Pregnancy outcomes after bariatric surgery: maternal, fetal, and infant implications

Is Restrictive Bariatric Surgery Good Option in Improving Pregnancy Outcome in Obese Women?

“…There is increasing evidence to suggest that weight loss after bariatric surgery may improve maternal and perinatal outcomes by reducing obesity-associated obstetric risk factors. A number of recent case-control and cohort studies demonstrate that women who have had preconceptional bariatric surgical procedures may have lower rates of obesity-related pregnancy complications such as gestational diabetes and hypertensive disorders than either historical controls or women who had pregnancies before their bariatric procedures [12,18] demonstrated lesser weight gain during pregnancy in postbariartric women than that in those obese without surgery. Our study agreed with their results as we found that postbariatric women gained weight during their pregnancy less than control group with p value 0.01.…”

“…The bariatric surgery improves menstrual regularity and ovulation in an ovulatory obese women, decreasing hirsutism and blood levels of testosterone, androstenedione, dehydroepiandrosterone sulfate, thus restoring fertility [11]. There is increasing evidence to suggest that women who have had Preconception bariatric surgical procedures may have lower rates of obesity-related pregnancy complications such as gestational diabetes and hypertensive disorders than women who had pregnancies before their bariatric processes [12]. Bariatric surgery may reduce the risk of fetalma crosomia, although the risk of growth restriction or low birth weight is not clear and risk of nutritional deficiencies appears rare.…”

Perioperative Care of the Surgical Patient

“…Evidence has shown that women who have had bariatric surgery may have lower rates of obesity-related pregnancy complications such as gestational diabetes and hypertensive disorders compared to obese women who had pregnancies before their bariatric procedures [149]. This could result from improvement of their obesityrelated comorbidities after weight loss from bariatric surgery.…”

Chirurgie bariatrique et obstétrique

“…Plus récemment en 2008, Abodeely et al [83] puis Beard et al [84] ont publié une revue de la littérature sur la chirurgie bariatrique et la grossesse et ont émis des recommandations très proches de celles de l'ACOG en y ajoutant les détails des supplémentations adaptées à la grossesse : 400 g/j de folates, 50 à 100 mg/j de fer, 1 g/j de calcium et 60 g/j de protéines. Il est à noter que la notion de délai entre chirurgie bariatrique et grossesse, notée dans les recommandations de l'ACOG, reste une notion très discutée par certaines équipes qui s'appuient sur l'existence de peu d'études dont l'objectif principal était d'évaluer l'influence spécifique de ce délai sur la grossesse [85].…”