A Retrospective Evaluation of Pregnancy Outcomes Following Bariatric Surgery: A Single-Center Experience

Wang, Xiufang; Liu, Jia; He, Anbang; Dong, Zhiyong; Chen, Xiaomei; Yu, Shuqing; Gao, Lilian; Hua-xi, Wang; Chen, Wenhui; Hu, Ruixiang; Jiang, Shuwen; Wang, Jianxue; Chen, Yuan; Wang, Cunchuan; Yang, Wah; Li, Ruiman

doi:10.2147/dmso.s386773

Cited by 3 publications

(5 citation statements)

References 41 publications

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“…We found that anemia is the most common disorder during pregnancy (76.8%). These results were consistent with those published by Wang X et al, which stated that anemia is the most common disorder among pregnant women [ 26 ]. Based on a recent systematic review, anemia is highly expected to occur after BS, with a prevalence of 17-77% of pregnancies [ 29 ].…”

Section: Discussionsupporting

confidence: 94%

“…However, since plasma volume expands faster than red cell mass throughout pregnancy, the high prevalence of anemia may be explained by the fact that hemoglobin concentration is anticipated to be at its lowest month by month [ 30 ]. Accordingly, to prevent and manage anemia during pregnancy, the guidelines suggest that nutritional supplementation be optimized three to six months before conception and that iron, ferritin, and transferrin levels be frequently checked [ 26 ]. GDM refers to DM that is first identified during the second or third trimester of pregnancy and is not immediately identifiable as type 1 or type 2 DM [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, a study conducted by Wang et al, who studied the pregnancy outcomes after BSs, documented that none of the patients had delivery-related complications. The growth and development of the newborn have been standard since the birth follow-up [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Sleeve Gastrectomy on Pregnancy Complications: A Cross-Sectional Study in Saudi Arabia

Eissa,

Khurmi,

Holbah

et al. 2023

Cureus

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Background: Obesity is defined as abnormal or excessive fat accumulation that may impair health. Until recently, the only effective method for treating morbid obesity over the long term was bariatric surgery (BS). During pregnancy, obesity is correlated with higher risks for numerous complications, including gestational diabetes mellitus, pre-eclampsia, mortality, and large-for-gestational-age neonates. The most commonly reported complications among women who underwent sleeve gastrectomy and experienced pregnancy were placental bleeding, oligohydramnios, urinary tract infection, appendicitis, and recurrent abortions.Objectives: We aim to estimate the consequence of sleeve gastrectomy and its relation with pregnancy outcomes among women in Saudi Arabia.Methodology: This study adopted a quantitative, descriptive, cross-sectional design. It was conducted in Saudi Arabia between February and May 2023 among women who became pregnant after undergoing sleeve gastrectomy.Result: Anemia was experienced by 78.8% of the patients during pregnancy. In our study, 18% of the individuals experienced complications during or right after delivery, with postpartum hemorrhage being the most frequent (43.1%). We discovered that pre-eclampsia and delivering a baby small for gestational age were considerably more common in pregnant women who smoked (p ≤ 0.05). On the other hand, no significant association was discovered between any comorbidity and mode of delivery, birth weight, child complications, or difficulties that occurred during or right after labor. Conclusion:We concluded that weight gain after sleeve gastrectomy negatively impacted pregnancy and increased the probability of several complications for the mother and fetus. Healthcare providers must inform every woman undergoing BS about the possible complication of an unhealthy lifestyle after the procedure.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionmentioning

confidence: 99%

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The Effect of Sleeve Gastrectomy on Pregnancy Complications: A Cross-Sectional Study in Saudi Arabia

Eissa,

Khurmi,

Holbah

et al. 2023

Cureus

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“…A study by Solaiman et al in a group of 158 pregnant patients after BS indicated that there was a negative relationship between shorter TTC interval and GWG (p = 0.002) and lower birth weight and inadequate GWG (p = 0.03); however, the study showed no significant correlation between TTC and PIH, and GDM and neonatal outcomes [26]. In a recent Chinese study, Wang et al found that the spontaneous abortion rate was higher when TTC was lower than 2 years, compared to a TTC interval of 2 years and more (p = 0.04) [29].…”

Section: Optimum Time-to-conception Interval After Bariatric Surgerymentioning

confidence: 88%

Nutritional Implications of Bariatric Surgery on Pregnancy Management—A Narrative Review of the Literature

