A Survey of Bariatric Surgical and Reproductive Health Professionals' Knowledge and Provision of Contraception to Reproductive-Aged Bariatric Surgical Patients

Obesity Surgery
Yitka GrahamScott Wilkes

Abstract

Over 80 % of bariatric surgical patients are women with obesity in their reproductive years. Obesity adversely affects fertility; the rapid weight loss following bariatric surgery can increase fecundity. Current guidelines recommend avoiding pregnancy for up to 24 months following surgery, but little is known about current contraceptive care of women who undergo bariatric surgery. Two surveys were undertaken with bariatric surgical and contraceptive practitioners in England to establish current contraceptive practices in both groups. Two anonymous on-line surveys were sent to all 382 members of the British Obesity and Metabolic Surgery Society (BOMSS) and an estimated 300 contraceptive practitioners in the North East of England. The BOMSS survey elicited a response rate of 17 % (n = 65), mainly from bariatric surgeons (n = 24 (36 %)). Most respondents (97 %) acknowledged the need to educate patients, but contraceptive information was only provided by 7 % (n = 4) of respondents in bariatric surgical clinics. Less than half of respondents were confident discussing contraception, and the majority requested further training, guidance and communication with contraceptive practitioners. The majority of respondents to the contraceptiv...Continue Reading

References

Aug 24, 2007·The New England Journal of Medicine·Lars SjöströmUNKNOWN Swedish Obese Subjects Study
Sep 18, 2007·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·M MetwallyW L Ledger
Jan 13, 2009·Human Reproduction Update·Isabelle GuelinckxGreet Vansant
May 23, 2009·Obstetrics and Gynecology·UNKNOWN American College of Obstetricians and Gynecologists
Sep 23, 2014·The Journal of Family Planning and Reproductive Health Care·Yitka GrahamPeter K Small
Sep 23, 2014·Obesity Research & Clinical Practice·Rachel CasasIris Tong
Mar 7, 2015·Obesity Surgery·Charlotte GinstmanJan Brynhildsen

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Citations

May 6, 2019·BMJ Sexual & Reproductive Health
Aug 17, 2019·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·Jill ShaweRoland Devlieger
Nov 26, 2019·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·K MaslinJ Shawe
Dec 4, 2020·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Amihai RottenstreichRam Elazary
Mar 27, 2021·Gynécologie, Obstétrique, Fertilité & Sénologie·C TêtuA Fèvre

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