We have a Catholic hospital here in the city where I live in Ontario. Being publicly funded makes what they do different from the American ones, but despite doing women's health and obstetrics they don't do tubal ligation unless it's approved by their board, so even if you had a planned c section and were planning on having your tubal during the procedure, if you had to have your c section on an emergency basis because you labour early, they won't do it. It's so fucked up. It's a good hospital but come on. It's 2025, most Catholics use birth control. If you don't want to do abortions, fine, but a tubal during a c section is really just saving someone a second surgery.