Różańska-Walędziak,

Walędziak,

Mierzejewska

et al. 2023

Medicina

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One in three women of reproductive age is obese. The mainstay treatment for obesity is bariatric surgery, and the following weight reduction results in a decrease in pregnancy adverse effects, including gestational diabetes mellitus, pregnancy-induced hypertension, and macrosomia. However, nutritional and vitamin deficiencies due to changes in the gastrointestinal tract after bariatric surgery are associated with an increase in the risk of fetal growth retardation and small for gestational-age neonates. The purpose of this review was to analyze the available recent literature on the subject of the management of pregnancy after bariatric surgery. We searched for available articles from 2007 to 2023 and chose articles of the greatest scientific and clinical value. Micronutrient, vitamin, and protein supplementation is recommended in the prenatal period and throughout the pregnancy. It is advised that pregnant women with a history of bariatric surgery should be provided with regular specialist dietary care. There is still a lack of recommendations about the optimum gestational weight gain after different types of bariatric surgery and for patients of different metabolic statuses. Women of reproductive age undergoing bariatric procedures should be provided with appropriate counseling about adequate contraception, the recommended time-to-conception interval, and the positive and negative influence of bariatric surgery on perinatal outcomes.

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“…Considering the major increase in bariatric surgeries in the last decades [16], and given the negative impact of obesity on pregnancy, it is unsurprising that pre-pregnancy bariatric surgeries are a growing field of interest regarding the possible effects on pregnancy outcomes [17]. Several studies have examined pregnancy outcomes following bariatric surgery and have demonstrated a reduced incidence of gestational diabetes, hypertensive disorders, preeclampsia, and LGA infants [18][19][20][21]. Despite these benefits, bariatric surgery can result in nutritional deficiencies, such as deficiencies in folate, iron, vitamin D, which may have maternal and fetal implications.…”

Section: Introductionmentioning

confidence: 99%

Maternal Bariatric Surgery and Offspring Health: A Sibling Matched Analysis Comparing Offspring Born before and after the Surgery

Gothelf

Wainstock

2023

JCM

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(1) Background: Due to the global escalation in the prevalence of obesity, bariatric surgeries have become a popular solution in many western countries. The aim of the current study was to compare offspring health and the obesity of women before and after undergoing bariatric surgeries. (2) Methods: A retrospective population-based study was performed, including all singleton deliveries which occurred at a tertiary medical center between the years 1991–2021. Among women who had bariatric surgeries, the health of the offspring born before and after the surgery were compared. The offspring were followed up until the age of 18 years, and their hospitalization records were summarized. The incidence of hospitalization with either endocrine, cardiac, respiratory, neurologic, or infectious diagnoses were compared between the groups, as well as offspring obesity. Multivariable Cox proportional models were used to match between siblings and to address confounding variables, including maternal age, gestational age at delivery, fertility treatment, smoking and pregnancy hypertensive disorders. (3) Results: The study population included 3074 deliveries of women who underwent bariatric surgeries (1586 were before and 1488 after the surgery). Offspring born after maternal bariatric surgeries were at a comparable risk for most morbidities, besides endocrine-related morbidities (3.1% vs. 5.0%, OR = 1.61; 1.1–2.35) and obesity (2.5% vs. 4.1%, OR = 1.63; 1.08–2.48). The risk for these morbidities was higher among the offspring of mothers after, vs. before, the surgery, despite adjustment for maternal age and other confounding variables. (4) Conclusions: While bariatric surgeries are considered an effective treatment for obesity, it seems to have less of an effect on the offspring of women who underwent such surgeries. Other persistent factors are most likely associated with the offspring’s risk for morbidities, especially endocrine morbidities and obesity, which remain even though the mother underwent bariatric surgeries.

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A Retrospective Evaluation of Pregnancy Outcomes Following Bariatric Surgery: A Single-Center Experience

Cited by 3 publications

References 41 publications

The Effect of Sleeve Gastrectomy on Pregnancy Complications: A Cross-Sectional Study in Saudi Arabia

The Effect of Sleeve Gastrectomy on Pregnancy Complications: A Cross-Sectional Study in Saudi Arabia

Nutritional Implications of Bariatric Surgery on Pregnancy Management—A Narrative Review of the Literature

Maternal Bariatric Surgery and Offspring Health: A Sibling Matched Analysis Comparing Offspring Born before and after the Surgery

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