Sterilization regulation: government efforts to guarantee informed consent.

Chicanas and the issue of involuntary sterilization: reforms needed to protect informed consent.

Preprocedure patient preferences and attitudes toward permanent contraceptive options

OBJECTIVE To determine patient preference for laparoscopic tubal occlusion or hysteroscopic tubal occlusion, two common sterilization interventions, and the acceptability of a postprocedure confirmation test for a hysteroscopic approach. PARTICIPANTS AND METHODS A total of 100 patients were offered two procedures. A description of each procedure was developed and read to each patient by a res...

Medicaid policy on sterilization--anachronistic or still relevant?

F sterilization, typically accomplished by means of tubal ligation, is a widely used method of contraception that is highly effective at preventing unintended pregnancy. Yet there appears to be unmet demand for the procedure in certain segments of the U.S. population.1 Specifically, low-income women and women from minority racial and ethnic groups may face substantial system-level barriers to o...

Informed decision making in maternity care.

In the United States, federal acts and regulations, as well as professional guidelines, clearly dictate that every pregnant woman has the right to base her maternity care decisions on accurate, up-to-date, comprehensible information. Despite these efforts, evidence suggests that informed consent within current health-care practice is restricted and inconsistently implemented. Patient access to ...

“I feel like half a woman all the time”: The impacts of coerced and forced sterilisations on HIV-positive women in South Africa

HIV-positive women are entitled to sexual and reproductive health rights, including access to contraceptives of their choice. One such option is sterilisation. Given its permanency, a woman’s decision to sterilise should be voluntary and fully informed. However, there have been multiple reports that HIV-positive women are being sterilised without their informed consent, and sometimes without th...