Contraceptive choices of overweight and obese women in a publically funded hospital: possible clinical implications

Scott-Ram, R.; Chor, Julie; Bhogireddy, V.; Keith, Louis; Patel, Ashlesha

doi:10.1016/j.contraception.2011.12.004

Cited by 11 publications

(9 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Studying the experience of women with varied BMI who select surgical sterilization is important because studies who that obese women are more likely to choose surgical sterilization [ 5 , 12 ]. These data define the incidence of complications and the postoperative experience from laparoscopic compared to hysteroscopic sterilization by BMI.…”

Section: Discussionmentioning

confidence: 99%

“…With the high prevalence of obesity in the US, health care providers need data to assess the risks associated with surgical contraception in obese women [ 4 ]. Overweight and obese women are more likely to opt for tubal sterilization compared to normal weight women [ 5 , 6 ]. Providers often counsel obese women that laparoscopic sterilization may be associated with a higher risk of complications compared to hysteroscopic sterilization.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The effect of obesity on intraoperative complication rates with hysteroscopic compared to laparoscopic sterilization: a retrospective cohort study

Shepherd

Raker

Savella

et al. 2016

Contracept Reprod Med

View full text Add to dashboard Cite

BackgroundSurgical sterilization is a common method of contraception. There have been few studies evaluating the effect of obesity on procedural complications with either laparoscopic or hysteroscopic methods of sterilization. The purpose of this study was to compare the incidence of intraoperative complications of hysteroscopic tubal occlusion with laparoscopic tubal ligation among obese and nonobese women.MethodsThis retrospective cohort study compared women undergoing interval laparoscopic or hysteroscopic sterilization in the operating room between September 2009 and December 2011 at a single hospital. Serious complications included: unintended surgery, uterine perforation, anaphylaxis, blood transfusion, infection requiring antibiotics, hospital admission, fluid overload, myocardial infarction, and venous thromboembolism. Post-operative events included: nausea/vomiting, doctor evaluation or additional pain medication required in the recovery room, and emergency department visit within 2 weeks of surgery. The association between sterilization type and incidence of complications was examined overall, separately by BMI group, and also among patients who received general anesthesia.ResultsA total of 433 laparoscopic and 277 hysteroscopic procedures were reviewed. The BMI distribution of the sample was 35 % normal weight, 31 % overweight, and 34 % obese which is comparable to the general US female population. No life-threatening events were identified. Serious complications were similar with 20 (4.6 %) in the laparoscopic group and 11 (4.0 %) in the hysteroscopic group (p = 0.9). The most common serious complications were bleeding from the tube, cervical laceration, and uterine perforation. Although not statistically significant, women with a BMI of 30 or greater had only 1 (1 %) serious complication in the hysteroscopic group compared to 7 (5.2 %) in the laparoscopic group. Postoperative events were increased in the laparoscopic group (16.2 %) compared to the hysteroscopic group (6.9 %), especially among overweight and obese women (p <0.01). Failure to complete the intended bilateral occlusion occurred for 14 women in the hysteroscopic group compared to just one woman in the laparoscopic group (p <0.001).ConclusionBoth laparoscopic and hysteroscopic tubal sterilization are safe with few serious complications based on these data. No cases of laparotomy, blood transfusion, or life-threatening events were identified. There was no difference in serious complication rate by sterilization method. Overweight and obese women were no more likely to experience a serious complication with either method than women with a BMI <25. There were fewer postoperative events (p <0.01) with hysteroscopic sterilization, but far fewer failed laparoscopic procedures (p <0.001). These study findings can be used to enhance sterilization counseling.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The effect of obesity on intraoperative complication rates with hysteroscopic compared to laparoscopic sterilization: a retrospective cohort study

Shepherd

Raker

Savella

et al. 2016

Contracept Reprod Med

View full text Add to dashboard Cite

show abstract

“…Women who stated that they would be unhappy if they were to become pregnant within 6 months were more likely to choose implant; unhappiness about a potential pregnancy also has been shown to correlate with better contraceptive use or continuation [30,31]. Women who chose the IUD or implant were heavier than those who chose DMPA, which may be due to directed counseling about increased weight, as has been described in other populations [32]. Women who chose the LARC methods were more likely to have previously used the pill than those who chose DMPA.…”

Section: Discussionmentioning

confidence: 79%

Choice of the levonorgestrel intrauterine device, etonogestrel implant or depot medroxyprogesterone acetate for contraception after aspiration abortion

et al. 2015

View full text Add to dashboard Cite

“…7 Other studies have also demonstrated that women with a higher BMI have higher rates of more effective contraceptive method use. 3,8 …”

Section: Discussionmentioning

confidence: 99%

Does body mass index or weight perception affect contraceptive use?

et al. 2017

View full text Add to dashboard Cite

show abstract

Contraceptive choices of overweight and obese women in a publically funded hospital: possible clinical implications

Cited by 11 publications

References 36 publications

The effect of obesity on intraoperative complication rates with hysteroscopic compared to laparoscopic sterilization: a retrospective cohort study

The effect of obesity on intraoperative complication rates with hysteroscopic compared to laparoscopic sterilization: a retrospective cohort study

Choice of the levonorgestrel intrauterine device, etonogestrel implant or depot medroxyprogesterone acetate for contraception after aspiration abortion

Does body mass index or weight perception affect contraceptive use?

Contact Info

Product

Resources

About