Contraceptive use in women undergoing bariatric surgery

Abstract

Introduction: Contraceptive counselling in women undergoing bariatric surgery is crucial due to increased risk of foetal growth restriction postoperatively. We evaluate if women undergoing bariatric surgery are being counselled about and using contraception.

Methods: A 36-question survey was sent electronically to patients at the Miriam Hospital Bariatric Center in Providence, Rhode Island.

Results: Of the thirty-five women included in our study, 85.7% and 80% reported receiving contraceptive counselling and advice to avoid pregnancy in the 12-24 months following surgery, respectively. Only 65.7% were using contraception. More women using contraception reported receiving counselling (95.7% vs. 66.7%) and knew to avoid pregnancy postoperatively (82.6% vs. 75%) than women not using contraception. Contraceptive use declined over time following surgery.

Conclusion: We have identified an important opportunity for healthcare providers to promote ongoing compliance with contraception for women undergoing bariatric surgery.

Keywords: Bariatric surgery; Contraception; Obesity.