title: Contraceptive use in women undergoing bariatric surgery.
abstract: BACKGROUND
  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.
  
  
  METHODS
  A 36-question survey was sent electronically to patients at the Miriam Hospital Bariatric Center in Providence, Rhode Island.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  We have identified an important opportunity for healthcare providers to promote ongoing compliance with contraception for women undergoing bariatric surgery.
authors.affiliation: Department of Medicine, Warren Alpert Medical School of Brown University, United States.
authors.forename: Rachel
authors.initials: R
authors.lastname: Casas
authors.affiliation: Department of Medicine, Warren Alpert Medical School of Brown University, United States.
authors.forename: Ghada
authors.initials: G
authors.lastname: Bourjeily
authors.affiliation: Department of Surgery, Warren Alpert Medical School of Brown University, United States.
authors.forename: Sivamainthan
authors.initials: S
authors.lastname: Vithiananthan
authors.affiliation: Department of Medicine, Warren Alpert Medical School of Brown University, United States. Electronic address: itong@lifespan.org.
authors.forename: Iris
authors.initials: I
authors.lastname: Tong
mesh_terms: D000293:Adolescent; D000328:Adult; D050110:Bariatric Surgery / Q000009:adverse effects*; D003267:Contraception; D003376:Counseling; D005260:Female; D006801:Humans; D010349:Patient Compliance; D011247:Pregnancy; D012237:Rhode Island; D013997:Time Factors; D055815:Young Adult
keywords: Bariatric surgery; Contraception; Obesity