Half of all bariatric surgical procedures are in @entity1 of childbearing age. Surgery may improve fertility yet exacerbate @entity3147 , that may be disadvantageous to the fetus. A frequently encountered subgroup of @entity28 @entity1 have @entity164 2 @entity6 . The health risks, to both mother and @entity1 , of @entity6 in pregnancy are well described including 4.7* risk of @entity2209 and 2* risk of @entity154 . What is not clear is whether bariatric surgery mitigates or complicates the health consequences of @entity1 with @entity28 and @entity6 in pregnancy. In addition the influence of the @entity164 of surgery, the optimal interval between surgery and conception and evidence based preconception recommendations are unknown. This study complements wider research aiming to inform optimal management of this @entity1 population. Obese @entity6 @entity1 require clear guidance regarding pregnancy planning after surgery. This study will develop an understanding of the barriers and facilitators ( @entity458 , behavioural, attitudinal and nutritional) to achieving effective pre-pregnancy health and care in @entity1 with @entity164 2 @entity6 who have undergone metabolic surgery. Currently @entity1 's perception of fertility issues and risks after bariatric surgery is unknown and thus a qualitative interpretive paradigm was chosen. Interviews with the target population will explore decision-making processes; experience regarding metabolic surgery and perceived pregnancy risk. Interviews with a broad range of health professionals involved in bariatric care will include rationale for selected surgical procedure and post surgery referral processes e.g. contraceptive care. This will advance understanding of how to provide targeted support and monitoring.

Pregnancy after XXXX surgery (PADOS): Qualitative study of pre-pregnancy care.

@entity1 :: ('9606', 'Species') :: ['women', 'patient', 'child'] @entity154 :: ('MESH:D000013', 'Disease') :: ['congenital abnormality'] @entity28 :: ('MESH:D009765', 'Disease') :: ['obese', 'obesity'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetic', 'diabetes'] @entity2209 :: ('MESH:D050497', 'Disease') :: ['stillbirth'] @entity458 :: ('MESH:D020018', 'Disease') :: ['psychological'] @entity164 :: ('MESH:D017827', 'Disease') :: ['type'] @entity3147 :: ('MESH:D044342', 'Disease') :: ['nutritional deficiencies']
@entity6 :: (MESH:D003920,Disease) :: ['diabetes obesity']
