What is the prevalence of postpartum tubal sterilization?

Updated: Jun 18, 2018
  • Author: Nan G O'Connell, MD; Chief Editor: Christine Isaacs, MD  more...
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Answer

Answer

Tubal sterilization remains the most common contraceptive method for women older than age 35 years, although oral contraceptive use superseded tubal sterilization as the leading method of contraception in the United States in 2002.

The number of tubal sterilization procedures performed in the United States has remained relatively stable since the early 1980s at approximately 650,000 procedures annually. About 50% of these are performed in the postpartum setting following 8-9% of all live births. [2]  In a 2015 report, data from the National Hospital Discharge Survey between 2000-2008 noted that postpartum tubal sterilizations after cesarean sections were more common in those with Medicaid coverage and in black women, older women, and nonsingle women. [3] In addition, the South, small hospitals, and proprietary and government hospitals had a higher proportion of postpartum tubal sterilizations after cesarean section. [3]  A retrospective cohort study that included data from 10,741 tubal sterilization procedures reported an increase in salpingectomies performed from 0.4% to 35.5% from 2011-2016. [4]


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