O corpo em forma e a cirurgia bariátrica em entrevistas para a TV

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

“…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.…”

“…4,5 The greatest benefit of this surgery procedure is the reduction of comorbidities, although it emphasizes gains with regard to self-esteem, sexuality and social interaction among patients. 6 In addition to the search for better health conditions, women who underwent BS can also have the urge to conform with a cultural parameter of slimness, in other words, a female physical ideal. However, the fast physical, nutritional, and psychosocial changes which occur after BS, aside from the newest silhouette (excessive or suddenly thin) may cause psychological disorders, such as depression, anxiety, alcoholism, bulimia, and anorexia, as well as other compulsive behaviors/disorders like compulsive gambling, shopping, and hypersexuality.…”

“…However, the fast physical, nutritional, and psychosocial changes which occur after BS, aside from the newest silhouette (excessive or suddenly thin) may cause psychological disorders, such as depression, anxiety, alcoholism, bulimia, and anorexia, as well as other compulsive behaviors/disorders like compulsive gambling, shopping, and hypersexuality. 6,7 Moreover, it stands out that 80% of the patients who answered the survey were obese women between 18 and 45years-old. 8,9 In this population, ovarian polycystic syndrome and infertility are usually found, causing more difficulty to become pregnant.…”

“…9,10 Nevertheless, women who did BS must be warned about the minimum time to become pregnant after surgery, with the aim to wait for weight stabilization due to deficiency of vitamin, mineral, and protein absorption resulting from digestive physiology changes. 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).…”

“…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…”