Considerações sobre gravidez após cirurgia bariátrica: evidências atuais e recomendações

Ilias, Elias Jirjoss

doi:10.1590/s0104-42302008000600003

Cited by 1 publication

(4 citation statements)

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“…Despite the improvement of metabolic and reproductive functioning after the surgery procedure, 5,9,11 the decision to do a BS does not seem to be a determinant to the intent of getting pregnant, as there was no significative difference between the women who planned (49%) and those who did not (51%) their pregnancies. Nevertheless, most of them (86.6%) affirmed that the gestation was desired.…”

Section: Discussionmentioning

confidence: 98%

“…In the vast majority, the information was practical in nature, without a scientific accuracy and without any commitment to medical discourse. Still, it was possible to note that the participants, for the most part, followed medical advice because they kept up medical monitoring (79.1%) and got pregnant after 18 months of BS (63.3%), which is the minimum period recommended for a low-risk pregnancy 6,9,11 after BS by surgical technique gastric bypass (87.4%), which is, according to Santo et al, 9 the golden pattern to this type of obesity treatment.…”

Section: Discussionmentioning

confidence: 99%

“…6 9 This time varies from 12 to 18 months, and it corresponds to a minimum hiatus for a post-BS pregnancy with less maternal-fetal risks. 6 9 11…”

Section: Introductionmentioning

confidence: 99%

“…6,9 This time varies from 12 to 18 months, and it corresponds to a minimum hiatus for a post-BS pregnancy with less maternal-fetal risks. 6,9,11 Therefore, the risks arising from physical, psychological, and metabolic alterations caused by BS add up to a high vulnerability to mental disorders during the pregnancypuerperal cycle, especially on the first and third trimesters of pregnancy, and on 30 days postpartum (puerperium). 12,13 During gestation, this can be explained by issues and fears…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of Depression in Pregnant Women with Bariatric Surgery History and Associated Factors

Rocha¹,

Cunha²,

Silva

2022

Rev Bras Ginecol Obstet

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Objective To analyze the prevalence and factors associated with depressive symptoms among Brazilian pregnant women with history of bariatric surgery (BS). Methods This is a cohort study with 247 women who got pregnant after BS. Based on data collection via Google Form, the recruitment of participants occurred in Facebook groups for 13 months. All of them answered a form with Informed Consent, a general data protocol and the Brazilian version of the Depression, Anxiety and Stress Scale-21. Descriptive and inferential analysis were performed, and a binary logistic regression model was tested to predict the factors associated with depressive symptoms. Results The prevalence of depressive symptoms was 32.8%, noted as being higher in the first (40.6%) and third (34.3%) gestational trimesters. Significative associations were found between depression and marital status (p = 0.000), planned pregnancy (p = 0.001), desired pregnancy (p = 0.004) and psychiatric history (p = 0.000). Women who were not married (odds ratio, OR = 3,38; p = 0.002) and had a psychiatric history (OR = 2.70; p = 0.102) had higher chances of showing depression symptoms; while planned and desired pregnancy showed as protective factors to the symptoms of depression. Conclusion These findings highlight the importance of psychological assistance for pregnant women with history of BS, to prevent development of mental disorders and their outcomes for maternal-child health.

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Section: Discussionmentioning

confidence: 98%