Pregnancy after bariatric surgery is not associated with adverse perinatal outcome

Sheiner, Eyal; Levy, Amalia; Silverberg, Daniel; Menes, Tehillah S.; Levy, Isaac; Katz, Miriam; Mazor, Moshe

doi:10.1016/j.ajog.2003.11.004

Cited by 219 publications

(49 citation statements)

References 22 publications

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“…Pregnancies after restrictive bariatric interventions are generally considered to be safe [5,6,15,21,22,26]; however, surgery-associated complications and severe nutrient deficiency can occur as a complication of this type of surgery as illustrated in our case series.…”

Section: Discussionmentioning

confidence: 82%

Maternal bariatric surgery: adverse outcomes in neonates

et al. 2009

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Section: Discussionmentioning

confidence: 82%

Maternal bariatric surgery: adverse outcomes in neonates

et al. 2009

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“…23 In another study, cesareans after bariatric surgery increased even after controlling for prior cesareans, continued obesity, infertility, and macrosomia. 33 Furthermore, Lapolla et al reported 28.2% cesareans in 858 normal-weight pregnancies, 65.8% cesareans in 120 obese pregnancies, and 45.9% cesareans in 83 pregnancies after AGB. 34 However, several studies have reported no difference in cesareans.…”

Section: What To Expect In a Pregnancy After Bariatric Surgerymentioning

confidence: 99%

“…However, the published articles usually have small numbers (largest to date is 298 deliveries after bariatric surgery) and varying control groups including obese women without prior bariatric surgery 30,31 vs. matching to their most recent pregnancy before surgery 30,31,24 vs. a comparison by BMI vs. a comparison to a normal BMI or the general population. 31,33 Common themes among these reports are less hypertension (gestational and preeclampsia combined) and diabetes in pregnancies after bariatric surgery with lower occurrences when compared to obese cohorts that did not have bariatric surgery, but higher compared to a general or non-obese cohort. 34 …”

Section: What To Expect In a Pregnancy After Bariatric Surgerymentioning

confidence: 99%

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Preparing for and Managing a Pregnancy After Bariatric Surgery

Kominiarek

2011

Seminars in Perinatology

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The number of bariatric surgeries performed in the United States has risen exponentially. Given that the majority of patients are female and of reproductive age, it is important for clinicians who manage womenȉs health issues to be aware of the surgery, its long term goals, and the potential effect on future pregnancies. Most pregnancies after bariatric surgery have successful outcomes with decreased occurrences of gestational diabetes and hypertension and lower birth weight compared with controls. Adherence to nutritional guidelines and supplementation in the event of deficiencies are critical in the provision of prenatal care to this unique population. Other important issues include a multidisciplinary team management, a different approach to screening for gestational diabetes, careful evaluation of any gastrointestinal complaints, and appropriate counseling for gravidas who still remain obese during pregnancy. Further research should investigate the long-term maternal outcomes in pregnancies after bariatric surgery as well as the effect on the offspring.

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“…Dietary restriction and weight loss prior to pregnancy are proven strategies to improve infant health outcome. Pregnancies after bariatric surgery are less likely to be complicated by gestational diabetes mellitus, hypertension, preeclampsia, and macrosomia than are pregnancies of obese women who have not undergone such surgery [78,79,80]. Bariatric surgery prior to a planned pregnancy is the best strategy for reducing obesity-related complication for mother and child.…”

Section: Life-long Impactmentioning

confidence: 99%

Impact of Maternal Obesity on Fetal Health

Tenenbaum-Gavish

Hod²

2013

Fetal Diagn Ther

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The obesity epidemic is a problem of global importance with a profound impact on maternal-fetal health. Maternal overweight and obesity causes pregnancy complications such as gestational diabetes, hypertension and preeclampsia and affects fetal growth. Maternal obesity offers an altered genetic, hormonal and biochemical environment for the developing fetus/embryo and influences fetal growth and organ development. Offspring of obese mothers are subject to an increased risk of fetal demise, congenital anomalies and disrupted growth patterns, causing an increase in perinatal mortality. The impact of maternal obesity extends beyond intrauterine and neonatal life to childhood, adolescence and adulthood.

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Pregnancy after bariatric surgery is not associated with adverse perinatal outcome

Cited by 219 publications

References 22 publications

Maternal bariatric surgery: adverse outcomes in neonates

Maternal bariatric surgery: adverse outcomes in neonates

Preparing for and Managing a Pregnancy After Bariatric Surgery

Impact of Maternal Obesity on Fetal Health

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