Fertility and pregnancy knowledge and expectations among women with a history of metabolic bariatric surgery.

BACKGROUND

Women of reproductive age represent a significant proportion of metabolic bariatric surgery (MBS) patients. However, research on their knowledge and perspectives regarding fertility and pregnancy post-MBS is scarce.

METHODS

A questionnaire was developed to comprehensively capture women's perspectives on pregnancy after MBS. To ensure content validity, the survey was assessed by health care experts using content validity indices and through semi-structured patient interviews. The cross-sectional survey was then distributed via social media platforms. Responses from women aged 18-45, with a history of MBS were included for analysis.

RESULTS

A 49-item questionnaire was developed and content validated. A total of 90 individuals completed the survey and met the inclusion criteria. The mean age was 30.8 ± 5.1 years. Seventy-five (83.3%) had undergone Roux-en-Y gastric bypass surgery. Regarding optimal timing and sequencing of MBS and conception, 24 respondents (26.7%) believed that women wishing to become pregnant should do so prior to undergoing MBS, while 40 (44.5%) did not share this view. In terms of risk-benefit perception, 40 respondents (44.4%) expressed concern about maternal health and 34 (37.8%) indicated concern about the potential impact on infant health following MBS.

CONCLUSIONS

These findings highlight variability in perceptions regarding optimal timing of pregnancy relative to MBS, with a notable proportion of respondents expressing concerns about maternal and infant health. This underscores the need for evidence-based guidance for women of reproductive age considering MBS.