Assessment of contraceptive needs in women undergoing bariatric surgery

Biftu Mengesha*, Leanne Rita Griffin, Alexander P Nagle, Jessica W Kiley

*Corresponding author for this work

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Objective To evaluate documentation of contraception and counseling in women planning to undergo bariatric surgery. Study design Chart review of 1012 women ages 18-45 years presenting for bariatric surgery evaluation. Data on socio-demographic variables, documented contraceptive method, preconception counseling, gynecology referrals and postoperative pregnancies were collected. Results The charts of only 272 women (26.9%) contained documentation of a contraceptive method; the most common was oral contraceptives (n = 132, 48.5%). Sixteen pregnancies were identified in the first 18 months postoperatively. Conclusions Currently, the documentation of contraceptive counseling is lacking in clinical practice. Measures to enhance provider and patient awareness of these issues will improve patient care. Implications Pregnancy planning and documentation of perioperative contraceptive use in women undergoing bariatric surgery are suboptimal, placing these women at risk of unintended pregnancies. Future research should delineate the best practices in contraceptive provision in this high-risk population of women.

Original languageEnglish (US)
Pages (from-to)74-77
Number of pages4
JournalContraception
Volume94
Issue number1
DOIs
StatePublished - Jul 1 2016

Fingerprint

Bariatric Surgery
Needs Assessment
Contraceptive Agents
Documentation
Contraception
Counseling
Pregnancy
Oral Contraceptives
Gynecology
Practice Guidelines
Patient Care
Referral and Consultation
Demography
Population

Keywords

  • Bariatric surgery
  • Contraception
  • Obesity
  • Preconception care
  • Pregnancy interval
  • Weight loss

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

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title = "Assessment of contraceptive needs in women undergoing bariatric surgery",
abstract = "Objective To evaluate documentation of contraception and counseling in women planning to undergo bariatric surgery. Study design Chart review of 1012 women ages 18-45 years presenting for bariatric surgery evaluation. Data on socio-demographic variables, documented contraceptive method, preconception counseling, gynecology referrals and postoperative pregnancies were collected. Results The charts of only 272 women (26.9{\%}) contained documentation of a contraceptive method; the most common was oral contraceptives (n = 132, 48.5{\%}). Sixteen pregnancies were identified in the first 18 months postoperatively. Conclusions Currently, the documentation of contraceptive counseling is lacking in clinical practice. Measures to enhance provider and patient awareness of these issues will improve patient care. Implications Pregnancy planning and documentation of perioperative contraceptive use in women undergoing bariatric surgery are suboptimal, placing these women at risk of unintended pregnancies. Future research should delineate the best practices in contraceptive provision in this high-risk population of women.",
keywords = "Bariatric surgery, Contraception, Obesity, Preconception care, Pregnancy interval, Weight loss",
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Assessment of contraceptive needs in women undergoing bariatric surgery. / Mengesha, Biftu; Griffin, Leanne Rita; Nagle, Alexander P; Kiley, Jessica W.

In: Contraception, Vol. 94, No. 1, 01.07.2016, p. 74-77.

Research output: Contribution to journalArticle

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AB - Objective To evaluate documentation of contraception and counseling in women planning to undergo bariatric surgery. Study design Chart review of 1012 women ages 18-45 years presenting for bariatric surgery evaluation. Data on socio-demographic variables, documented contraceptive method, preconception counseling, gynecology referrals and postoperative pregnancies were collected. Results The charts of only 272 women (26.9%) contained documentation of a contraceptive method; the most common was oral contraceptives (n = 132, 48.5%). Sixteen pregnancies were identified in the first 18 months postoperatively. Conclusions Currently, the documentation of contraceptive counseling is lacking in clinical practice. Measures to enhance provider and patient awareness of these issues will improve patient care. Implications Pregnancy planning and documentation of perioperative contraceptive use in women undergoing bariatric surgery are suboptimal, placing these women at risk of unintended pregnancies. Future research should delineate the best practices in contraceptive provision in this high-risk population of women.

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