The Controversy of the Most Proper Time for Pregnancy After Bariatric Surgery: a Review of Ten Cases

Chaichian, Shahla; Moazzami, Bahram; Jamshidi, Fatemeh; Pazouki, Abdolreza; Pishgahroudsari, Mohadeseh; Mokhber, Somayeh; Riazi, Sajedeh

doi:10.1007/s11695-016-2124-1

Cited by 5 publications

(4 citation statements)

References 26 publications

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“…Norgaard et al found no difference in the prevalence of SGA prior to, or after, 18 months (level 2++). Other studies also did not find a difference in gestational outcomes according to surgery to conception interval …”

Section: Evidence and Recommendationsmentioning

confidence: 86%

Pregnancy after bariatric surgery: Consensus recommendations for periconception, antenatal and postnatal care

et al. 2019

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SummaryThe objective of the study is to provide evidence‐based guidance on nutritional management and optimal care for pregnancy after bariatric surgery. A consensus meeting of international and multidisciplinary experts was held to identify relevant research questions in relation to pregnancy after bariatric surgery. A systematic search of available literature was performed, and the ADAPTE protocol for guideline development followed. All available evidence was graded and further discussed during group meetings to formulate recommendations. Where evidence of sufficient quality was lacking, the group made consensus recommendations based on expert clinical experience. The main outcome measures are timing of pregnancy, contraceptive choice, nutritional advice and supplementation, clinical follow‐up of pregnancy, and breastfeeding. We provide recommendations for periconception, antenatal, and postnatal care for women following surgery. These recommendations are summarized in a table and print‐friendly format. Women of reproductive age with a history of bariatric surgery should receive specialized care regarding their reproductive health. Many recommendations are not supported by high‐quality evidence and warrant further research. These areas are highlighted in the paper.

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Section: Evidence and Recommendationsmentioning

confidence: 86%

Pregnancy after bariatric surgery: Consensus recommendations for periconception, antenatal and postnatal care

et al. 2019

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“…Women with class III obesity account for 73–80% of these patients and 43% are of reproductive age [ 2 ]. Bariatric surgery reduces associated diseases, modifies the regularity of menstrual cycles, increases fertility and thereby favors the occurrence of pregnancy [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…Another factor that contributes to VAD is an increase in tissue adiposity [ 13 ]. In this context, the permanence of overweight and/or obesity in pre-pregnancy, a frequent occurrence after bariatric surgery, and gestational weight gain above the recommended range, are considered determining factors for gestational adverse outcomes [ 1 , 4 , 14 , 15 ] and can still contribute to the worsening of the nutritional status of vitamin A.…”

Section: Introductionmentioning

confidence: 99%

Relationship between the Nutritional Status of Vitamin A per Trimester of Pregnancy with Maternal Anthropometry and Anemia after Roux-en-Y Gastric Bypass

et al. 2017

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The aim of this study was to compare the nutritional status of vitamin A per trimester of pregnancy, as well as to assess its influence on pre-pregnancy BMI, total gestational weight gain (TGWG) and presence of anemia in women who had previously undergone Roux-en-Y gastric bypass (RYGB). An analytical, longitudinal and retrospective study comprising 30 pregnant women who had previously undergone RYGB was undertaken. In all trimesters of pregnancy, the serum concentrations of retinol, β-carotene, stages of vitamin A deficiency (VAD), night blindness (NB), anemia and anthropometric variables were assessed. VAD in pregnancy affected 90% of women, 86.7% developed NB and 82.8% had mild VAD. TGWG above/below the recommended range was related to the low serum concentrations of β-carotene (p = 0.045) in the second trimester and women with TGWG above the recommended range showed 100% of inadequacy of this nutrient in the third trimester. Among the pregnant women with anemia, 90.9% had VAD and 86.4% had NB. This study highlights the importance of monitoring the nutritional status of vitamin A in prenatal care, due to its relationship with TGWG and the high percentage of VAD and NB found since the beginning of pregnancy. It also reaffirms the use of the cut-off <1.05 μmol/L for determining VAD.

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“…However, cultural and geographical issues, such as light exposure, work-shifts, diet, and sleep pattern affect menstrual cycles, as well as obesity status [9][10][11]; thus, it is essential to separately study the prevalence of menstruation disturbances and their association with obesity in different nations. Iranian studies addressing the prevalence and the factors associated with menstrual disorders in Iranian women are scarce.…”

Section: Introductionmentioning

confidence: 99%

Menstrual Disorder in Morbid Obese Patients, Compared to Normal-weighted Controls

Tamannaie

Jamshidi

Akhlaghdoust

et al. 2021

ABS

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Background and Objectives: To evaluate the association between menstrual cycle disorders with obesity in Iranian women. Methods & Materials: In the present case-control study, 405 obese women of reproductive age who referred to the Obesity Clinic of Minimally Invasive Surgery Research Center, Rasoul-e-Akram Hospital, Tehran, between Jan 2013 and Oct 2015 were included as the case group and were compared with a control normal-weight group, selected from their family members (N=293). Menstrual cycle characteristics were documented in a researcher-designed checklist. For the statistical analysis, we used SPSS version 19 and Stata version 5.0. Results: In the case group, 47 women (11.6%) had irregular menstrual cycles, while it existed in 22 (7.5%) of the control group (P<0.001). The prevalence of different menstrual disorders was as follows: polymenorrhea 107 (26.4%) in cases and 51 (17.4%) in controls (P<0.001), oligomenorrhea 22 (5.4%) in cases and 16 (5.5%) in controls (P<0.001). Conclusion: The results of the present study showed that morbid obesity increases the risk of menstrual irregularities and dysmenorrhea; therefore, it is essential to pay greater attention to this issue in morbid obese patients for proper management of this disturbing comorbidity.

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The Controversy of the Most Proper Time for Pregnancy After Bariatric Surgery: a Review of Ten Cases

Abstract: The results of the present study suggest revising setting a contraindication for conception for patients undergoing bariatric surgery.

Cited by 5 publications

References 26 publications

Pregnancy after bariatric surgery: Consensus recommendations for periconception, antenatal and postnatal care

Pregnancy after bariatric surgery: Consensus recommendations for periconception, antenatal and postnatal care

Relationship between the Nutritional Status of Vitamin A per Trimester of Pregnancy with Maternal Anthropometry and Anemia after Roux-en-Y Gastric Bypass

Menstrual Disorder in Morbid Obese Patients, Compared to Normal-weighted Controls

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