Contraceptive use in women undergoing bariatric surgery

Casas, Rachel S.; Bourjeily, Ghada; Vithiananthan, Sivamainthan; Tong, Iris

doi:10.1016/j.orcp.2014.08.006

Cited by 7 publications

(17 citation statements)

References 9 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%

“…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+) . This is even more important in patients with a history of infertility, as they have been found to be at increased risk for unprotected intercourse without intent to conceive and have higher early postoperative conception rates …”

Section: Evidence and Recommendationsmentioning

confidence: 99%

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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%

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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“…9 This study found that while pregnancy in the 18 months after surgery was relatively rare, contraceptive use was inconsistent. To our knowledge, women's counseling experiences have been described in a single study of 35 women, 10 with no studies assessing perioperative counseling experiences on a broader scale. We sought to determine the prevalence of perioperative contraceptive and pregnancy interval discussions and postoperative contraceptive use from a national sample of reproductive-aged women, with the goal to inform quality improvement efforts ensuring women's reproductive health needs are met in the context of bariatric surgery.…”

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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“…In this study, there was a significant association between receiving contraceptive counseling and using safe contraceptive methods. In the USA too, the proportion of women who used contraception was higher in the group who received contraceptive counseling (95.7% vs. 66.7%) [32,37].…”

Section: Contraceptionmentioning

confidence: 97%

Review: Sex-Specific Aspects in the Bariatric Treatment of Severely Obese Women

Jäger

Wolicki

Spohnholz

et al. 2020

IJERPH

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This systematic literature review aims to point out sex-specific special features that are important in the bariatric treatment of women suffering from severe obesity. A systematic literature search was carried out according to Cochrane and Preferred Reporting Items for Systematic review and Meta-Analysis Protocols (PRISMA-P) guidelines. After the literature selection, the following categories were determined: sexuality and sexual function; contraception; fertility; sex hormones and polycystic ovary syndrome; menopause and osteoporosis; pregnancy and breastfeeding; pelvic floor disorders and urinary incontinence; female-specific cancer; and metabolism, outcome, and quality of life. For each category, the current status of research is illuminated and implications for bariatric treatment are determined. A summary that includes key messages is given for each subsection. An overall result of this paper is an understanding that sex-specific risks that follow or result from bariatric surgery should be considered more in aftercare. In order to increase the evidence, further research focusing on sex-specific differences in the outcome of bariatric surgery and promising treatment approaches to female-specific diseases is needed. Nevertheless, bariatric surgery shows good potential in the treatment of sex-specific aspects for severely obese women that goes far beyond mere weight loss and reduction of metabolic risks.

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Contraceptive use in women undergoing bariatric surgery

Cited by 7 publications

References 9 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

Review: Sex-Specific Aspects in the Bariatric Treatment of Severely Obese Women

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