Casas Rachel, Bourjeily Ghada, Vithiananthan Sivamainthan, Tong Iris
Department of Medicine, Warren Alpert Medical School of Brown University, United States.
Department of Surgery, Warren Alpert Medical School of Brown University, United States.
Obes Res Clin Pract. 2014 Nov-Dec;8(6):e608-13. doi: 10.1016/j.orcp.2014.08.006. Epub 2014 Sep 19.
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.
A 36-question survey was sent electronically to patients at the Miriam Hospital Bariatric Center in Providence, Rhode Island.
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.
We have identified an important opportunity for healthcare providers to promote ongoing compliance with contraception for women undergoing bariatric surgery.
由于减肥手术后胎儿生长受限的风险增加，对接受减肥手术的女性进行避孕咨询至关重要。我们评估接受减肥手术的女性是否接受了避孕咨询并使用了避孕措施。
通过电子邮件向罗德岛普罗维登斯米里亚姆医院减肥中心的患者发送了一份包含36个问题的调查问卷。
在我们研究纳入的35名女性中，分别有85.7%和80%的女性报告在术后12至24个月接受了避孕咨询和避免怀孕的建议。只有65.7%的女性在使用避孕措施。与未使用避孕措施的女性相比，更多使用避孕措施的女性报告接受了咨询（95.7%对66.7%）并且知道术后要避免怀孕（82.6%对75%）。术后随着时间推移，避孕措施的使用有所下降。
我们发现了一个重要机会，医疗保健提供者可借此促进接受减肥手术的女性持续遵守避孕措施。
