Nutrients · 6 authors, 3 centres
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This mixed-methods survey of 135 UK healthcare professionals found that only 45% felt 'very familiar' with the nutritional needs of women with a history of bariatric surgery during preconception and pregnancy, and identified major barriers to providing support, including lack of resources, time, and communication.
This cross-sectional, mixed-methods survey investigated UK healthcare professionals' knowledge, practices, and barriers regarding preconception and pregnancy nutritional support for women with a history of bariatric surgery. Of 135 respondents, including dietitians and midwives, only 45% reported being 'very familiar' with the specific nutritional needs of this population. While many offered verbal advice, preconception advice was often missed. Key barriers included a lack of resources and time, poor communication between services, limited preconception contact, and insufficient information or guidance. Respondents emphasized the need for multidisciplinary care, involving dietitians for expertise and GPs/midwives for frequent access. Limitations include an unknown response rate and the inability to follow up on self-reported data. The findings highlight the absence of national guidelines, leading to inconsistent care, and underscore that standardized, evidence-based guidance and training are needed to improve service provision and potentially enhance pregnancy outcomes.
