Pregnancy after Bariatric Surgery: A Review

Maternal obesity is a major cause of obstetric morbidity and mortality. With surgical procedures to facilitate weight loss becoming more widely available and demanded and increasing number of women becoming pregnant after undergoing bariatric surgery, it is important and timely to consider the outco...

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Main Authors: N. L. Hezelgrave, Eugene Oteng-Ntim
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Journal of Obesity
Online Access:http://dx.doi.org/10.1155/2011/501939
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author N. L. Hezelgrave
Eugene Oteng-Ntim
author_facet N. L. Hezelgrave
Eugene Oteng-Ntim
author_sort N. L. Hezelgrave
collection DOAJ
description Maternal obesity is a major cause of obstetric morbidity and mortality. With surgical procedures to facilitate weight loss becoming more widely available and demanded and increasing number of women becoming pregnant after undergoing bariatric surgery, it is important and timely to consider the outcome of pregnancy following bariatric surgery. This paper aims to synthesize the current evidence regarding pregnancy outcomes after bariatric surgery. It concludes that bariatric surgery appears to have positive effects on fertility and reduces the risk of gestational diabetes and preeclampsia. Moreover, there appears to be a reduced incidence of fetal macrosomia post-bariatric procedure, although there remains uncertainty about the increased rates of small-for-gestational age and intrauterine growth restricted infants, as well as premature rupture of membranes in this group. A number of case reports highlight that pregnancy following bariatric surgery is not without complications and it must be managed as high risk by the multidisciplinary team.
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spelling doaj-art-2d22772d170a4f8c8be78e16993828872025-02-03T01:23:52ZengWileyJournal of Obesity2090-07082090-07162011-01-01201110.1155/2011/501939501939Pregnancy after Bariatric Surgery: A ReviewN. L. Hezelgrave0Eugene Oteng-Ntim1Maternal and Fetal Research Unit, Kings College London, St. Thomas' Hospital, Westminster Bridge Road, London SE1 7EH, UKMaternal and Fetal Research Unit, Kings College London, St. Thomas' Hospital, Westminster Bridge Road, London SE1 7EH, UKMaternal obesity is a major cause of obstetric morbidity and mortality. With surgical procedures to facilitate weight loss becoming more widely available and demanded and increasing number of women becoming pregnant after undergoing bariatric surgery, it is important and timely to consider the outcome of pregnancy following bariatric surgery. This paper aims to synthesize the current evidence regarding pregnancy outcomes after bariatric surgery. It concludes that bariatric surgery appears to have positive effects on fertility and reduces the risk of gestational diabetes and preeclampsia. Moreover, there appears to be a reduced incidence of fetal macrosomia post-bariatric procedure, although there remains uncertainty about the increased rates of small-for-gestational age and intrauterine growth restricted infants, as well as premature rupture of membranes in this group. A number of case reports highlight that pregnancy following bariatric surgery is not without complications and it must be managed as high risk by the multidisciplinary team.http://dx.doi.org/10.1155/2011/501939
spellingShingle N. L. Hezelgrave
Eugene Oteng-Ntim
Pregnancy after Bariatric Surgery: A Review
Journal of Obesity
title Pregnancy after Bariatric Surgery: A Review
title_full Pregnancy after Bariatric Surgery: A Review
title_fullStr Pregnancy after Bariatric Surgery: A Review
title_full_unstemmed Pregnancy after Bariatric Surgery: A Review
title_short Pregnancy after Bariatric Surgery: A Review
title_sort pregnancy after bariatric surgery a review
url http://dx.doi.org/10.1155/2011/501939
work_keys_str_mv AT nlhezelgrave pregnancyafterbariatricsurgeryareview
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