Tratamento cirúrgico da obesidade mórbida implicações gestacionais

Santo, Marco Aurélio; Riccioppo, Daniel; Cecconello, Ivan

doi:10.1590/s0104-42302010000600001

Cited by 5 publications

(9 citation statements)

References 14 publications

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“…Despite the improvement of metabolic and reproductive functioning after the surgery procedure, 5,9,11 the decision to do a BS does not seem to be a determinant to the intent of getting pregnant, as there was no significative difference between the women who planned (49%) and those who did not (51%) their pregnancies. Nevertheless, most of them (86.6%) affirmed that the gestation was desired.…”

Section: Discussionmentioning

confidence: 98%

“…6,7 Moreover, it stands out that 80% of the patients who answered the survey were obese women between 18 and 45years-old. 8,9 In this population, ovarian polycystic syndrome and infertility are usually found, causing more difficulty to become pregnant. 9 Studies reveal the weight loss resulting from BS has a positive impact to female fertility, with better obstetric prognosis and reduction of obstetric complications associated with overweight, such as gestational diabetes, hypertension, preeclampsia, thromboembolism, fetal macrosomia, urinary infection, prematurity, intrauterine fetal death, anesthetic, and surgical complications.…”

Section: Introductionmentioning

confidence: 99%

“…9,10 Nevertheless, women who did BS must be warned about the minimum time to become pregnant after surgery, with the aim to wait for weight stabilization due to deficiency of vitamin, mineral, and protein absorption resulting from digestive physiology changes. 6,9 This time varies from 12 to 18 months, and it corresponds to a minimum hiatus for a post-BS pregnancy with less maternal-fetal risks. 6,9,11 Therefore, the risks arising from physical, psychological, and metabolic alterations caused by BS add up to a high vulnerability to mental disorders during the pregnancypuerperal cycle, especially on the first and third trimesters of pregnancy, and on 30 days postpartum (puerperium).…”

Section: Introductionmentioning

confidence: 99%

“…6,9 This time varies from 12 to 18 months, and it corresponds to a minimum hiatus for a post-BS pregnancy with less maternal-fetal risks. 6,9,11 Therefore, the risks arising from physical, psychological, and metabolic alterations caused by BS add up to a high vulnerability to mental disorders during the pregnancypuerperal cycle, especially on the first and third trimesters of pregnancy, and on 30 days postpartum (puerperium). 12,13 During gestation, this can be explained by issues and fears…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of Depression in Pregnant Women with Bariatric Surgery History and Associated Factors

Rocha¹,

Cunha²,

Silva

2022

Rev Bras Ginecol Obstet

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Objective To analyze the prevalence and factors associated with depressive symptoms among Brazilian pregnant women with history of bariatric surgery (BS). Methods This is a cohort study with 247 women who got pregnant after BS. Based on data collection via Google Form, the recruitment of participants occurred in Facebook groups for 13 months. All of them answered a form with Informed Consent, a general data protocol and the Brazilian version of the Depression, Anxiety and Stress Scale-21. Descriptive and inferential analysis were performed, and a binary logistic regression model was tested to predict the factors associated with depressive symptoms. Results The prevalence of depressive symptoms was 32.8%, noted as being higher in the first (40.6%) and third (34.3%) gestational trimesters. Significative associations were found between depression and marital status (p = 0.000), planned pregnancy (p = 0.001), desired pregnancy (p = 0.004) and psychiatric history (p = 0.000). Women who were not married (odds ratio, OR = 3,38; p = 0.002) and had a psychiatric history (OR = 2.70; p = 0.102) had higher chances of showing depression symptoms; while planned and desired pregnancy showed as protective factors to the symptoms of depression. Conclusion These findings highlight the importance of psychological assistance for pregnant women with history of BS, to prevent development of mental disorders and their outcomes for maternal-child health.

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Prevalence of Depression in Pregnant Women with Bariatric Surgery History and Associated Factors

Rocha¹,

Cunha²,

Silva

2022

Rev Bras Ginecol Obstet

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“…This means that more and more women with a history of bariatric surgery will become pregnant, and there are limited studies that assess the implications of surgery in pregnancy. Despite the nutritional deficiencies arising from the absorptive problems, some studies indicate a better prognosis in pregnant women who were submitted to the surgery than in overweight ones 45 . In their study, Nomura et al evaluated fetal vitality, as well as maternal and fetal complications in women who underwent Roux-en-Y gastric bypass.…”

Section: Bariatric Surgerymentioning

confidence: 99%

Influência das variáveis nutricionais e da obesidade sobre a saúde e o metabolismo

Azevedo

Brito²

2012

Revista da Associação Médica Brasileira

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Obesity is a recurring theme in current scientific literature. This can easily be explained by its exponential increase in all layers of society. The popularity of this subject has also given rise to associated questions, which have achieved greater prominence in health-related publications. In order to assess what has been studied in the field of obesity and nutrition, an overview of all articles published on these subjects in some of the main Brazilian scientific journals over the past two years was performed. Among the subthemes selected for this study, those related to childhood obesity attracted attention due to their greater frequency. These were subdivided into: prevalence, intrauterine and breastfeeding influences that may lead to the development of this condition, impact on quality of life, cardiovascular system and metabolism, and possible prevention strategies. Furthermore, issues related to obesity in adults were explored, such as risk factors and new strategies for prevention, with special attention given to the many studies evaluating different aspects of bariatric surgery. Finally, the subject of malnutrition and the impact of the deficiency of specific micronutrients such as selenium, vitamin D, and vitamin B12 were assessed. Based on the results, it was possible to assess the actual importance of obesity and nutrition in health maintenance, and also the several lines of research regarding these issues. Thus, it is essential to create new methods, which must be quick and efficient, to update health professionals involved in the treatment of obesity.

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Pregnancy after Bariatric Surgery: Obstetric and Perinatal Outcomes and the Growth and Development of Children

Dell’Agnolo

Cyr²,

Montigny³

et al. 2015

OBES SURG

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Tratamento cirúrgico da obesidade mórbida implicações gestacionais

Cited by 5 publications

References 14 publications

Prevalence of Depression in Pregnant Women with Bariatric Surgery History and Associated Factors

Prevalence of Depression in Pregnant Women with Bariatric Surgery History and Associated Factors

Influência das variáveis nutricionais e da obesidade sobre a saúde e o metabolismo

Pregnancy after Bariatric Surgery: Obstetric and Perinatal Outcomes and the Growth and Development of Children

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