Bariatric Surgery Status in Childbirth, Puerperal Depression
Conditions
Brief summary
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.
Detailed description
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.
Interventions
None listed
Sponsors
Wuerzburg University Hospital
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Inclusion criteria
* 18 years of age * status following bariatric / metabolic surgery due to indication criteria * childbirth after bariatric / metabolic surgery, at least 6 months ago * written informed consent
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients with prevalence of symptoms of depression or anxiety assessed by questionnaires and structured clinical interview (SCID) | date of recruitement (> 6 months after childbirth) | 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 |
| Number of patients with prevalence of symptoms of depression or anxiety assessed by questionnaires and structured clinical interview | retrospective: time frame 0-4 weeks after birth | 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 |
| Number of patients with prevalence of symptoms of depression assessed by structured clinical interview | retrospective: complete lifetime from date of birth until date of recruitment (> 6 months after childbirth), assessed up to 50 years | Prevalence of symptoms can be defined by scores that lead to diagnosis of psychiatric disorder in structured clinical interview |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean change of body weight from baseline | from date of bariatric surgery until date of recruitment (> 6 months after childbirth), assessed up to 20 years | Body weight is measured on scales and participants are asked additionally via questionnaire. Baseline measurement starts at date of bariatric surgery. |
| Status of nutritional deficiencies and therapy adherence | from date of bariatric surgery until date of recruitment (> 6 months after childbirth), assessed up to 20 years | 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. |
| Adverse events in pregnancy and child development | from date of beginning of pregnancy until date of recruitment (> 6 months after childbirth), assessed up to 12 years | Record of prenatal care and record of child's examinations are screened for complications. |
Countries
Germany
Contacts
PRINCIPAL_INVESTIGATORAnn-Cathrin Koschker, Dr. med.
Würzburg University Hospital
Outcome results
None listed