Assaf Zainah, Taha Hana, Moonesar Immanuel Azaad, Obeidat Firas, Badran Eman F, Al-Nabelsi Mazen, Al Qutob Raeda
Department of Family and Community Medicine, School of Medicine, The University of Jordan, Amman, Jordan.
Department of Pharmacology, Public Health and Clinical Skills, Faculty of Medicine, Hashemite University, Zarqa, Jordan.
SAGE Open Med. 2023 Mar 17;11:20503121231158017. doi: 10.1177/20503121231158017. eCollection 2023.
This study aims at exploring the knowledge of women of reproductive age who underwent bariatric surgery in Jordan regarding its effect on birth outcomes.
A cross-sectional study was conducted on 183 women (aged 15-49) who had undergone bariatric surgery at the Jordan University Hospital in Amman, Jordan, between 2016 and 2019, using telephone interviews with conveniently selected participants' samples. The survey tool obtained data on women's knowledge and other sociodemographic, obstetric health, and bariatric surgery information. Unfavorable birth outcomes include preterm delivery, small for gestational age, congenital abnormalities, low birth weight, and admission to the neonatal critical care unit.
More than half of the participants did not know about the possible unfavorable birth outcomes after bariatric surgery and related practice guidelines. This is shown in their median score of 3 (interquartile range: 2-4) out of a maximum possible score of 8. Women who had a good score (>4) had received counseling about unfavorable bariatric surgery outcomes from their surgeon ( < 0.013); those who had educational qualifications higher than secondary school ( < 0.001) as well as those who were employed ( < 0.008) and believed that the surgery would affect the newborn ( < 0.001). The median score was also unfavorably associated with the parity of the participants ( < 0.003).
The extent of knowledge regarding the unfavorable birth outcome of bariatric surgery is low among women who underwent bariatric surgery at Jordan University Hospital in Jordan. Improving health literacy and information on bariatric surgery implications on pregnancy and birth outcomes amongst women of reproductive age is a recommendation from this study.
本研究旨在探究约旦接受减肥手术的育龄妇女对该手术对分娩结局影响的了解情况。
对2016年至2019年间在约旦安曼的约旦大学医院接受减肥手术的183名年龄在15 - 49岁之间的妇女进行了一项横断面研究，采用电话访谈的方式，方便地选取了参与者样本。该调查工具获取了有关妇女的知识以及其他社会人口统计学、产科健康和减肥手术信息的数据。不良分娩结局包括早产、小于胎龄儿、先天性异常、低出生体重以及入住新生儿重症监护病房。
超过一半的参与者不知道减肥手术后可能出现的不良分娩结局及相关实践指南。这体现在她们在满分8分中的中位数得分为3分（四分位间距：2 - 4分）。得分较高（>4分）的妇女从外科医生那里得到了关于减肥手术不良结局的咨询（<0.013）；那些具有高于中学学历的妇女（<0.001）、就业妇女（<0.008）以及认为手术会影响新生儿的妇女（<0.001）。中位数得分还与参与者的胎次呈负相关（<0.003）。
在约旦约旦大学医院接受减肥手术的妇女中，对减肥手术不良分娩结局的了解程度较低。本研究建议提高育龄妇女的健康素养以及关于减肥手术对妊娠和分娩结局影响的信息。
