Contraceptive Use Before and After Gastric Bypass: a Questionnaire Study

Obesity Surgery
Charlotte GinstmanJan Brynhildsen

Abstract

At present, women are recommended to avoid pregnancy 12-18 months after bariatric surgery. Our aim in this study was to describe patterns of contraceptive use before and after gastric bypass in Sweden, and to describe the contraceptive counseling given preoperatively to women undergoing gastric bypass. In October 2012, a questionnaire was sent to 1000 Swedish women who all had undergone gastric bypass during 2010. The women had been included in the Scandinavian Obesity Surgery Register at time of surgery. The main outcome measures were patterns of use of contraception before and after bariatric surgery. The response rate was 57 %. The most commonly used contraceptive methods were intrauterine devices, 29 % preoperatively and 26 % postoperatively even though there was a postoperative switch from the copper intrauterine device to the levonorgestrel intrauterine system. Thirty percent did not use any contraceptive during the first 12 months after surgery. Sixty percent of the responders were aware of the recommendations to avoid pregnancy after surgery. Many women who undergo bariatric surgery are not using any contraceptive method despite the recommendation that they should avoid pregnancy for at least 12 months. There is a great...Continue Reading

References

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Citations

Jun 29, 2016·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Kamal K MahawarPeter K Small
Oct 11, 2017·Expert Opinion on Drug Safety·Ana Luiza L RochaFernando M Reis
Jul 5, 2018·BMJ Sexual & Reproductive Health·Yitka N H GrahamIan S Fraser
Oct 23, 2018·BJOG : an International Journal of Obstetrics and Gynaecology·C GinstmanJ Brynhildsen
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
Jul 11, 2019·Obesity Surgery·Michiel A DamhofEric N van Roon
Jul 15, 2020·Obesity Surgery·Anna Różańska-WalędziakMaciej Walędziak
May 22, 2019·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Micaela SundellJan Brynhildsen
Mar 27, 2021·Gynécologie, Obstétrique, Fertilité & Sénologie·C TêtuA Fèvre
May 1, 2021·Reproductive Health·Tierney M Boyce, Elena Neiterman

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Methods Mentioned

BETA
gastric bypass
hysterectomy
contraception

Software Mentioned

SPSS
SOReg

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