Posted on Jul 12, 2022
Why this key chance to getting permanent birth control is often missed
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https://www.npr.org/sections/health-shots/2022/07/12/ [login to see] /permanent-birth-control-tubes-tied
In the wake of the U.S. Supreme Court's historic decision to overturn Roe v. Wade, doctors say they're seeing a surge in the number of women who want to prevent future unintended pregnancies by getting their "tubes tied."
But a lot of patients fail to actually get this surgery, because an important window of opportunity — during hospitalization right after childbirth — is often missed.
The reasons why range from too-full operating rooms to paperwork problems. This has long been a source of frustration, and it's taken on new urgency now that the court's decision has created a sudden increased demand for this permanent, extremely effective method of birth control.
Tubal surgery, which involves cutting, blocking or removing the fallopian tubes that carry eggs, is the most commonly used form of contraception for women in the United States.
But studies show that about 40%-60% of women who had previously requested to have their tubes tied during a post-delivery hospital stay end up not getting it then. These women face a high rate of subsequent pregnancy.
In the wake of the U.S. Supreme Court's historic decision to overturn Roe v. Wade, doctors say they're seeing a surge in the number of women who want to prevent future unintended pregnancies by getting their "tubes tied."
But a lot of patients fail to actually get this surgery, because an important window of opportunity — during hospitalization right after childbirth — is often missed.
The reasons why range from too-full operating rooms to paperwork problems. This has long been a source of frustration, and it's taken on new urgency now that the court's decision has created a sudden increased demand for this permanent, extremely effective method of birth control.
Tubal surgery, which involves cutting, blocking or removing the fallopian tubes that carry eggs, is the most commonly used form of contraception for women in the United States.
But studies show that about 40%-60% of women who had previously requested to have their tubes tied during a post-delivery hospital stay end up not getting it then. These women face a high rate of subsequent pregnancy.
Why this key chance to getting permanent birth control is often missed
Posted from npr.org
Abortion
Medical
Health
Surgery
Pregnancy
Posted 2 y ago
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a couple of notes on this
after my 4th pg, 3rd live birth, my AD Army OB-GYN did perform my tubal ligation--but he had counseled me to wait 6 months due to prior loss of pg and he was of the opinion that a wait and see approach might be wise and I concurred
many women are running headlong into patriarchal attitudes that 1. require male spouse to sign off on the surgery; 2. if not currently married but desiring a tubal they are turned away in case they meet THAT guy someday in the future who might want kids.
third point, many women in their child-bearing years have significant other conditions (immuno-compromised, type 1 diabetes, significant endometriosis and so on) and would like hysterectomies to assure no further child-bearing and are turned away for the same patriarchal attitudes instead of being recognized as having full autonomy over their body to make informed decisions
also lots of men face the same arguements as being too young to decide on a vasectomy because "someday"
at least for men, banking sperm is a relatively easy option so the discussion of reversal success is not the issue
after my 4th pg, 3rd live birth, my AD Army OB-GYN did perform my tubal ligation--but he had counseled me to wait 6 months due to prior loss of pg and he was of the opinion that a wait and see approach might be wise and I concurred
many women are running headlong into patriarchal attitudes that 1. require male spouse to sign off on the surgery; 2. if not currently married but desiring a tubal they are turned away in case they meet THAT guy someday in the future who might want kids.
third point, many women in their child-bearing years have significant other conditions (immuno-compromised, type 1 diabetes, significant endometriosis and so on) and would like hysterectomies to assure no further child-bearing and are turned away for the same patriarchal attitudes instead of being recognized as having full autonomy over their body to make informed decisions
also lots of men face the same arguements as being too young to decide on a vasectomy because "someday"
at least for men, banking sperm is a relatively easy option so the discussion of reversal success is not the issue
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PO1 William "Chip" Nagel
..."But a lot of patients fail to actually get this surgery, because an important window of opportunity — during hospitalization right after childbirth — is often missed. The reasons why range from too-full operating rooms to paperwork problems."...
..."But a lot of patients fail to actually get this surgery, because an important window of opportunity — during hospitalization right after childbirth — is often missed. The reasons why range from too-full operating rooms to paperwork problems."...
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I did a lot of Anesthesia for postpartum tubal ligation. A good OBGYN can do one in about 10 to 15 minutes laparoscopically skin to skin. They are a money maker for hospitals. I really don’t get this as being a problem. I did a rotation at Fort Bragg and we used to do a couple a day. It seems the problem is physician related. Talking to patients, getting form signed and keeping chart together. Yes, some hospitals may restrict tubals so insure your OBGYN has privileges at a hospital that allows them. A lot of OB practices are machines that work very smoothly.
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