{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:47:00Z","timestamp":1777916820448,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To describe bariatric surgery patients' perioperative conceptualizations about pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>We performed a secondary analysis of a cross-sectional study performed in 2016, evaluating a nationally recruited convenience sample of U.S. women aged 18\u201345 years who underwent bariatric surgery within the past 24 months. We assessed four pregnancy constructs: intent, desire, emotional orientation, and importance to avoid. We examined relationships between constructs, with time since surgery, postoperative pregnancy, and contraceptive use using descriptive statistics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      We included 363 eligible women (response rate 80%). Participant median age was 36 years, 71% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009258) were White, 77% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009279) were sexually active at the time of the study, and 39% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009140) experienced preoperative infertility. Most reported no desire to become pregnant (59%,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009175) and that it was important to avoid pregnancy (78%,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009283) within the first 24 months after surgery. Relationships between constructs were complex. Respondents in their first postoperative year more likely reported they would feel upset about a hypothetical pregnancy (40%,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200974) than those in their second year (27%,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200948,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.02). Of those with a postoperative pregnancy, 46% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200917) felt it was important to avoid pregnancy compared with 81% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009266) of those who did not have a pregnancy (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Most used postoperative contraception (66%,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009241), and those who felt it was important to avoid pregnancy more likely used contraception (82%,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009197) than those who did not feel it was important (18%,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200944,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Women undergoing bariatric surgery have diverse and complex conceptualizations about future pregnancy. These varied based on time from surgery and influenced postoperative contraceptive use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2022.0319","type":"journal-article","created":{"date-parts":[[2023,2,14]],"date-time":"2023-02-14T15:02:15Z","timestamp":1676386935000},"page":"478-485","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Pregnancy Conceptualizations in Women Who Have Had Recent Bariatric Surgery"],"prefix":"10.1177","volume":"32","author":[{"given":"Biftu","family":"Mengesha","sequence":"first","affiliation":[{"name":"Division of Zuckerberg San Francisco General, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jody","family":"Steinauer","sequence":"additional","affiliation":[{"name":"Division of Zuckerberg San Francisco General, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Carter","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery, University of California, San Francisco, San Francisco, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Division of Zuckerberg San Francisco General, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Dehlendorf","sequence":"additional","affiliation":[{"name":"Division of Zuckerberg San Francisco General, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, California, USA."},{"name":"Department of Family and Community Medicine, University of California, San Francisco, San Francisco, California, USA."},{"name":"Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,4,4]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2015.11.033"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2008.641"},{"key":"e_1_3_4_4_2","unstructured":"Feldman M Friedman L Brandt L. 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Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient\u20142013 update: Cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery. Obesity (Silver Spring), 2013; 21(suppl 1):S1\u2013S27.","journal-title":"Obesity (Silver Spring)"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2005.37"},{"key":"e_1_3_4_15_2","doi-asserted-by":"crossref","unstructured":"Curtis KM Tepper NK Jatlaoui TC et al. CDC. U.S. medical eligibility criteria for contraceptive 336 use. 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