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首页> 外文期刊>Family planning perspectives >Tubal sterilization in the United States, 1994-1996.
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Tubal sterilization in the United States, 1994-1996.

机译：1994-1996年在美国进行输卵管绝育。

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CONTEXT: Although the number and rate of tubal sterilizations, the settings in which they are performed and the characteristics of women obtaining sterilization procedures provide important information on contraceptive practice and trends in the United States, such data have not been collected and tabulated for manyyears. METHODS: Information on tubal sterilizations from the National Hospital Discharge Survey and the National Survey of Ambulatory Surgery was analyzed to estimate the number and characteristics of women having a tubal sterilization procedure in the United States during the period 1994-1996 and the resulting rates of tubal sterilization. These results were compared with those of previous studies to examine trends in clinical setting, in the timing of the procedure and in patient characteristics. RESULTS: In 1994-1996, more than two million tubal sterilizations were performed, for an average annual rate of 1 1.5 per 1,000 women; half were performed postpartum and half were interval procedures (i. e., were unrelated by timing to a pregnancy). All postpartum procedures were performed during inpatient hospital stays, while 96% of interval procedures were outpatient procedures. Postpartum sterilization rates were higher than interval sterilization rates among women 20-29 years of age; interval sterilization procedures were more common than postpartum procedures at ages 35-49. Sterilization rates were highest in the South. For postpartum procedures, private insurance was the expectedprimary source of payment for 48% and Medicaid was expected to pay for 41 %; for interval sterilization procedures, private insurance was the expected primary source of payment for 68% and Medicaid for 24%. CONCLUSIONS: Outpatient tubal sterilizations andprocedures using laparoscopy have increased substantially since the last comprehensive analysis of tubal sterilization in 1987, an indication of the effect of technical advances on the provision of this service. Continued surveillance of both inpatient and outpatient procedures is necessary to monitor the role of tubal sterilization in contraceptive practice.
机译：背景：尽管在美国进行输卵管绝育术的次数和速度，进行的设置以及进行绝育手术的妇女的特征都提供了有关美国避孕措施和趋势的重要信息，但多年以来一直没有收集和列出这些数据。方法：分析了《国家医院出院调查》和《国家非卧床手术调查》中有关输卵管绝育的信息，以估计1994-1996年间在美国进行输卵管绝育手术的妇女的人数和特征以及输卵管发生率消毒。将这些结果与以前的研究结果进行比较，以检查临床环境，手术时机和患者特征方面的趋势。结果：在1994-1996年间，进行了超过200万次输卵管绝育，平均每年每1000名妇女1 1.5次。一半在产后进行，一半在间隔过程中（即与怀孕时间无关）。所有产后程序均在住院期间进行，而96％的间隔程序为门诊程序。 20-29岁女性的产后绝育率高于间隔绝育率;在35-49岁时，间隔绝育程序比产后程序更为普遍。南方的灭菌率最高。对于产后程序，私人保险是主要的付款来源，预计占48％，医疗补助计划占41％;对于间隔绝育程序，预期的主要支付来源是私人保险，占68％，医疗补助金占24％。结论：自1987年对输卵管绝育技术进行最后一次全面分析以来，使用腹腔镜进行的门诊输卵管绝育技术和手术程序已大大增加，这表明技术进步对该服务的提供产生了影响。为了监视输卵管绝育在避孕实践中的作用，有必要对住院和门诊程序进行持续监测。

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