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A survey of bariatric surgical and reproductive health professionals' knowledge and provision of contraception to reproductive-aged bariatric surgical patients

Graham, Yitka, Mansour, D., Small, P.K., Hinshaw, Kim, Gatiss, S., Mahawar, K.K., McGarry, Kenneth and Wilkes, Scott (2016) A survey of bariatric surgical and reproductive health professionals' knowledge and provision of contraception to reproductive-aged bariatric surgical patients. Obesity Surgery, 26 (8). pp. 1918-1923. ISSN 0960-8923

Item Type: Article



Over 80 % of bariatric surgical patients are women with obesity in their reproductive years. Obesity adversely affects fertility; the rapid weight loss following bariatric surgery can increase fecundity. Current guidelines recommend avoiding pregnancy for up to 24 months following surgery, but little is known about current contraceptive care of women who undergo bariatric surgery. Two surveys were undertaken with bariatric surgical and contraceptive practitioners in England to establish current contraceptive practices in both groups.

Two anonymous on-line surveys were sent to all 382 members of the British Obesity and Metabolic Surgery Society (BOMSS) and an estimated 300 contraceptive practitioners in the North East of England.

The BOMSS survey elicited a response rate of 17 % (n = 65), mainly from bariatric surgeons (n = 24 (36 %)). Most respondents (97 %) acknowledged the need to educate patients, but contraceptive information was only provided by 7 % (n = 4) of respondents in bariatric surgical clinics. Less than half of respondents were confident discussing contraception, and the majority requested further training, guidance and communication with contraceptive practitioners. The majority of respondents to the contraceptive practitioner survey were general practitioners (28 %, n = 20). Three quarters of respondents reported little knowledge of bariatric surgery, and many reported not seeing women with obesity requiring contraception before (66 %, n = 45) or after surgery (71 %, n = 49).

There is a need to increase knowledge levels of contraception within bariatric surgical teams and to understand why, despite increasing levels of bariatric surgery, women do not seem to be appearing for advice in contraceptive settings.

OBSU Clean Copy Dec 5 2015.pdf - Accepted Version

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More Information

Depositing User: Paula Normington


Item ID: 5940
Identification Number:
ISSN: 0960-8923
Official URL:

Users with ORCIDS

ORCID for Yitka Graham: ORCID iD
ORCID for Kenneth McGarry: ORCID iD
ORCID for Scott Wilkes: ORCID iD

Catalogue record

Date Deposited: 08 Feb 2016 11:39
Last Modified: 18 Dec 2019 15:38


Author: Yitka Graham ORCID iD
Author: Kenneth McGarry ORCID iD
Author: Scott Wilkes ORCID iD
Author: D. Mansour
Author: P.K. Small
Author: Kim Hinshaw
Author: S. Gatiss
Author: K.K. Mahawar

University Divisions

Faculty of Health Sciences and Wellbeing
Faculty of Health Sciences and Wellbeing > School of Nursing and Health Sciences
Faculty of Technology
Faculty of Technology > School of Computer Science



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