A Scoping Review: Bariatric Providers' Knowledge and Behaviors Related to Contraceptive Counseling

Obes Surg. 2024 Apr;34(4):1358-1365. doi: 10.1007/s11695-024-07090-y. Epub 2024 Feb 20.

Abstract

Bariatric surgery is a common treatment for obesity, and about half of patients undergoing these procedures are patients of reproductive age. Following bariatric procedures, rapid weight loss and an increase in fertility occur. Guidelines recommend pregnancy delay for 12-24 months postoperatively. It is important that patients capable of pregnancy undergoing bariatric procedures receive preoperative contraceptive counseling. Studies surveying bariatric providers demonstrate that most providers understand the importance of delaying pregnancy and contraceptive counseling. However, deficiencies in bariatric provider knowledge, comfort, and practice with contraceptive counseling were identified. These gaps highlight opportunities for improvement in preoperative care to ensure patients are receiving appropriate contraception.

Keywords: Bariatric procedures; Bariatric providers; Bariatric surgery; Contraceptive counseling.

Publication types

  • Review

MeSH terms

  • Bariatric Surgery*
  • Contraception
  • Contraceptive Agents
  • Counseling
  • Female
  • Humans
  • Obesity, Morbid* / surgery
  • Pregnancy

Substances

  • Contraceptive Agents