AI Article Synopsis
- Women post-bariatric surgery are advised to avoid pregnancy for 12-24 months, with a study evaluating their contraceptive awareness and use.
- A survey of 69 women showed that while 94.2% understood the need to avoid pregnancy, 16.3% did not use any contraception after surgery.
- The majority relied on less effective methods like condoms and oral contraceptives, and only 21.2% were referred for specialized contraceptive counseling, highlighting a gap in effective contraceptive use.
Article Abstract
Background: Women are counseled to avoid becoming pregnant for 12-24 months after bariatric surgery. The aim of this study was to assess contraceptive counseling and use in women who undergo bariatric surgery.
Methods: A self-administered survey was completed by women aged 18-45 years at a postoperative clinic visit >2 months after bariatric surgery at an urban teaching hospital.
Results: Of the 69 respondents, 94.2% knew to avoid pregnancy for at least 12 months after surgery. However, 16.3% did not use any contraception 2-12 months after surgery. The most common contraceptive methods used were condoms (30.6%) and oral contraceptives (16.3%). Longer-acting reversible contraceptives were used less frequently; for example, only 4% of women used intrauterine devices. Only 21.2% of respondents were referred to an obstetrician/gynecologist for contraceptive counseling.
Conclusions: Many women who undergo bariatric surgery are not using very effective contraceptive methods or any contraception. There is a clear opportunity to improve counseling and increase use of more effective contraception in this population.
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| http://dx.doi.org/10.1089/jwh.2010.2704 | DOI Listing |
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