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Erschienen in: Obesity Surgery 3/2015

01.03.2015 | Original Contributions

Maternal and Perinatal Outcomes After Bariatric Surgery: a Spanish Multicenter Study

verfasst von: Irene González, Miguel A. Rubio, Fernando Cordido, Irene Bretón, María J. Morales, Nuria Vilarrasa, Susana Monereo, Albert Lecube, Assumptas Caixàs, Irene Vinagre, Albert Goday, Pedro P. García-Luna

Erschienen in: Obesity Surgery | Ausgabe 3/2015

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Abstract

Background

Bariatric surgery (BS) has become more frequent among women of child-bearing age. Data regarding the underlying maternal and perinatal risks are scarce. The objective of this nationwide study is to evaluate maternal and perinatal outcomes after BS.

Methods

We performed a retrospective observational study of 168 pregnancies in 112 women who underwent BS in 10 tertiary hospitals in Spain over a 15-year period. Maternal and perinatal outcomes, including gestational diabetes mellitus (GDM), pregnancy-associated hypertensive disorders (PAHD), pre-term birth cesarean deliveries, small and large for gestational age births (SGA, LGA), still births, and neonatal deaths, were evaluated. Results were further compared according to the type of BS performed: restrictive techniques (vertical-banded gastroplasty, sleeve gastrectomy, and gastric banding), Roux-en-Y gastric bypass (RYGB), and biliopancreatic diversion (BPD).

Results

GDM occurred in five (3 %) pregnancies and there were no cases of PAHD. Women whose pregnancies occurred before 1 year after BS had a higher pre-gestational body mass index (BMI) than those who got pregnant 1 year after BS (34.6 ± 7.7 vs 30.4 ± 5.3 kg/m2, p = 0.007). In pregnancies occurring during the first year after BS, a higher rate of stillbirths was observed compared to pregnancies occurring after this period of time (35.5 vs 16.8 %, p = 0.03). Women who underwent BPD delivered a higher rate of SGA babies than women with RYGB or restrictive procedures (34.8, 12.7, and 8.3 %, respectively).

Conclusions

Pregnancy should be scheduled at least 1 year after BS. Malabsorptive procedures are associated to a higher rate of SGA births.
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Metadaten
Titel
Maternal and Perinatal Outcomes After Bariatric Surgery: a Spanish Multicenter Study
verfasst von
Irene González
Miguel A. Rubio
Fernando Cordido
Irene Bretón
María J. Morales
Nuria Vilarrasa
Susana Monereo
Albert Lecube
Assumptas Caixàs
Irene Vinagre
Albert Goday
Pedro P. García-Luna
Publikationsdatum
01.03.2015
Verlag
Springer US
Erschienen in
Obesity Surgery / Ausgabe 3/2015
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-014-1387-7

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