Reproductive health counseling and practices: A cross-sectional survey of bariatric surgeons

Julie Chor*, Patricia Chico, Subhashini Ayloo, Alicia Roston, Michelle A. Kominiarek

*Corresponding author for this work

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background Nearly 50% of bariatric surgery patients are women of reproductive age. Both obstetric and gynecology and surgery professional guidelines recommend a delay of fertility 1-2 years postbariatric surgery. Methods We sought to assess bariatric surgeons' perioperative reproductive counseling and contraceptive provision for women of reproductive age. We conducted a cross-sectional, national 32-question mail survey of bariatric surgeons. Survey topics included demographic factors, contraceptive counseling and provision, and method preference. Descriptive statistics were reported and Χ2 tests compared results among respondent demographic characteristics. Results A total of 574 of 1,935 physicians returned surveys (30%). After excluding 41 surveys due to missing data, we analyzed 533 (27%) surveys. Mean respondent age was 48.1 years. Most respondents were male (89%), white (78%), and completed residency training ≥10 years ago (72%). The majority of respondents' bariatric surgery patients were female (77%), 63% of which were of reproductive age. Most respondents recommended that their female patients delay pregnancy 12-24 months (87%). Whereas 70% of respondents did not require preoperative contraception, 52% always required postoperative contraceptive use. Although the majority of respondents (64%) referred patients to an obstetrician-gynecologist or primary care physician to obtain contraception, 35% did not know how their female patients obtained contraception. Female respondents were more likely than male respondents to always require a medicine consultation and preoperative contraception, P<.05. Conclusion Despite consistently recommending a delay in pregnancy, bariatric surgeons inconsistently address perioperative contraceptive needs of women of reproductive age. These findings highlight the need for greater collaboration between bariatric surgeons and women's healthcare providers to address the reproductive health needs of women having bariatric surgery.

Original languageEnglish (US)
Pages (from-to)187-192
Number of pages6
JournalSurgery for Obesity and Related Diseases
Volume11
Issue number1
DOIs
StatePublished - Jan 1 2015

Fingerprint

Bariatrics
Reproductive Health
Counseling
Cross-Sectional Studies
Contraceptive Agents
Contraception
Bariatric Surgery
Surveys and Questionnaires
Surgeons
Obstetric Surgical Procedures
Demography
Pregnancy
Postal Service
Primary Care Physicians
Internship and Residency
Gynecology
Health Personnel

Keywords

  • Bariatric surgery
  • Contraception
  • Infertility
  • Obesity
  • Perioperative
  • Pregnancy

ASJC Scopus subject areas

  • Surgery

Cite this

Chor, Julie ; Chico, Patricia ; Ayloo, Subhashini ; Roston, Alicia ; Kominiarek, Michelle A. / Reproductive health counseling and practices : A cross-sectional survey of bariatric surgeons. In: Surgery for Obesity and Related Diseases. 2015 ; Vol. 11, No. 1. pp. 187-192.
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abstract = "Background Nearly 50{\%} of bariatric surgery patients are women of reproductive age. Both obstetric and gynecology and surgery professional guidelines recommend a delay of fertility 1-2 years postbariatric surgery. Methods We sought to assess bariatric surgeons' perioperative reproductive counseling and contraceptive provision for women of reproductive age. We conducted a cross-sectional, national 32-question mail survey of bariatric surgeons. Survey topics included demographic factors, contraceptive counseling and provision, and method preference. Descriptive statistics were reported and Χ2 tests compared results among respondent demographic characteristics. Results A total of 574 of 1,935 physicians returned surveys (30{\%}). After excluding 41 surveys due to missing data, we analyzed 533 (27{\%}) surveys. Mean respondent age was 48.1 years. Most respondents were male (89{\%}), white (78{\%}), and completed residency training ≥10 years ago (72{\%}). The majority of respondents' bariatric surgery patients were female (77{\%}), 63{\%} of which were of reproductive age. Most respondents recommended that their female patients delay pregnancy 12-24 months (87{\%}). Whereas 70{\%} of respondents did not require preoperative contraception, 52{\%} always required postoperative contraceptive use. Although the majority of respondents (64{\%}) referred patients to an obstetrician-gynecologist or primary care physician to obtain contraception, 35{\%} did not know how their female patients obtained contraception. Female respondents were more likely than male respondents to always require a medicine consultation and preoperative contraception, P<.05. Conclusion Despite consistently recommending a delay in pregnancy, bariatric surgeons inconsistently address perioperative contraceptive needs of women of reproductive age. These findings highlight the need for greater collaboration between bariatric surgeons and women's healthcare providers to address the reproductive health needs of women having bariatric surgery.",
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Reproductive health counseling and practices : A cross-sectional survey of bariatric surgeons. / Chor, Julie; Chico, Patricia; Ayloo, Subhashini; Roston, Alicia; Kominiarek, Michelle A.

