Bariatric surgery and its impact on fertility, pregnancy and its outcome: A narrative review

Baharuddin, Dg Marshitah Pg; Payus, Alvin Oliver; Fahmy, Ehab Helmy Abdel Malek; Sawatan, Waidah; Than, Win Win; Abdelhafez, Mohsen M A; Leik, Nang Kham Oo; Daud, D. Maryama Ag.; Daud, Mohd Nazri Mohd; Ahmad, Zulkhairul Naim Sidek

doi:10.1016/j.amsu.2021.103038

Cited by 10 publications

(9 citation statements)

References 48 publications

(52 reference statements)

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“…Informed consent should be obtained from patients prior to surgery. 33 As with most observational studies, this study has limitations, firstly and mainly, the location of the study, as the experiences that the females face can change based on the hospital setting, geography, or even country. No information was gathered on individuals who got pregnant following BS; thus, only a few, such as those who became pregnant, may have had more specific indications.…”

Section: Discussionmentioning

confidence: 99%

“…A small retrospective study found no difference in birth weight between babies born within 1 year of BS and those born more than a year later. 33 Menstrual cycle and hormonal changes occur immediately after BS, leading to spontaneous pregnancy in infertile women. 33 After surgery, there is an increase in SHBG, a decrease in androgens, and an increase in FSH 33 .…”

Section: Discussionmentioning

confidence: 99%

“… 33 Menstrual cycle and hormonal changes occur immediately after BS, leading to spontaneous pregnancy in infertile women. 33 After surgery, there is an increase in SHBG, a decrease in androgens, and an increase in FSH 33 . In a 3-year prospective study involving 29 pregnant women with obesity, Legro et al found that gastric bypass surgery shortens the follicular phase.…”

Section: Discussionmentioning

confidence: 99%

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Knowledge of Jordanian women of reproductive age who underwent bariatric surgery and its effect on birth outcomes: A cross-sectional study

et al. 2023

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Objectives: This study aims at exploring the knowledge of women of reproductive age who underwent bariatric surgery in Jordan regarding its effect on birth outcomes. Methods: A cross-sectional study was conducted on 183 women (aged 15–49) who had undergone bariatric surgery at the Jordan University Hospital in Amman, Jordan, between 2016 and 2019, using telephone interviews with conveniently selected participants’ samples. The survey tool obtained data on women’s knowledge and other sociodemographic, obstetric health, and bariatric surgery information. Unfavorable birth outcomes include preterm delivery, small for gestational age, congenital abnormalities, low birth weight, and admission to the neonatal critical care unit. Results: More than half of the participants did not know about the possible unfavorable birth outcomes after bariatric surgery and related practice guidelines. This is shown in their median score of 3 (interquartile range: 2–4) out of a maximum possible score of 8. Women who had a good score (>4) had received counseling about unfavorable bariatric surgery outcomes from their surgeon ( p < 0.013); those who had educational qualifications higher than secondary school ( p < 0.001) as well as those who were employed ( p < 0.008) and believed that the surgery would affect the newborn ( p < 0.001). The median score was also unfavorably associated with the parity of the participants ( p < 0.003). Conclusion: The extent of knowledge regarding the unfavorable birth outcome of bariatric surgery is low among women who underwent bariatric surgery at Jordan University Hospital in Jordan. Improving health literacy and information on bariatric surgery implications on pregnancy and birth outcomes amongst women of reproductive age is a recommendation from this study.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Knowledge of Jordanian women of reproductive age who underwent bariatric surgery and its effect on birth outcomes: A cross-sectional study

et al. 2023

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“…Intellectually, they understood the reason for not becoming pregnant too quickly after surgery but being able to conceive brought forth strong feelings of joy and happiness, particularly if they became pregnant shortly after the surgery. This was true even though they had been advised to wait for at least one year 17 . A cross-sectional survey had highlighted the need for more knowledge regarding women’s wishes concerning pregnancy after GBP surgery 18 .…”

Section: Discussionmentioning

confidence: 99%

Women’s experiences of pregnancy after gastric bypass surgery

Thies-Lagergren¹,

Mårtensson²,

Safi³

et al. 2022

Eur J Midwifery

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INTRODUCTION Globally, 20% of women who become pregnant are obese at the time of conception. The prevalence of women becoming pregnant after gastric bypass (GBP) surgery has been increasing. Little is known regarding women’s experiences of pregnancy after GBP surgery and midwives can expect to care for an increasing number of women with prior GBP surgery. Midwives play an important role in supporting these women. The aim of this study was to describe women’s experiences of pregnancy after gastric bypass surgery. METHODS This was a qualitative descriptive interview study using content analysis including 13 women who had a pre-pregnancy GBP surgery. Women were recruited at antenatal clinics, a specialist maternity care unit, and via social media. RESULTS Three categories emerged: ‘Importance of support’, which described the nature of support from midwives; ‘The presence of the baby in the womb’, which described the mother’s relationship to the unborn baby; and ‘Aggravating circumstances’, which described physical circumstances challenging the pregnancy and the experience of it. CONCLUSIONS Women who became pregnant after GBP surgery described ambivalent feelings about their pregnant selves. More knowledge is needed in how prior GBP surgery affects pregnant women emotionally. The study found that specific training and guidelines for the care by midwives are warranted for this group of women. Employers should ensure highly competent midwives to care for pregnant women with pre-pregnancy GBP surgery. To increase the knowledge on women’s childbearing experiences after a GBP surgery, more research with a qualitative design is needed, as there is currently a large research gap on the topic.

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“…As the number of bariatric surgeries among women of childbearing age increases, dumping syndrome is not infrequently seen in pregnancy [1]. Bariatric surgeries improve anovulation and lead to spontaneous pregnancy [2]. Studies revealed that post-bariatric surgery, women have lower incidences of gestational diabetes and pregnancy-induced hypertension, and better fetal outcomes [3].…”

Section: Introductionmentioning

confidence: 99%

A Case of Late Dumping Syndrome in a Post-bariatric Pregnant Lady Seen in a Primary Care Clinic

Son¹,

Ganason²,

Kang³

2023

Cureus

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Dumping syndrome is a common complication of bariatric surgery. A high clinical suspicion of hypoglycaemic events is required as the symptoms mimic early pregnancy complaints. Diagnosis and treatment of dumping syndrome remain a challenge in pregnancy. Thus, diet modification remains a mainstay of management. This case report discusses dumping syndrome in a post-bariatric surgery mother who presented hypoglycaemia symptoms in the primary care clinic.

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Bariatric surgery and its impact on fertility, pregnancy and its outcome: A narrative review

Cited by 10 publications

References 48 publications

Knowledge of Jordanian women of reproductive age who underwent bariatric surgery and its effect on birth outcomes: A cross-sectional study

Knowledge of Jordanian women of reproductive age who underwent bariatric surgery and its effect on birth outcomes: A cross-sectional study

Women’s experiences of pregnancy after gastric bypass surgery

A Case of Late Dumping Syndrome in a Post-bariatric Pregnant Lady Seen in a Primary Care Clinic

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