Interval Surgical Sterilization and Obesity

Shepherd, Rachel; Raker, Christina; Du, Nan; Savella, Gina M.; Matteson, Kristen A.; Allen, Rebecca H.

doi:10.1097/01.aog.0000447263.92717.14

Cited by 3 publications

(2 citation statements)

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“…73 Thus, these data are estimates, yet clearly show a trend and may be important to consider as newer models are developed. 74 Second, another notable finding was the significant association between higher BMI and successful placement, which mirrors a newer study that reveals that obese women had fewer complications with the Essure procedure compared to laparoscopic tubal ligation, 75 which may suggest that women be counseled differently on sterilization options. The current authors cannot state with certainty, however, that selection bias did not confound these data.…”

Section: Discussionmentioning

confidence: 90%

A Meta-Analysis of Bilateral Essure^® Procedural Placement Success Rates on First Attempt

Frietze

Leyser‐Whalen

Rahman

et al. 2015

Journal of Gynecologic Surgery

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Background: The EssureÒ (Bayer HealthCare Pharmaceuticals, Leverkusen, Germany) female sterilization procedure entails using a hysteroscope to guide a microinsert into the Fallopian tube openings. Failed placement can lead to patient dissatisfaction, repeat procedures, unintended or ectopic pregnancy, perforation of internal organs, or need for subsequent medical interventions. Additional interventions increase women's health risks, and costs for patients and the health care industry. Demonstrated successful placement rates are 63%-100%. To date, there have not been any systematic analyses of variables associated with placement rates. Objectives: The aims of this review were: (1) to estimate the average rate of successful bilateral Essure microinsert placement on first attempt; and (2) to identify variables associated with successful placement. Materials and Methods: A meta-analysis was conducted on 64 published studies and 19 variables. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, all published studies between November 2001 and February 2015 were reviewed. The studies were taken from from PubMed and Google Scholar, and by using the the ''snowball'' method that reported variables associated with successful bilateral Essure placement rates. Results: The weighted average rate of successful bilateral microinsert placement on first attempt was 92% (0.92 [95% confidence interval: 0.904-0.931]). Variables associated with successful placements were: (1) newer device models; (2) higher body mass index; and (3) a higher percent of patients who received local anesthesia. Conclusions: The data gathered for this review indicate that the highest bilateral success rates may be obtained by utilizing the newest Essure device model with local anesthesia in heavier patients. More standardized data reporting in published Essure studies is recommended. ( J GYNECOL SURG 31:308)

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Section: Discussionmentioning

confidence: 90%

A Meta-Analysis of Bilateral Essure^® Procedural Placement Success Rates on First Attempt

Frietze

Leyser‐Whalen

Rahman

et al. 2015

Journal of Gynecologic Surgery

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“…78 The UK MEC includes obesity as one of multiple risk factors for cardiovascular disease that might increase the risk of CHC or DMPA, whereas it is not included in the United States and WHO MEC. [79][80][81] Available evidence suggests progestogen-only (PO) methods, including DMPA, do not impact the risk of arterial disease. 72…”

Section: Arterial Diseasementioning

confidence: 99%

Best Practice Contraception Care for Women with Obesity: A Review of Current Evidence

McNamee

Edelman

et al. 2022

Semin Reprod Med

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The prevalence of obesity among females of reproductive age is increasing globally. Access to the complete range of appropriate contraceptive options is essential for upholding the reproductive rights of this population group. People with obesity can experience stigma and discrimination when seeking healthcare, and despite limited evidence for provider bias in the context of contraception, awareness for its potential at an individual provider and health systems level is essential. While use of some hormonal contraceptives may be restricted due to increased health risks in people with obesity, some methods provide noncontraceptive benefits including a reduced risk of endometrial cancer and a reduction in heavy menstrual bleeding which are more prevalent among individuals with obesity. In addition to examining systems-based approaches which facilitate the provision of inclusive contraceptive care, including long-acting reversible contraceptives which require procedural considerations, this article reviews current evidence on method-specific advantages and disadvantages for people with obesity to guide practice and policy.

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Pregnancy Intention and Contraceptive Use among Women by Class of Obesity: Results from the 2006–2010 and 2011–2013 National Survey of Family Growth

Nguyen

Elia

et al. 2018

Women's Health Issues

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Interval Surgical Sterilization and Obesity

Cited by 3 publications

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A Meta-Analysis of Bilateral Essure^® Procedural Placement Success Rates on First Attempt

A Meta-Analysis of Bilateral Essure^® Procedural Placement Success Rates on First Attempt

Best Practice Contraception Care for Women with Obesity: A Review of Current Evidence

Pregnancy Intention and Contraceptive Use among Women by Class of Obesity: Results from the 2006–2010 and 2011–2013 National Survey of Family Growth

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Interval Surgical Sterilization and Obesity

Cited by 3 publications

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A Meta-Analysis of Bilateral Essure® Procedural Placement Success Rates on First Attempt

A Meta-Analysis of Bilateral Essure® Procedural Placement Success Rates on First Attempt

Best Practice Contraception Care for Women with Obesity: A Review of Current Evidence

Pregnancy Intention and Contraceptive Use among Women by Class of Obesity: Results from the 2006–2010 and 2011–2013 National Survey of Family Growth

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A Meta-Analysis of Bilateral Essure^® Procedural Placement Success Rates on First Attempt

A Meta-Analysis of Bilateral Essure^® Procedural Placement Success Rates on First Attempt