Pregnancy and Bariatric Surgery: Significant Variation in Bariatric Surgeons' Practices and Preferences: A National Survey

Bonouvrie, Daniëlle S.; Taverne, Sophie Bm; Janssen, Loes; Luijten, Arijan A. P. M.; Dielen, François M. H. van; Leclercq, Wouter K G

doi:10.1089/bari.2021.0045

Cited by 3 publications

(5 citation statements)

References 30 publications

(58 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, it explores the obstacles and advantages of BS before conception, touching upon issues like anemia, vitamin deficiencies, glucose metabolism, and gestational diabetes. The review also addresses surgical complications that may arise in pregnant women who have undergone BS [18,19,35].…”

Section: Resultsmentioning

confidence: 99%

“…Anemia, vitamin B12, and folic acid deficiencies pose concerns, and the altered maternal glucose metabolism can influence gestational diabetes. BS may impact fetal outcomes, with a potential risk of SGA children, internal hernias, and other surgical complications [3,8,19,27].…”

Section: Resultsmentioning

confidence: 99%

“…Regular laboratory assessments are essential, and the results should guide any necessary dosage adjustments. At every phase of treatment, the ACOG recommends comprehensive blood tests encompassing iron and ferritin measurements [19,20]. During pregnancy, the daily demand for folic acid rises from 50 to 400 g, and diet could always provide this need.…”

Section: Deficiency Anemiamentioning

confidence: 99%

See 2 more Smart Citations

A Narrative Review on Effects of Maternal Bariatric Surgery on Offspring

Pathak,

Shekhar,

Meshram

2023

Cureus

View full text Add to dashboard Cite

Bariatric surgery (BS) has emerged as an efficient approach for addressing obesity, offering long-term benefits encompassing substantial weight loss and improving metabolic disorders. Many women of childbearing age opt for BS to enhance their health and well-being. The weight loss achieved through these procedures can positively impact pregnancy outcomes, but it's crucial to consider potential drawbacks. Micronutrient deficiencies, such as anemia resulting from iron or vitamin B12 deficiency, are a legitimate concern. Making the decision to have a BS is a complex process with many possible obstacles. The complicated nature of this decision is highlighted by worries about dumping syndrome, surgical complications that could include the risk of internal hernias, and the possibility that infants could be labeled as small for gestational age because of maternal undernourishment. Furthermore, there is a notable absence of international consensus regarding the ideal timing for conceiving after undergoing BS. Therefore, this narrative review extensively explores the existing body of literature, offering insights into the prevailing challenges encountered before and during pregnancy following BS. These challenges encompass a wide range of considerations, commencing with fertility-related issues. The study will cover strategies for addressing vitamin and nutritional deficiencies through supplementation, subtleties of post-BS altered glucose metabolism and how it affects the detection and treatment of gestational diabetes, how dumping syndrome progresses, various surgical problems, and how different bariatric procedures affect pregnancy and fetal outcomes. These include a tendency to give birth to children considered undersized for gestational age, nutritional deficits, anemia, and abnormal maternal glucose metabolism. This review offers a comprehensive exploration of the multifaceted landscape of pregnancy in the context of BS. It aims to provide a valuable resource for healthcare professionals and women considering pregnancy after undergoing BS, enabling them to make well-informed decisions and receive appropriate care during this critical phase of life.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Deficiency Anemiamentioning

confidence: 99%

See 1 more Smart Citation

A Narrative Review on Effects of Maternal Bariatric Surgery on Offspring

Pathak,

Shekhar,

Meshram

2023

Cureus

View full text Add to dashboard Cite

show abstract

“…As up to 80% of BSs are performed in women, half of them of childbearing age, it is important to follow the recommendations both during the pre-conception period and throughout the pregnancy [2,3]. There is no official consensus yet for the type of bariatric procedure indicated as the optimum one for women of reproductive age with respect to potential future pregnancy, though sleeve gastrectomy (SG) is associated with fewer nutritional deficiencies and surgical complications and is often a procedure of choice in women of childbearing age for bariatric surgeons [4].…”

Section: Introductionmentioning

confidence: 99%

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

Różańska-Walędziak,

Walędziak,

Mierzejewska

et al. 2023

Medicina

View full text Add to dashboard Cite

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.

show abstract

“…Common bariatric procedures include sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB) and laparoscopic adjustable gastric band (LAGB). RYGB is known for its long-term sustainable weight loss [12] although SG is becoming more popular, and is recommended as the primary procedure in cases of future family planning [13]. However, there is no definite evidence to determine the most appropriate surgical procedure in terms of improved pregnancy-related outcomes [14,15].…”

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

View full text Add to dashboard Cite

(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.

show abstract

Pregnancy and Bariatric Surgery: Significant Variation in Bariatric Surgeons' Practices and Preferences: A National Survey

Cited by 3 publications

References 30 publications

A Narrative Review on Effects of Maternal Bariatric Surgery on Offspring

A Narrative Review on Effects of Maternal Bariatric Surgery on Offspring

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

Contact Info

Product

Resources

About