Multi-level barriers to equitable postpartum permanent contraception.

ABSTRACT:

Background

There are several barriers to fulfillment of desired postpartum permanent contraception (PC). Prior research has primarily focused on the federal Medicaid sterilization policy as a barrier to PC; however, other barriers need to be examined.

Objectives

To explore the levels and intersections of barriers to postpartum PC that exist external to the Medicaid policy.

Design

We interviewed postpartum people with a documented desire for PC and their delivering obstetrician-gynecologist (OB-GYN) at four hospitals in the United States in 2022-2023.

Methods

We used rapid qualitative analysis to create initial key themes and sub-themes, which we further refined using thematic analysis to explore barriers to postpartum PC.

Results

We interviewed 81 postpa

SUBMITTER: Larkin S 

PROVIDER: S-EPMC11905033 | biostudies-literature | 2025 Jan-Dec

REPOSITORIES: biostudies-literature