{"id":14282,"date":"2010-10-20T14:15:00","date_gmt":"2010-10-20T21:15:00","guid":{"rendered":"https:\/\/library.consciencelaws.org\/?p=14282"},"modified":"2023-01-22T19:19:16","modified_gmt":"2023-01-23T03:19:16","slug":"factors-influencing-physicians-advice-about-female-sterilization-in-usa-a-national-survey","status":"publish","type":"post","link":"https:\/\/library.consciencelaws.org\/?p=14282","title":{"rendered":"Factors influencing physicians\u2019 advice about female sterilization in USA: a national survey"},"content":{"rendered":"\n

RE Lawrence, Kenneth A Rasinski, John D Yoon, Farr A Curlin<\/h4>\n\n\n
\n
\"Human
Human Reproduction<\/figcaption><\/figure>\n<\/div>\n\n\n

Abstract
Background<\/strong>
Tubal ligation can be a controversial method of birth control, depending on the patient’s circumstances and the physician’s beliefs.<\/p>\n\n\n\n

Methods<\/strong>
In a national survey of 1800 US obstetrician-gynecologist (Ob\/Gyn) physicians, we examined how patients\u2019 and physicians\u2019 characteristics influence Ob\/Gyns\u2019 advice about, and provision of, tubal ligation. Physicians were presented with a vignette in which a patient requests tubal ligation. The patient’s age, gravida\/parity and her husband’s agreement\/disagreement were varied in a factorial experiment. Criterion variables were whether physicians would discourage tubal ligation, and whether physicians would provide the surgery.<\/p>\n\n\n\n

Results<\/strong>
The response rate was 66% (1154\/1760). Most Ob\/Gyns (98%) would help the patient to obtain tubal ligation, although 9\u201370% would attempt to dissuade her, depending on her characteristics. Forty-five percent of physicians would discourage a G2P1 (gravida\/parity) woman, while 29% would discourage a G4P3 woman. Most physicians (59%) would discourage a 26-year-old whose husband disagreed, while 32% would discourage a 26-year-old whose husband agreed. For a 36-year-old patient, 47% would discourage her if her husband disagreed, while only 10% would discourage her if her husband agreed. Physicians\u2019 sex had no significant effect on advice about tubal ligation.<\/p>\n\n\n\n

Conclusions<\/strong>
Regarding patients who seek surgical sterilization, physicians\u2019 advice varies based on patient age, parity and spousal agreement but almost all Ob\/Gyns are willing to provide or help patients obtain surgical sterilization if asked. An important limitation of the study is that a brief vignette, while useful for statistical analysis, is a rough approximation of an actual clinical encounter.<\/p>\n\n\n\n

\n\n\n\n

Lawrence RE, Rasinski KA, Yoon JD, Curlin FA. Factors influencing physicians\u2019 advice about female sterilization in USA: a national survey<\/a>. Hum Reprod. 2011;26(1):106-111. <\/p>\n","protected":false},"excerpt":{"rendered":"

RE Lawrence, Kenneth A Rasinski, John D Yoon, Farr A Curlin Abstract BackgroundTubal ligation can be a controversial method of birth control, depending on the patient’s circumstances and the physician’s beliefs. MethodsIn a national survey of 1800 US obstetrician-gynecologist (Ob\/Gyn) physicians, we examined how patients\u2019 and physicians\u2019 characteristics influence Ob\/Gyns\u2019 advice about, and provision of, … Continue reading “Factors influencing physicians\u2019 advice about female sterilization in USA: a national survey”<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[554,2,1405,160],"tags":[1315,1313,1297,1432],"post_folder":[],"class_list":["post-14282","post","type-post","status-publish","format-standard","hentry","category-ethics","category-journal-article","category-obstetrics","category-sterilization","tag-farr-a-curlin","tag-john-d-yoon","tag-kenneth-a-rasinski","tag-ryan-e-lawrence"],"yoast_head":"\r\nFactors influencing physicians\u2019 advice about female sterilization in USA: a national survey - Protection of 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