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Experiences and information needs of women who become pregnant after bariatric surgery: An interpretive descriptive qualitative study
journal contribution
posted on 2023-04-26, 05:03 authored by Vidanka VasilevskiVidanka Vasilevski, G Angel, A Mathison, G Teale, Linda SweetLinda SweetBackground: Obesity is known to negatively impact fertility and increase pregnancy related complications. Many women of childbearing age opt for bariatric surgery to lose weight in the preconception period. Physiological changes of bariatric surgery are associated with both benefits and risks for maternal and neonatal outcomes. How women understand these risks and experience pregnancy following bariatric surgery are largely unknown. Objective: To explore the information needs and experiences of Australian women who become pregnant following bariatric surgery. Design: An interpretive descriptive qualitative study of 11 Australian women with experiences of pregnancy following bariatric surgery participated in a private Facebook discussion group conducted in 2021. Women were recruited via targeted advertisements on social media. Results: Women identified several information gaps regarding the implications of having bariatric surgery for preconception, pregnancy, and postnatal periods. Family planning, pregnancy nutrition, and breastfeeding advice were key areas of information need. Women's experiences of pregnancy following bariatric surgery included attitudes of judgement and lack of knowledge from their healthcare providers. Conclusions: Healthcare professionals caring for women who have had bariatric procedures need to ensure that all women are fully informed about the risks of becoming pregnant within the first 12-months post-surgery. They should also anticipate that despite recommendations, women will become pregnant earlier than advised, and can benefit from non-judgemental and supportive care to ensure risks of poor outcomes are minimised. The findings highlight that the provision of tailored resources and education for women and their healthcare teams are needed.
History
Journal
MidwiferyVolume
121Article number
103652Pagination
103652-103652Location
ScotlandPublisher DOI
ISSN
0266-6138eISSN
1532-3099Language
enPublisher
Elsevier BVUsage metrics
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Keywords
Bariatric surgeryBreastfeedingLactationPregnancyWomen's experiencePreventionPatient SafetyPediatricNutritionContraception/ReproductionObesity7.1 Individual care needs7 Management of diseases and conditionsReproductive health and childbirth3 Good Health and Well BeingPublic Health and Health Services not elsewhere classifiedNursing not elsewhere classifiedPaediatrics and Reproductive Medicine not elsewhere classified
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