Women with a history of bariatric surgery may face various difficulties during pregnancy and puerperal time. Therefore it is assumed the prevalence of mental health disorders might be higher than in average women during and after pregnancy. This could possibly lead to an unsatisfying weight progress and therapeutic non-adherence. These factors shall be observed in the study in order to characterize this special cohort of participants.
Women following bariatric surgery are included at least 6 months after childbirth to evaluate retrospectively pregnancy and puerperal time. For mental health issues questionnaires, a structured clinical interview (SCID) and a psychological interview give an insight to past and present status. In order to evaluate weight progress and nutrient deficiencies routine follow-up care data of bariatric surgery is screened. In order to assess the course of pregnancy and child development data is extracted from pregnancy and child's examinations reports. Furthermore medication adherence, quality of life and sleep are registered by questionnaires.
Study Type
OBSERVATIONAL
Enrollment
36
University Hospital
Würzburg, Bavaria, Germany
Sana Adipositaszentrum Offenbach
Offenbach, Hesse, Germany
Uniklinikum Aachen, Klinik für Allgemein-, Viszeral-und Transplantationschirurgie
Aachen, North Rhine-Westphalia, Germany
Sana Adipositaszentrum NRW
Remscheid, North Rhine-Westphalia, Germany
Number of patients with prevalence of symptoms of depression or anxiety assessed by questionnaires and structured clinical interview (SCID)
questionnaires for depression: * Beck Depression Inventory (BDI-II) * Patient Health Questionnaire-9 (PHQ-9) * Edinburgh Postnatal Depression Scale (EPDS) questionnaire for anxiety: * Generalized Anxiety Disorder-7 (GAD-7) Prevalence of symptoms can be defined by scores higher than defined cut-offs in questionnaires or scores that lead to diagnosis of psychiatric disorder in structured clinical interview
Time frame: date of recruitement (> 6 months after childbirth)
Number of patients with prevalence of symptoms of depression or anxiety assessed by questionnaires and structured clinical interview
questionnaires for depression: * Patient Health Questionnaire-9 (PHQ-9) questionnaire for anxiety: * Generalized Anxiety Disorder-7 (GAD-7) Prevalence of symptoms can be defined by scores higher than defined cut-offs in questionnaires or scores that lead to diagnosis of psychiatric disorder in structured clinical interview
Time frame: retrospective: time frame 0-4 weeks after birth
Number of patients with prevalence of symptoms of depression assessed by structured clinical interview
Prevalence of symptoms can be defined by scores that lead to diagnosis of psychiatric disorder in structured clinical interview
Time frame: retrospective: complete lifetime from date of birth until date of recruitment (> 6 months after childbirth), assessed up to 50 years
Mean change of body weight from baseline
Body weight is measured on scales and participants are asked additionally via questionnaire. Baseline measurement starts at date of bariatric surgery.
Time frame: from date of bariatric surgery until date of recruitment (> 6 months after childbirth), assessed up to 20 years
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Adipositaszentrum Westküstenklinium Heide
Heide, Schleswig-Holstein, Germany
Status of nutritional deficiencies and therapy adherence
Participants are asked to answer Medication Adherence Report Scale (MARS-D) and blood levels concerning nutrients that are examined routinely in bariatric surgery follow-up care are analysed.
Time frame: from date of bariatric surgery until date of recruitment (> 6 months after childbirth), assessed up to 20 years
Adverse events in pregnancy and child development
Record of prenatal care and record of child's examinations are screened for complications.
Time frame: from date of beginning of pregnancy until date of recruitment (> 6 months after childbirth), assessed up to 12 years