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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.
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| Measure | Description | Time Frame |
|---|---|---|
| Number of patients with prevalence of symptoms of depression or anxiety assessed by questionnaires and structured clinical interview (SCID) | questionnaires for depression:
questionnaire for anxiety:
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 | 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:
questionnaire for anxiety:
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 | 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 | retrospective: complete lifetime from date of birth until date of recruitment (> 6 months after childbirth), assessed up to 50 years |
| Measure | Description | Time Frame |
|---|---|---|
| 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. | from date of bariatric surgery until date of recruitment (> 6 months after childbirth), assessed up to 20 years |
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Inclusion Criteria:
Exclusion Criteria:
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Patients visiting the metabolic ambulance for follow-up care after bariatric surgery are eligible for the study.
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| Name | Affiliation | Role |
|---|---|---|
| Ann-Cathrin Koschker, Dr. med. | Würzburg University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital | Würzburg | Bavaria | 97080 | Germany | ||
| Sana Adipositaszentrum Offenbach |
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| ID | Term |
|---|---|
| D019052 | Depression, Postpartum |
| ID | Term |
|---|---|
| D011644 | Puerperal Disorders |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| 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. |
| 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. | from date of beginning of pregnancy until date of recruitment (> 6 months after childbirth), assessed up to 12 years |
| Offenbach |
| Hesse |
| 63069 |
| Germany |
| Uniklinikum Aachen, Klinik für Allgemein-, Viszeral-und Transplantationschirurgie | Aachen | North Rhine-Westphalia | 52074 | Germany |
| Sana Adipositaszentrum NRW | Remscheid | North Rhine-Westphalia | 42853 | Germany |
| Adipositaszentrum Westküstenklinium Heide | Heide | Schleswig-Holstein | 25746 | Germany |
| D003866 | Depressive Disorder |
| D019964 | Mood Disorders |
| D001523 | Mental Disorders |