Pregnant Women Following Bariatric Surgery: a Focus on Maternal Mental Health and Its Impact on Birth Outcomes

Yu, Yang; Ma, Qianheng; Hollenbach, Stefanie J.; Zhu, Yuansheng; Groth, Susan W.

doi:10.1007/s11695-022-06283-7

Cited by 2 publications

(3 citation statements)

References 43 publications

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“…Regardless of the type of bariatric surgery, reports concerning women's mental state during pregnancy are worrying. An increase in the incidence of mental disorders is reported, especially depression [88][89][90] and anxiety [89], as well as an increase in the incidence of self-harm and suicide [9], and a significant proportion of women who consume alcohol (33.5%) and use opioids (28.5%) have also been observed [90]. A significant relationship with depressive symptoms may include marital status, whether the pregnancy was planned and desired, and a history of mental disorders.…”

Section: The Influence Of Bariatric Surgery On Pregnancy and Neonatal...mentioning

confidence: 99%

“…unknown risk increase; -risk decrease; -inconsistent results. Source: Own study based on [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25]54,[75][76][77][78][79][80][81][82][83][84][88][89][90]93,[95][96][97].…”

Section: Conclusion and Perspectives Of Further Researchmentioning

confidence: 99%

“…Source: Own study based on [9][10][11][12][13][14][15][16]25,54,[75][76][77][78][79][80][81][82][83][84][88][89][90]93,[95][96][97].…”

Section: Conclusion and Perspectives Of Further Researchmentioning

confidence: 99%

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Medical and Psychological Aspects of Pregnancy in Women with Obesity and after Bariatric Surgery

Bąk-Sosnowska,

Naworska

2023

Nutrients

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Chronic diseases are potential risk factors for pregnancy duration and neonatal outcomes. This narrative review aimed to summarize the research results on the specifics of pregnancy in women with obesity and after bariatric surgery. PubMed and Google Scholar databases were searched. Systematic reviews, meta-analyses, clinical trials, and references to identified articles from the last ten years (2013–2023) were included. Ultimately, 107 literature items were qualified. It has been shown that women with obesity planning pregnancy should reduce their body weight because obesity is a risk factor for adverse obstetric and neonatal outcomes. Bariatric surgery effectively reduces excessive body weight and the health risks in women with obesity during pregnancy and their offspring. However, at least a year interval between surgery and conception is recommended. An interdisciplinary medical team should provide patient care during pregnancy with knowledge and skills related to people after bariatric surgery. Due to the increased risk of mental disorders, especially depression, it is necessary to constantly monitor the mental state of women and provide psychological support and education on a healthy lifestyle during pregnancy and the postpartum period.

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Section: The Influence Of Bariatric Surgery On Pregnancy and Neonatal...mentioning

confidence: 99%

Section: Conclusion and Perspectives Of Further Researchmentioning

confidence: 99%

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Medical and Psychological Aspects of Pregnancy in Women with Obesity and after Bariatric Surgery

Bąk-Sosnowska,

Naworska

2023

Nutrients

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A systematic review on clinical practice guidelines for managing pregnancy following metabolic‐bariatric surgery

Moradi,

Kashanian,

Sheidaei

et al. 2024

Obesity

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ObjectiveThe ongoing pandemic of obesity is associated with an increase of weight loss surgeries in women of reproductive age. This study was conducted to review clinical practice guidelines (CPGs) for managing pregnancy following metabolic‐bariatric surgery.MethodsWe conducted a comprehensive literature search of all CPGs that covered the management of pregnancy following metabolic‐bariatric surgery, 2010 through 2022, and that were published in English. Two authors independently scored the quality and usefulness of CPGs using the Appraisal of Guidelines for Research and Evaluation II tool (AGREE II).ResultsFrom a total of 20 CPGs, consistent recommendations included the following: 1) contraception with long‐acting reversible contraceptives before surgery until the optimal time of pregnancy; 2) nutritional care by a dietitian; 3) considering gastrointestinal discomforts during pregnancy as a potential surgical complication; and 4) modified screening for gestational diabetes instead of glucose tolerance tests preventing post‐bariatric hypoglycemia. There was a lack of uniformity concerning surgery‐to‐conception interval and dose of supplements, as well as research gaps regarding the surgical type, mental health, delivery type, breastfeeding, neonatal care, and weight retention.ConclusionsAll recommendations for managing pregnancy after metabolic‐bariatric surgery were deemed clinically useful. Although consistent recommendations should be implemented, inconsistencies should be the focus of research.

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Pregnant Women Following Bariatric Surgery: a Focus on Maternal Mental Health and Its Impact on Birth Outcomes

Cited by 2 publications

References 43 publications

Medical and Psychological Aspects of Pregnancy in Women with Obesity and after Bariatric Surgery

Medical and Psychological Aspects of Pregnancy in Women with Obesity and after Bariatric Surgery

A systematic review on clinical practice guidelines for managing pregnancy following metabolic‐bariatric surgery

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