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Current Diabetes Reports
Erschienen in: Current Diabetes Reports 4/2016

01.04.2016 | Diabetes and Pregnancy (CJ Homko, Section Editor)

Bariatric Surgery and the Pregnancy Complicated by Gestational Diabetes

verfasst von: Kent Willis, Charlotte Alexander, Eyal Sheiner

Erschienen in: Current Diabetes Reports | Ausgabe 4/2016

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Abstract

Gestational diabetes mellitus (GDM) is an increasingly common obstetrical problem. Due to the global escalation in the prevalence of obesity, as many as 15 % of pregnant women may soon be classified as having GDM. While often not diagnosed until late gestation, GDM is now recognized as a disorder of glucose and lipid metabolism, systemic inflammation, and insulin resistance that begins early in pregnancy. Recent large randomized trials have clarified the risk of maternal and neonatal complications caused by GDM, as well as the potential to ameliorate these risks. There is significant interest in the potential to reduce the risk for developing GDM in obese women through the performance of bariatric surgery (BS) before pregnancy. BS significantly reduces the risk for GDM, preeclampsia, and large neonates. However, it seems that the risk for small neonates and preterm delivery is increased. No significant differences are observed in regard to cesarean section, postpartum hemorrhage, or perinatal mortality. In this article, we address the effects of GDM on the mother and child, and explore the risks and benefits of BS in the obstetrical population.
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Metadaten
Titel
Bariatric Surgery and the Pregnancy Complicated by Gestational Diabetes
verfasst von
Kent Willis
Charlotte Alexander
Eyal Sheiner
Publikationsdatum
01.04.2016
Verlag
Springer US
Erschienen in
Current Diabetes Reports / Ausgabe 4/2016
Print ISSN: 1534-4827
Elektronische ISSN: 1539-0829
DOI
https://doi.org/10.1007/s11892-016-0716-8

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