confidence: 99%

Attitudes and beliefs of obstetricians–gynecologists regarding Medicaid postpartum sterilization – A qualitative study

et al. 2020

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“…This mandatory waiting period does not exist for privately insured patients. However, this mandatory waiting period has been questioned by health care experts and ethicists, with experts noting the burden the waiting period may put on some women with little value added [54,55]. Explaining this history of cohesive practices in female permanent contraception to patients during counseling may help alleviate some frustration that patients feels when informed of the mandatory waiting period.…”

Section: How Do State/federal Laws Affect Access?mentioning

confidence: 99%

Update on Permanent Contraception for Women

Alton

Jensen

2018

Curr Obstet Gynecol Rep

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Purpose of ReviewWe completed this review to update readers on the current literature and controversies surrounding different approaches to permanent female contraception. Recent FindingsPermanent contraception continues to be a popular method of pregnancy prevention. The withdrawal of the Essure® hysteroscopic approach to permanent contraception from the US market and the increased use of salpingectomy to decrease risk of ovarian cancer have changed options available to women. Current studies support allowing adult women who desire no future pregnancies to access permanent contraception regardless of age, parity, or marital status. Permanent contraception may offer particular benefit to women with complex medical issues, and those who decline hormonal contraception or intrauterine devices. We also discuss the development of new methods of permanent contraception, including the FemBloc® system and polidocanol foam.

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Women's decision making for postpartum sterilization: does the Medicaid waiting period add value?

Cited by 15 publications

References 11 publications

<p>Mandatory Waiting Periods Before Abortion and Sterilization: Theory and Practice</p>

<p>Mandatory Waiting Periods Before Abortion and Sterilization: Theory and Practice</p>

Attitudes and beliefs of obstetricians–gynecologists regarding Medicaid postpartum sterilization – A qualitative study

Update on Permanent Contraception for Women

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