Researchers at University of North Carolina Have Reported New Data on Managed Care (Fulfillment of Desired Postpartum Permanent Contraception: a Health Disparities Issue): Managed Care

2022 JUL 20 (NewsRx) -- By a News Reporter-Staff News Editor at Hospital & Nursing Home Daily -- Investigators discuss new findings in Managed Care. According to news reporting originating in Chapel Hill, North Carolina, by NewsRx journalists, research stated, “Women of color experience marked disparities in fulfillment of desired postpartum permanent contraception. While many attribute the disparity to the required Medicaid sterilization consent form and 30-day waiting period established in response to forced and coerced sterilizations, the policy does not entirely explain the disparity; racial and ethnic disparities persist even within strata of insurance type.”

Financial supporters for this research include NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) branch of the National Institutes of Health (NIH), Carolina Population Center at University of North Carolina at Chapel Hill.

The news reporters obtained a quote from the research from the University of North Carolina, “We therefore propose framing postpartum permanent contraception as a health disparities issue that requires multi-level interventions to address. Based on the literature, we identify discrete levels of barriers to postpartum permanent contraception fulfillment at the patient, physician, hospital, and policy levels that interact and compound within and between individual levels, affecting each individual patient differently. At the patient level, sociodemographic characteristics such as age, race and ethnicity, and parity impact desire for and fulfillment of permanent contraception. At the physician level, implicit bias and paternalistic counseling contribute to barriers in permanent contraception fulfillment. At the hospital level, Medicaid reimbursement, operating room availability, and religious affiliation influence fulfillment of permanent contraception. Lastly, at the policy level, the Medicaid consent form and waiting period pose a known barrier to fulfillment of desired postpartum permanent contraception.”

According to the news reporters, the research concluded: “Unpacking each of these discrete barriers and untangling their collective impact is necessary to eliminate racial and ethnic disparities in permanent contraception fulfillment.”

This research has been peer-reviewed.

For more information on this research see: Fulfillment of Desired Postpartum Permanent Contraception: a Health Disparities Issue. Reproductive Sciences, 2022. Reproductive Sciences can be contacted at: Springer Heidelberg, Tiergartenstrasse 17, D-69121 Heidelberg, Germany. (Sage Publications - http://www.sagepub.com/; Reproductive Sciences - rsx.sagepub.com)

Our news correspondents report that additional information may be obtained by contacting Kavita Shah Arora, University of North Carolina, School of Medicine, Dept. of Obstetrics and Gynecology, 3031 Old Clin Bldg, Cb 7570, Chapel Hill, NC 27599, United States.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1007/s43032-022-00912-3. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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