Contraceptive counseling and utilization in women who underwent bariatric surgery

Krishnan, S.; Hacker, Mariana A.; Haider, Syed Ali; Thornton, Kim L.; Trainor, Luke; Lim, Reuben; Schneider, B

doi:10.1016/j.contraception.2009.05.068

Cited by 5 publications

(2 citation statements)

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“…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%

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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“…Women who obtained their contraception from an obstetrician/gynecologist (24%) all used highly effective methods of contraception. 50 OBESITY AND VENOUS THROMBOEMBOLISM The annual incidence of VTE is 2 per 1000 individuals in the United States with incidence rising with increasing age. 51 The precise number of individuals affected by VTE, however, is not well known.…”

Section: Obesity Treatmentmentioning

confidence: 99%

Obesity and Contraception: Emerging Issues

Murthy

2010

Semin Reprod Med

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Obesity is increasing in prevalence worldwide. Obese women are at similar risk of unintended pregnancy as normal weight women, although limited data are available on the effects of obesity on the efficacy of contraception. Conflicting data exist regarding efficacy of oral contraceptives in obese women, although trends of oral contraceptive failure are no higher than compared with those of normal weight women. The risk of venous thromboembolism is increased with obesity, and this risk may be additive when using a combined hormonal method. Bariatric surgery can lead to increased fertility; postoperative recommendations include avoiding pregnancy in the first year. Contraceptive use patterns in these women are largely unknown. Surgeons need greater awareness of the need for use of effective long-acting methods, and consensus guidelines need to be established.

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Contraception in the Setting of Obesity and Bariatric Surgery

Simmons

Edelman

2014

Contraception for the Medically Challenging Patient

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Contraceptive counseling and utilization in women who underwent bariatric surgery

Cited by 5 publications

References 0 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

Obesity and Contraception: Emerging Issues

Contraception in the Setting of Obesity and Bariatric Surgery

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