In: Surgery for Obesity and Related Diseases, Vol. 11, No. 1, 01.01.2015, p. 187-192.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Reproductive health counseling and practices

T2 - A cross-sectional survey of bariatric surgeons

AU - Chor, Julie

AU - Chico, Patricia

AU - Ayloo, Subhashini

AU - Roston, Alicia

AU - Kominiarek, Michelle A.

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N2 - Background Nearly 50% of bariatric surgery patients are women of reproductive age. Both obstetric and gynecology and surgery professional guidelines recommend a delay of fertility 1-2 years postbariatric surgery. Methods We sought to assess bariatric surgeons' perioperative reproductive counseling and contraceptive provision for women of reproductive age. We conducted a cross-sectional, national 32-question mail survey of bariatric surgeons. Survey topics included demographic factors, contraceptive counseling and provision, and method preference. Descriptive statistics were reported and Χ2 tests compared results among respondent demographic characteristics. Results A total of 574 of 1,935 physicians returned surveys (30%). After excluding 41 surveys due to missing data, we analyzed 533 (27%) surveys. Mean respondent age was 48.1 years. Most respondents were male (89%), white (78%), and completed residency training ≥10 years ago (72%). The majority of respondents' bariatric surgery patients were female (77%), 63% of which were of reproductive age. Most respondents recommended that their female patients delay pregnancy 12-24 months (87%). Whereas 70% of respondents did not require preoperative contraception, 52% always required postoperative contraceptive use. Although the majority of respondents (64%) referred patients to an obstetrician-gynecologist or primary care physician to obtain contraception, 35% did not know how their female patients obtained contraception. Female respondents were more likely than male respondents to always require a medicine consultation and preoperative contraception, P<.05. Conclusion Despite consistently recommending a delay in pregnancy, bariatric surgeons inconsistently address perioperative contraceptive needs of women of reproductive age. These findings highlight the need for greater collaboration between bariatric surgeons and women's healthcare providers to address the reproductive health needs of women having bariatric surgery.

AB - Background Nearly 50% of bariatric surgery patients are women of reproductive age. Both obstetric and gynecology and surgery professional guidelines recommend a delay of fertility 1-2 years postbariatric surgery. Methods We sought to assess bariatric surgeons' perioperative reproductive counseling and contraceptive provision for women of reproductive age. We conducted a cross-sectional, national 32-question mail survey of bariatric surgeons. Survey topics included demographic factors, contraceptive counseling and provision, and method preference. Descriptive statistics were reported and Χ2 tests compared results among respondent demographic characteristics. Results A total of 574 of 1,935 physicians returned surveys (30%). After excluding 41 surveys due to missing data, we analyzed 533 (27%) surveys. Mean respondent age was 48.1 years. Most respondents were male (89%), white (78%), and completed residency training ≥10 years ago (72%). The majority of respondents' bariatric surgery patients were female (77%), 63% of which were of reproductive age. Most respondents recommended that their female patients delay pregnancy 12-24 months (87%). Whereas 70% of respondents did not require preoperative contraception, 52% always required postoperative contraceptive use. Although the majority of respondents (64%) referred patients to an obstetrician-gynecologist or primary care physician to obtain contraception, 35% did not know how their female patients obtained contraception. Female respondents were more likely than male respondents to always require a medicine consultation and preoperative contraception, P<.05. Conclusion Despite consistently recommending a delay in pregnancy, bariatric surgeons inconsistently address perioperative contraceptive needs of women of reproductive age. These findings highlight the need for greater collaboration between bariatric surgeons and women's healthcare providers to address the reproductive health needs of women having bariatric surgery.

KW - Bariatric surgery

KW - Contraception

KW - Infertility

KW - Obesity

KW - Perioperative

KW - Pregnancy

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