Optimizing contraceptive access for women undergoing bariatric surgery

Riedinger, Courtney; Zite, Nikki B.; Overby, D. Wayne; Robinson, Erica F.; Moulder, Janelle K.

doi:10.1016/j.soard.2020.08.010

Cited by 5 publications

(14 citation statements)

References 38 publications

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“…The year of publication ranged from 2010 to 2022. Ten articles were conducted in the US [10][11][12][13][14][15][16][17][18][19], and one article was included from each of the following countries: Canada [20 && ], the Netherlands [21], Sweden [22], Germany [23], the United Kingdom [24], France [25], and Israel [26]. Of the 17 articles, one was a retrospective cohort study, six were cross-sectional studies of female patients who had planned to undergo or had bariatric surgery, five were crosssectional studies assessing gynecologic knowledge and practices of healthcare providers involved in bariatric surgery care, and five were review papers, one of which was a systematic review.…”

Section: Resultsmentioning

confidence: 99%

“…Two of the review papers provided gynecologic recommendations beyond contraception counseling. A review paper from the US published in 2020 additionally discussed concurrent permanent sterilization at time of bariatric surgery [19]. A systematic review published in 2020 emphasized a multitude of gynecologic considerations including female sexuality, menopause and osteoporosis, pelvic floor disorders and incontinence, and female specific cancer [23].…”

Section: Resultsmentioning

confidence: 99%

“…Of the 17 articles, 15 focused their recommendations on perioperative contraception use. Common themes regarding perioperative contraception counseling included a lack of appropriate counseling, a lack of referral to those best equipped to provide appropriate counseling, and a high rate of pregnancy in the postoperative period when pregnancy is not recommended [10–14,16,17,18,19,20 ▪▪ ,21,22,24–26].…”

Section: Resultsmentioning

confidence: 99%

“…approach to preoperative gynecologic counseling with a call to involve gynecologists or primary care providers with knowledge around contraception in this counseling [10][11][12]14,15,17,19,22,24,26].…”

Section: Key Pointsmentioning

confidence: 99%

See 3 more Smart Citations

Gynecologic counseling for patients undergoing bariatric surgery: a scoping review

Cook

Fajardo

Walden

et al. 2023

Current Opinion in Obstetrics &Amp; Gynecology

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Purpose of reviewObesity is associated with several gynecologic conditions. While bariatric surgery is regarded as the most effective treatment option for obesity, gynecologic counseling for patients planning bariatric surgery is limited and often focused on fertility. The goal of this scoping review is to investigate the current recommendations for gynecologic counseling prior to bariatric surgery.Recent findingsA comprehensive search was conducted to find peer reviewed studies written in English discussing a gynecologic issue of patients who were planning or previously had bariatric surgery. All the included studies identified a gap in preoperative gynecologic counseling. The majority of the articles made specific recommendations for a multidisciplinary approach to preoperative gynecologic counseling with a call to involve gynecologists or primary care providers.SummaryPatients deserve to receive appropriate counseling about how obesity and bariatric surgery impact their overall gynecologic health. We advocate that the scope of gynecologic counseling includes more than pregnancy and contraception counseling. We propose a gynecologic counseling checklist for female patients undergoing bariatric surgery. Offering patients a referral to a gynecologist from the patient's first entry to a bariatric clinic is imperative to facilitate appropriate counseling.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Key Pointsmentioning

confidence: 99%

See 2 more Smart Citations

Gynecologic counseling for patients undergoing bariatric surgery: a scoping review

Cook

Fajardo

Walden

et al. 2023

Current Opinion in Obstetrics &Amp; Gynecology

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show abstract

“…By inducing weight loss, bariatric surgery can improve these factors and, therefore, increase fertility. 3 , 4 Because of concerns regarding pregnancy complications, evidence suggests that women who have undergone bariatric surgery should avoid pregnancy in the immediate postoperative period. 2 , 5 In Canada, clinicians advise patients wait 12 to 18 months after surgery before trying to conceive.…”

mentioning

confidence: 99%

Contraceptive counselling in 3 Canadian bariatric surgery clinics: a multicentre qualitative study of the experiences of patients and health care providers

Dineley

Munro

Norman

et al. 2022

cmajo

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Background: Evidence suggests an increase in fertility and unintended pregnancy after bariatric surgery; contraceptive counselling, traditionally defined as a discussion of contraception options, is therefore an important facet of surgical planning. Our aim was to investigate patient experiences of contraceptive counselling, the attitudes of health care providers (HCPs) toward contraceptive counselling, and their perceptions of the facilitators and barriers to contraceptive counselling in bariatric surgery clinics. Methods: We conducted a qualitative study using semistructured interviews with patients and HCPs at publicly funded Canadian bariatric surgery clinics from May 2018 to February 2019. We recruited bariatric HCPs from across Canada using snowball sampling, and recruited patient participants from 3 Canadian bariatric surgery programs. Patient participants had to be at risk of pregnancy in the postoperative period, aged 18–45 years old and have completed all preoperative counselling. We included HCPs who delivered care in a publicly funded, hospital-affiliated bariatric surgery clinic in Canada. Team members analyzed transcripts thematically. Results: We completed 27 interviews (patient n = 16, HCP n = 11). Our analysis identified 3 separate themes: missing information in contraception counselling, making assumptions about who would benefit from counselling and strategies for improving contraception counselling. We found patients and HCPs wanted more resources on the safety and efficacy of contraceptive methods. Interpretation: Our study showed a need for structured contraceptive counselling in bariatric surgery clinics. Information resources that support patients and HCPs who provide counselling are needed.

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Pregnancy After Metabolic Bariatric Surgery: Risks and Rewards for Mother and Child

Ceulemans,

Deleus,

Benhalima

et al. 2024

BJOG

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As the prevalence of obesity increases worldwide, and lifestyle modification or pharmaceutical treatment yields insufficient results for patients with severe obesity, an increasing number of patients opt for metabolic bariatric surgery as an effective and durable treatment of this disease. Seeing as 80% of these patients are women, many of whom are of reproductive age, pregnancies after metabolic bariatric surgery become increasingly common. Metabolic bariatric surgery has many benefits for overall health and pregnancy outcomes, but certain risks are also reported. This leads to the rise of a new population of patients with their own specific needs regarding follow‐up. This review discusses the various benefits and risks of these types of surgery for pregnancy. We provide an overview of the current state of the evidence and look into future research goals.

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Optimizing contraceptive access for women undergoing bariatric surgery

Cited by 5 publications

References 38 publications

Gynecologic counseling for patients undergoing bariatric surgery: a scoping review

Gynecologic counseling for patients undergoing bariatric surgery: a scoping review

Contraceptive counselling in 3 Canadian bariatric surgery clinics: a multicentre qualitative study of the experiences of patients and health care providers

Pregnancy After Metabolic Bariatric Surgery: Risks and Rewards for Mother and Child

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