Survey on Patients After Childbearth Following Bariatric Surgery

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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Survey on Patients After Childbearth Following Bariatric Surgery - Data Collection on Mental Health Complications, Weight Change, Nutrition Deficiencies and Postpartal Progress

Conditions
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Bariatric Surgery Status in Childbirth, Puerperal Depression

Participation Criteria
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Eligibility Criteria
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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: -

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | 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: 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 | 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 | 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 | 

Secondary Outcome Measures

| Outcome Measure | 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 | 
| 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 |