The risk of adverse pregnancy outcome after bariatric surgery: a nationwide register-based matched cohort study

Kjær, Mette Mandrup; Lauenborg, Jeannet; Breum, Birger Michael; Nilas, Lisbeth

doi:10.1016/j.ajog.2013.02.046

Cited by 109 publications

(60 citation statements)

References 24 publications

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“…Emerging data suggests that miscarriage rates, which are high in women with untreated obesity, may be lower following bariatric surgery [106,107,108]. A retrospective study from Denmark in which 339 women who had received bariatric surgery (83% RYGB and 17% gastric bands) were matched to 1,277 untreated obese women for pre-pregnancy BMI, age, parity, date of delivery and smoking status [109]. The study investigators reported that infants born to women after bariatric surgery had lower birth weights, shorter gestation, a reduced risk of being LGA and a higher risk of being small for gestational age (SGA) [109].…”

Section: Pregnancy After Bariatric Surgerymentioning

confidence: 99%

“…A retrospective study from Denmark in which 339 women who had received bariatric surgery (83% RYGB and 17% gastric bands) were matched to 1,277 untreated obese women for pre-pregnancy BMI, age, parity, date of delivery and smoking status [109]. The study investigators reported that infants born to women after bariatric surgery had lower birth weights, shorter gestation, a reduced risk of being LGA and a higher risk of being small for gestational age (SGA) [109]. A further large retrospective study from Sweden compared pregnancy complications and outcomes in 2,562 women with a previous history of bariatric surgery (including vertical banded gastroplasty, RYGB and banding) to 12,379 controls matched for age, parity, early pregnancy BMI, smoking status and year of delivery [110].…”

Section: Pregnancy After Bariatric Surgerymentioning

confidence: 99%

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Practical Recommendations of the Obesity Management Task Force of the European Association for the Study of Obesity for the Post-Bariatric Surgery Medical Management

et al. 2017

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Bariatric surgery is today the most effective long-term therapy for the management of patients with severe obesity, and its use is recommended by the relevant guidelines of the management of obesity in adults. Bariatric surgery is in general safe and effective, but it can cause new clinical problems and is associated with specific diagnostic, preventive and therapeutic needs. For clinicians, the acquisition of special knowledge and skills is required in order to deliver appropriate and effective care to the post-bariatric patient. In the present recommendations, the basic notions needed to provide first-level adequate medical care to post-bariatric patients are summarised. Basic information about nutrition, management of co-morbidities, pregnancy, psychological issues as well as weight regain prevention and management is derived from current evidences and existing guidelines. A short list of clinical practical recommendations is included for each item. It remains clear that referral to a bariatric multidisciplinary centre, preferably the one performing the original procedure, should be considered in case of more complex clinical situations.

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Section: Pregnancy After Bariatric Surgerymentioning

confidence: 99%

Section: Pregnancy After Bariatric Surgerymentioning

confidence: 99%

Practical Recommendations of the Obesity Management Task Force of the European Association for the Study of Obesity for the Post-Bariatric Surgery Medical Management

et al. 2017

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“…1 Some studies have shown that women who have undergone bariatric surgery have a higher risk of preterm birth than women who have the same body-mass index (BMI) and have not undergone bariatric surgery. 1–3 …”

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confidence: 99%

Bariatric Surgery and Preterm Birth

et al. 2016

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“…Rapid short-term weight loss in an adult can have adverse effects; [42, 43] effects on the conceptus are unknown. In the US, it is difficult to recruit women in the pre-conception period as half of pregnancies are unplanned.…”

Section: Pre-pregnancy Obesitymentioning

confidence: 99%

Interrupting Intergenerational Cycles of Maternal Obesity

Gillman¹

2016

Nestlé Nutrition Institute Workshop Series

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Factors operating in the preconception and prenatal periods, such as maternal obesity, excessive gestational weight gain, and gestational diabetes, predict a substantial fraction of childhood obesity as well as lifelong adverse health consequences in the mother. These periods may lend themselves to successful intervention to reduce such risk factors because parents may be especially willing to change behavior if it confers health advantages to their children. If effective interventions started before or during pregnancy can be maintained after birth, they have the potential to lower the risk of both maternal obesity in the next pregnancy and obesity in the growing child, thus helping to interrupt maternal and child inter-generational vicious cycles of obesity, diabetes, and related cardiometabolic health consequences. While this paradigm is appealing, challenges include determining the magnitude, causality, and modifiability of these risk factors, and quantifying any adverse consequences of intervention.

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The risk of adverse pregnancy outcome after bariatric surgery: a nationwide register-based matched cohort study

Cited by 109 publications

References 24 publications

Practical Recommendations of the Obesity Management Task Force of the European Association for the Study of Obesity for the Post-Bariatric Surgery Medical Management

Practical Recommendations of the Obesity Management Task Force of the European Association for the Study of Obesity for the Post-Bariatric Surgery Medical Management

Bariatric Surgery and Preterm Birth

Interrupting Intergenerational Cycles of Maternal Obesity

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