Medicaid policy on sterilization--anachronistic or still relevant?

doi:10.1056/NEJMp1313325

. 2014 Jan 9;370(2):102-4.

doi: 10.1056/NEJMp1313325.

Medicaid policy on sterilization--anachronistic or still relevant?

Sonya Borrero¹, Nikki Zite, Joseph E Potter, James Trussell

Affiliations

Affiliation

¹ From the Division of General Internal Medicine, University of Pittsburgh School of Medicine, and the Center for Health Equity, Research, and Promotion, Veterans Affairs Pittsburgh Healthcare System - both in Pittsburgh (S.B.); the Department of Obstetrics and Gynecology, University of Tennessee Graduate School of Medicine, Knoxville (N.Z.); the Population Research Center, University of Texas at Austin, Austin (J.E.P.); the Office of Population Research, Princeton University, Princeton, NJ (J.T.); and the Hull York Medical School, Hull, United Kingdom (J.T.).

PMID: 24401047
PMCID: PMC4418554
DOI: 10.1056/NEJMp1313325

Medicaid policy on sterilization--anachronistic or still relevant?

Sonya Borrero et al. N Engl J Med. 2014.

. 2014 Jan 9;370(2):102-4.

doi: 10.1056/NEJMp1313325.

Authors

Sonya Borrero¹, Nikki Zite, Joseph E Potter, James Trussell

Affiliation

¹ From the Division of General Internal Medicine, University of Pittsburgh School of Medicine, and the Center for Health Equity, Research, and Promotion, Veterans Affairs Pittsburgh Healthcare System - both in Pittsburgh (S.B.); the Department of Obstetrics and Gynecology, University of Tennessee Graduate School of Medicine, Knoxville (N.Z.); the Population Research Center, University of Texas at Austin, Austin (J.E.P.); the Office of Population Research, Princeton University, Princeton, NJ (J.T.); and the Hull York Medical School, Hull, United Kingdom (J.T.).

PMID: 24401047
PMCID: PMC4418554
DOI: 10.1056/NEJMp1313325

No abstract available

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Figures

None — **Estimated Annual Number of Requests for Postpartum Sterilization That Go Unfulfilled Because of Medicaid Policy Barriers, and Unintended Pregnancies in the Subsequent Year**
The pie chart shows the outcomes of the estimated 255,000 requests for federally funded, postpartum sterilizations made each year. In the subsequent year, an estimated 29,000 unintended pregnancies will occur among the 62,000 women with sterilization requests that are unfulfilled because of Medicaid policy barriers, costing taxpayers $215 million annually. Estimates are based on a cost-analysis model described in Borrero et al.

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References

1. Committee on Health Care for Underserved Women. Committee opinion no. 530. Washington, DC: American College of Obstetricians and Gynecologists; Jul, 2012. Access to postpartum sterilization. ( http://www.acog.org/Resources_And_Publications/Committee_Opinions/Commit...)
1. Zite NB, Philipson SJ, Wallace LS. Consent to Sterilization section of the Medicaid-Title XIX form: is it understandable? Contraception. 2007;75:256–60. - PubMed
1. Zite NB, Wallace LS. Use of a low-literacy informed consent form to improve women’s understanding of tubal sterilization: a randomized controlled trial. Obstet Gynecol. 2011;117:1160–6. - PubMed
1. Thurman AR, Janecek T. One-year follow-up of women with unfulfilled postpartum sterilization requests. Obstet Gynecol. 2010;116:1071–7. - PubMed
1. Borrero S, Zite N, Potter JE, Trussell J, Smith K. Potential unintended pregnancies averted and cost savings associated with a revised Medicaid sterilization policy. Contraception. 2013;88:691–6. - PMC - PubMed

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[1] Committee on Health Care for Underserved Women. Committee opinion no. 530. Washington, DC: American College of Obstetricians and Gynecologists; Jul, 2012. Access to postpartum sterilization. ( http://www.acog.org/Resources_And_Publications/Committee_Opinions/Commit...)

[2] Committee on Health Care for Underserved Women. Committee opinion no. 530. Washington, DC: American College of Obstetricians and Gynecologists; Jul, 2012. Access to postpartum sterilization. ( http://www.acog.org/Resources_And_Publications/Committee_Opinions/Commit...)

[3] Zite NB, Philipson SJ, Wallace LS. Consent to Sterilization section of the Medicaid-Title XIX form: is it understandable? Contraception. 2007;75:256–60. - PubMed

[4] Zite NB, Philipson SJ, Wallace LS. Consent to Sterilization section of the Medicaid-Title XIX form: is it understandable? Contraception. 2007;75:256–60. - PubMed

[5] Zite NB, Wallace LS. Use of a low-literacy informed consent form to improve women’s understanding of tubal sterilization: a randomized controlled trial. Obstet Gynecol. 2011;117:1160–6. - PubMed

[6] Zite NB, Wallace LS. Use of a low-literacy informed consent form to improve women’s understanding of tubal sterilization: a randomized controlled trial. Obstet Gynecol. 2011;117:1160–6. - PubMed

[7] Thurman AR, Janecek T. One-year follow-up of women with unfulfilled postpartum sterilization requests. Obstet Gynecol. 2010;116:1071–7. - PubMed

[8] Thurman AR, Janecek T. One-year follow-up of women with unfulfilled postpartum sterilization requests. Obstet Gynecol. 2010;116:1071–7. - PubMed

[9] Borrero S, Zite N, Potter JE, Trussell J, Smith K. Potential unintended pregnancies averted and cost savings associated with a revised Medicaid sterilization policy. Contraception. 2013;88:691–6. - PMC - PubMed

[10] Borrero S, Zite N, Potter JE, Trussell J, Smith K. Potential unintended pregnancies averted and cost savings associated with a revised Medicaid sterilization policy. Contraception. 2013;88:691–6. - PMC - PubMed

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Medicaid policy on sterilization--anachronistic or still relevant?

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Medicaid policy on sterilization--anachronistic or still relevant?

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