Assessment of contraceptive needs in women undergoing bariatric surgery

Mengesha, Biftu; Griffin, Leanne; Nagle, Alexander P.; Kiley, Jessica

doi:10.1016/j.contraception.2016.02.027

Cited by 26 publications

(14 citation statements)

References 7 publications

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“…They should be made aware that fertility increases postoperatively, and contraception usage should be discussed (level 2+) . There is sufficient evidence to show that perioperative contraceptive counselling increases the postoperative use of contraception (level 2+) . Contraceptive counselling and contraceptive knowledge by health care providers could however be improved (level 2−), as contraceptive use after BS is often suboptimal, with many women using least reliable methods (level 2+) .…”

Section: Evidence and Recommendationsmentioning

confidence: 99%

Pregnancy after bariatric surgery: Consensus recommendations for periconception, antenatal and postnatal care

et al. 2019

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SummaryThe objective of the study is to provide evidence‐based guidance on nutritional management and optimal care for pregnancy after bariatric surgery. A consensus meeting of international and multidisciplinary experts was held to identify relevant research questions in relation to pregnancy after bariatric surgery. A systematic search of available literature was performed, and the ADAPTE protocol for guideline development followed. All available evidence was graded and further discussed during group meetings to formulate recommendations. Where evidence of sufficient quality was lacking, the group made consensus recommendations based on expert clinical experience. The main outcome measures are timing of pregnancy, contraceptive choice, nutritional advice and supplementation, clinical follow‐up of pregnancy, and breastfeeding. We provide recommendations for periconception, antenatal, and postnatal care for women following surgery. These recommendations are summarized in a table and print‐friendly format. Women of reproductive age with a history of bariatric surgery should receive specialized care regarding their reproductive health. Many recommendations are not supported by high‐quality evidence and warrant further research. These areas are highlighted in the paper.

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Section: Evidence and Recommendationsmentioning

confidence: 99%

Pregnancy after bariatric surgery: Consensus recommendations for periconception, antenatal and postnatal care

et al. 2019

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“…Knowledge about how well these recommendations are communicated from medical providers to patients is limited. Previous literature has mainly evaluated contraceptive use at individual centers in the United States 7,8 with the exception of 1 recently published analysis of a prospective multicenter cohort. 9 This study found that while pregnancy in the 18 months after surgery was relatively rare, contraceptive use was inconsistent.…”

Section: Introductionmentioning

confidence: 99%

Perioperative pregnancy interval, contraceptive counseling experiences, and contraceptive use in women undergoing bariatric surgery

Mengesha

Carter

Dehlendorf

et al. 2018

American Journal of Obstetrics and Gynecology

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“…According to the authors of this article, this is the result of the long-term existence of oral contraceptives and their excellent effectiveness that is widely known in the society (Mengesha et al 2016, Gosavi et al2016, Sweeney et al 2015.…”

Section: Discussionmentioning

confidence: 98%

The relationship between the use of combined hormonal contraception with a predominance of gestagens and the selected types of female body in young women from the region of Lower Silesia

Karykowska

Kwiatkowska

Grzelak

et al. 2018

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Oral contraceptive agents are currently the most popular and one of the most effective methods for preventing pregnancy. The data shows that over 300 million women in the world use contraceptive drugs containing synthetic hormones to avoid an unwanted pregnancy. Their effects may affect other systems, leading to the occurrence of various problems associated with the use of the drug. The aim of the study is to estimate the frequency of prevalence of subjective effects associated with the use of combined hormonal contraception with a predominance of gestagens by young women Surveys were conducted among female students of Wrocław universities from December 2010 to January 2011. They covered 257 women aged statistically 23.58 (SD=2.95). They were divided into three age classes: 19-22, 23-24, 25-28. The individual age of menarche and the hormonal type of body were determined. Only persons with a gestagenic or estrogenic type of body were qualified for the study. Results: 64.6% of all respondents declared the use of hormonal contraception. Combined agents with a predominance of gestagens constituted 87% in this group. Their use brings both positive (90%) and negative (65%) aspects. The most common positive effects include high contraceptive effectiveness, regulation of menstruation and minimisation of skin problems. The most frequent negative effects include: weight gain, spotting, breast swelling and decreased libido. Surprisingly, the study did not show any correlation between the hormonal type and the occurrence of side effects. There was no significant statistical relationship between the type of hormonal contraception used and the hormonal type.

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Assessment of contraceptive needs in women undergoing bariatric surgery

Cited by 26 publications

References 7 publications

Pregnancy after bariatric surgery: Consensus recommendations for periconception, antenatal and postnatal care

Pregnancy after bariatric surgery: Consensus recommendations for periconception, antenatal and postnatal care

Perioperative pregnancy interval, contraceptive counseling experiences, and contraceptive use in women undergoing bariatric surgery

The relationship between the use of combined hormonal contraception with a predominance of gestagens and the selected types of female body in young women from the region of Lower Silesia

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