德州心跳法案通过后德州绝育手术趋势:德州绝育手术趋势。

IF 3.5 2区 医学 Q1 OBSTETRICS & GYNECOLOGY Journal of minimally invasive gynecology Pub Date : 2025-01-10 DOI:10.1016/j.jmig.2025.01.004
Aya Mohr-Sasson, Lindsay Weitzel, Steven Carlisle, Asha Bhalwal
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引用次数: 0

摘要

目标:2021 年 9 月 1 日,在得克萨斯州,一旦检测到胚胎心脏活动,堕胎即为非法。本研究旨在比较德克萨斯州禁止堕胎法律修改前后接受绝育手术的女性特征:设计:回顾性研究:单一三级医疗中心:所有在 2020 年 5 月至 2022 年 11 月期间接受双侧输卵管切除术进行手术绝育的女性。在新法律实施前 15 个月接受手术的女性(对照组)与在新法律实施后 15 个月接受手术的女性(研究组)进行比较:干预措施:从妇女的医疗档案中收集人口统计学和临床特征。从手术报告和术后随访中收集手术和术后数据。主要结果定义为在每个研究期间(15 个月)接受绝育手术的妇女比例,计算方法为占纳入研究(30 个月)的妇女总人数的百分比。测量和主要结果:205 名妇女符合纳入标准,其中 131 人(64%)为研究组,74 人(36%)为对照组(P结论:自得克萨斯州修改禁止堕胎的法律以来,手术绝育的人数明显增加。虽然接受手术的平均年龄没有变化,但更多的无子宫妇女选择了这种避孕方法。
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Sterilization Surgery Trends in Texas after Passage of the Texas Heartbeat Act.

Study objective: On September 1, 2021, abortion became illegal in Texas once embryonic cardiac activity is detected. This study aimed to compare women's characteristics undergoing surgical sterilization before and after the change in abortion-banning laws in Texas.

Design: A retrospective study.

Setting: Single tertiary medical center.

Patients: All women who underwent bilateral salpingectomy for surgical sterilization between May 2020 and November 2022. Women who underwent surgery 15 months before the new laws (controls) were compared with women who underwent surgery 15 months after the change (study group).

Interventions: Demographic and clinical characteristics were collected from the women's medical files. Operative and postoperative data were collected from the operative reports and postoperative follow-up visits. Primary outcome was defined as the proportion of the women undergoing sterilization in each study period (15 months) calculated as percent of the total number of women included in the study (30 months).

Measurements and main results: A total of 205 women met the inclusion criteria, of whom 131 (64%) were in the study group and 74 controls (36%) (p <.001). The median age was found to be similar between the groups (31 [27-35] and 31 [27-34] years for the study group and controls, respectively; p = .98). The number of women with private insurance was significantly higher in the study group (p = .04). Parity was significantly higher in the control group, as evidenced by the proportion of nulliparous women, which was more than double in the study population than controls (37 [28%] vs 8 [11%]; p = .004). Surgery as the first contraception method was reported in 63 (48%) and 41 (19%) of the women in the study and control groups, respectively (p = .58). The surgical approaches did not differ between the groups (p = .63). The complication rate was found higher for the study group, but the difference did not reach significance (p = .13).

Conclusion: Surgical sterilization has significantly increased since the change in abortion-banning laws in Texas. Although the mean age to undergo the surgery did not change, more nulliparous women preferred this method for contraception.

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来源期刊
CiteScore
5.00
自引率
7.30%
发文量
272
审稿时长
37 days
期刊介绍: The Journal of Minimally Invasive Gynecology, formerly titled The Journal of the American Association of Gynecologic Laparoscopists, is an international clinical forum for the exchange and dissemination of ideas, findings and techniques relevant to gynecologic endoscopy and other minimally invasive procedures. The Journal, which presents research, clinical opinions and case reports from the brightest minds in gynecologic surgery, is an authoritative source informing practicing physicians of the latest, cutting-edge developments occurring in this emerging field.
期刊最新文献
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