Pregnancy after bariatric surgery: a comprehensive review

被引:65
作者
Karmon, Anatte [1 ]
Sheiner, Eyal [1 ]
机构
[1] Ben Gurion Univ Negev, Fac Hlth Sci, Soroka Univ Med Ctr, Dept Obstet & Gynecol, Beer Sheva, Israel
关键词
bariatric surgery; obesity; pregnancy Complications; diabetes mellitus; hypertensive disorders;
D O I
10.1007/s00404-008-0608-5
中图分类号
R71 [妇产科学];
学科分类号
100211 [妇产科学];
摘要
Background Obesity continues to be a global epidemic, and strong evidence exists linking it with gestational complications such as macrosomia, hypertensive disorders of pregnancy, gestational diabetes, and cesarean section. Bariatric surgery, a highly effective treatment for obesity, may prevent such complications in subsequent pregnancies. Objective This review seeks to describe the risks and benefits of post-bariatric procedure pregnancies, in comparison to both community and obese cohorts. Results A thorough review of the literature suggests that post-surgery women are not at increased risk for poor perinatal outcomes, and moreover their risks for many obesity-related gestational complications are reduced after bariatric surgery. Data regarding fertility after bariatric surgery are quite ambiguous, however, and studies exist demonstrating both positive and negative associations between weight loss procedures and fertility. Conclusions Clinicians should be aware that data collected on this subject were often gathered from post-op pregnant women provided with good prenatal care and screening for nutritional deficiencies. Although pregnancy after bariatric surgery appears to be safe, providers should take extra care to properly monitor their post-op pregnant patients for appropriate weight gain and nourishment.
引用
收藏
页码:381 / 388
页数:8
相关论文
共 45 条
[1]
Annual deaths attributable to obesity in the United States [J].
Allison, DB ;
Fontaine, KR ;
Manson, JE ;
Stevens, J ;
VanItallie, TB .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 282 (16) :1530-1538
[2]
American College of Obstetricians and Gynecologists, 2005, OBSTET GYNECOL, V106, P671
[3]
Pregnancy after laparoscopic adjustable gastric banding: perinatal outcome is favorable also for women with relatively high gestational weight gain [J].
Bar-Zohar, D. ;
Azem, F. ;
Klausner, J. ;
Abu-Abeid, S. .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2006, 20 (10) :1580-1583
[4]
FERTILITY, MISCARRIAGE AND PREGNANCY AFTER VERTICAL BANDED GASTROPLASTY OPERATION FOR MORBID-OBESITY [J].
BILENKA, B ;
BENSHLOMO, I ;
COZACOV, C ;
GOLD, CH ;
ZOHAR, S .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 1995, 74 (01) :42-44
[5]
Bariatric surgery: A systematic review and meta-analysis [J].
Buchwald, H ;
Avidor, Y ;
Braunwald, E ;
Jensen, MD ;
Pories, W ;
Fahrbach, K ;
Schoelles, K .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2004, 292 (14) :1724-1737
[6]
Bariatric surgery worldwide 2003 [J].
Buchwald, H ;
Williams, SE .
OBESITY SURGERY, 2004, 14 (09) :1157-1164
[7]
BUCHWALD H, 2005, J FAM PRACT S, pS10
[8]
Management of obesity in pregnancy [J].
Catalano, Patrick M. .
OBSTETRICS AND GYNECOLOGY, 2007, 109 (02) :419-433
[9]
Brief interventions for problem drinking and women [J].
Chang, G .
JOURNAL OF SUBSTANCE ABUSE TREATMENT, 2002, 23 (01) :1-7
[10]
Charles A, 2005, AM SURGEON, V71, P231