Pregnancy Less Than 1 Year After the Bariatric Surgery: Is It Really Safe?

Mahmoudieh, Mohsen; Keleidari, Behrouz; Shahabi, Shahab; Sayadi, Masoud; Melali, Hamid; Sheikhbahaei, Erfan; Mahdiye, Mohammad; Mousavi, Seyed Meysam

doi:10.1007/s11695-021-05260-w

Cited by 4 publications

(3 citation statements)

References 33 publications

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“…The weight stabilizes during the second year after surgery, thus achieving a pregnancy without significant adverse outcomes is possible. In addition, in the first three months after BS several complications such as gastrointestinal bleeding, anastomosis dehiscence, bowel obstruction, and infections have been described [33,34]. In our study, the median interval time between BS and pregnancy was 44 months and only patients having BS between one and 5 years before pregnancy were included.…”

Section: Discussionmentioning

confidence: 99%

“…However, these rates would be even higher if post-BS mothers overcome the fear that their milk does not have an adequate amount of nutrients. Although women who underwent BS may be at a higher risk for malabsorption and poor dietary intake, the available evidence shows that breast milk after BS is adequate in nutrients [33,35]. A recent systematic review support breastfeeding after BS provided that adequate monitoring and eventual supplementation are carried out [23].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Pregnancy and post-partum outcomes of obese women after bariatric surgery: A case-control study

Savastano¹,

Caruso²,

Pompeo

et al. 2022

European Journal of Obstetrics & Gynecology and Reproductiv

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Pregnancy and post-partum outcomes of obese women after bariatric surgery: A case-control study

Savastano¹,

Caruso²,

Pompeo

et al. 2022

European Journal of Obstetrics & Gynecology and Reproductiv

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“…In addition, several studies have shown no association between interval time and adverse pregnancy or neonatal outcome and delaying pregnancy time does not appear to have any greater benefit. 21,[38][39][40] The present study compared pregnancy results two years after surgery with pregnancy after two years. We also found that the incidence of pregnancy complications and the newborn's birth weight were not statistically significant between the two groups.…”

mentioning

confidence: 99%

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

Wang¹,

Liu²,

He³

et al. 2022

DMSO

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Background Bariatric and metabolic surgery (BMS) is an effective treatment for obesity and its complications, but its effect on pregnancy outcomes is inconclusive. The present study aimed to investigate women’s pregnancy status and outcomes as well as the impact of pregnancy intervals after BMS. Methods The menstrual cycle and fertility status of women who underwent BMS in our centre between July 2010 and January 2021 were retrospectively analyzed and followed up until one-year post-delivery. The pregnancy outcomes after BMS were observed, including changes in weight, pregnancy interval, pregnancy complications, weight and health status of the newborn (premature birth, admission to neonatology, or deformity). Results We identified 31 women who were successfully conceived after BMS. There were statistical differences in weight and menstrual status before and post-operation ( P < 0.05), and 77.97% of them had remission or recovery of obesity-related comorbidities. Eighteen patients delivered successfully after BMS, but there were still 12 cases of spontaneous abortion and 1 case of induced abortion. The abortion rate in pregnancy intervals less than 2 years was higher than those ≥2 years ( P = 0.045). Of the women who delivered successfully, 5 had pregnancy-specific complications, including gestational diabetes mellitus and hypertensive disorder of pregnancy. However, the growth and development of the newborn are normal since the birth follow-up. Conclusion The present results suggest that the abortion rate in pregnancy intervals less than 2 years was higher than those ≥2 years. It is recommended that postoperative patients avoid pregnancy until their weight is stable to reduce the risk of adverse pregnancy outcomes.

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Risk factors of lower birth weight, small-for-gestational-age infants, and preterm birth in pregnancies following bariatric surgery: a scoping review

Groth

2022

Arch Gynecol Obstet

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Pregnancy Less Than 1 Year After the Bariatric Surgery: Is It Really Safe?

Cited by 4 publications

References 33 publications

Pregnancy and post-partum outcomes of obese women after bariatric surgery: A case-control study

Pregnancy and post-partum outcomes of obese women after bariatric surgery: A case-control study

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

Risk factors of lower birth weight, small-for-gestational-age infants, and preterm birth in pregnancies following bariatric surgery: a scoping review

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