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Multicenter Study
. 2024 Nov:139:110531.
doi: 10.1016/j.contraception.2024.110531. Epub 2024 Jun 21.

Modeling the impact of decreasing waiting period length for Medicaid sterilization: A multi-site cohort study

Kristen A Berg  1 , Douglas D Gunzler  1 , Emily Miller  2 , Margaret Boozer  3 , Tania Serna  4 , Jennifer L Bailit  5 , Kavita S Arora  6
Affiliations
Multicenter Study

Modeling the impact of decreasing waiting period length for Medicaid sterilization: A multi-site cohort study

Kristen A Berg et al. Contraception. 2024 Nov.

Abstract

Objective: To evaluate the impact of length of the Medicaid sterilization waiting period and postpartum permanent contraception fulfillment.

Study design: Simulations from a retrospective cohort study estimating the potential increase in permanent contraception within 365 days of delivery.

Results: In our sample of 2076 patients, 61% achieved permanent contraception with the current waiting period of 30 days. With the waiting period hypothetically reduced to 15, 3, 1, and 0 days, 62.9%, 63.7%, 64.5%, and 75% patients, respectively, would have achieved permanent contraception.

Conclusions: As potential Medicaid sterilization policy revisions are considered, understanding the impact on fulfillment rates is critical.

Keywords: Disparity; Informed consent; Medicaid; Postpartum contraception; Sterilization; Waiting period.

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Conflict of interest statement

The authors report no conflicts of interest.

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