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Contraceptive Use Before and After Gastric Bypass: a Questionnaire Study
Dept Obstet & Gynaecol, Linköping Univ Hosp, Linköping Univ, Linköping, Sweden; Dept Clin & Expt Med, Linköping Univ, Linköping, Sweden.
Dept Surg, Linköping Univ, Norrköping, Sweden; Dept Clin & Expt Med, Linköping Univ, Norrköping, Sweden.
Dept Surg, Örebro University Hospital, Univ Örebro, Örebro, Sweden.
Dept Obstet & Gynaecol, Linköping Univ Hosp, Linköping Univ, Linköping, Sweden; Dept Clin & Expt Med, Linköping Univ, Linköping, Sweden.
2015 (English)In: Obesity Surgery, ISSN 0960-8923, E-ISSN 1708-0428, Vol. 25, no 11, p. 2066-2070Article in journal (Refereed) Published
Abstract [en]

At present, women are recommended to avoid pregnancy 12-18 months after bariatric surgery. Our aim in this study was to describe patterns of contraceptive use before and after gastric bypass in Sweden, and to describe the contraceptive counseling given preoperatively to women undergoing gastric bypass. In October 2012, a questionnaire was sent to 1000 Swedish women who all had undergone gastric bypass during 2010. The women had been included in the Scandinavian Obesity Surgery Register at time of surgery. The main outcome measures were patterns of use of contraception before and after bariatric surgery. The response rate was 57 %. The most commonly used contraceptive methods were intrauterine devices, 29 % preoperatively and 26 % postoperatively even though there was a postoperative switch from the copper intrauterine device to the levonorgestrel intrauterine system. Thirty percent did not use any contraceptive during the first 12 months after surgery. Sixty percent of the responders were aware of the recommendations to avoid pregnancy after surgery. Many women who undergo bariatric surgery are not using any contraceptive method despite the recommendation that they should avoid pregnancy for at least 12 months. There is a great need to improve contraceptive counseling for this growing group of women.

Place, publisher, year, edition, pages
2015. Vol. 25, no 11, p. 2066-2070
Keywords [en]
Gastric bypass, Pregnancy, Contraception, Obesity
National Category
Gastroenterology and Hepatology
Identifiers
URN: urn:nbn:se:oru:diva-56367DOI: 10.1007/s11695-015-1641-7ISI: 000362578700048PubMedID: 25744304OAI: oai:DiVA.org:oru-56367DiVA, id: diva2:1081888
Available from: 2017-03-15 Created: 2017-03-15 Last updated: 2018-07-06Bibliographically approved

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