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Archives of Gynecology and Obstetrics
Erschienen in: Archives of Gynecology and Obstetrics 5/2008

01.05.2008 | Review Article

Pregnancy after bariatric surgery: a comprehensive review

verfasst von: Anatte Karmon, Eyal Sheiner

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 5/2008

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Abstract

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.
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Metadaten
Titel
Pregnancy after bariatric surgery: a comprehensive review
verfasst von
Anatte Karmon
Eyal Sheiner
Publikationsdatum
01.05.2008
Verlag
Springer-Verlag
Erschienen in
Archives of Gynecology and Obstetrics / Ausgabe 5/2008
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-008-0608-5

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