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Published in: Obesity Surgery 6/2011

01-06-2011 | Other

Pregnancy After Bariatric Surgery: Implications for Mother and Newborn

Authors: Cátia Millene Dell’Agnolo, Maria Dalva de Barros Carvalho, Sandra Marisa Pelloso

Published in: Obesity Surgery | Issue 6/2011

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Abstract

Background

The present study aimed to identify the implications for the mother and the newborn in pregnancies occurring after the bariatric surgery.

Methods

The present retrospective, exploratory cohort study was conducted to analyze the implications for the mother and the newborn in women of childbearing age (10 to 49 years) who became pregnant after undergoing bariatric surgery in Maringá, Paraná, Brazil, during the period from 1999 through 2008.

Results

The study identified 32 women with the following characteristics: the majority of the women were Caucasian, slightly more than half were living with a partner, had some higher education, and most of them were without surgical complications. In addition, the mean weight loss post-surgery was 44.09 lbs, with an average interval of 40 months between the surgery and the pregnancy, with improvement of various comorbidities post-surgery. Conversely, they presented more neuropsychiatric disorders, post-surgery anemia, and higher prevalence of cesarean delivery. The majority of children were born at term with normal birth weight and no history of anemia. Hospitalization was required for 36.58% of the post-surgery pregnant women, while 17.07% of such cases required blood transfusion due to anemia. Lastly, there were fewer pregnancy-related hypertension cases than before the surgery.

Conclusions

Pregnancy after bariatric surgery has proven to be safe for both the mother and the newborn. The newborn birth weight was not compromised even though some of the pregnant women were anemic.
Literature
1.
go back to reference Allison DB, Fontaine KR, Manson JE, et al. Annual deaths attributable to obesity in the United States. JAMA. 1999;282:1530–8.PubMedCrossRef Allison DB, Fontaine KR, Manson JE, et al. Annual deaths attributable to obesity in the United States. JAMA. 1999;282:1530–8.PubMedCrossRef
3.
go back to reference Ogden CL, Carroll MD, Curtin LR, et al. Prevalence of overweight and obesity in the United States. 1999–2004. JAMA. 2006;295:1549–55.PubMedCrossRef Ogden CL, Carroll MD, Curtin LR, et al. Prevalence of overweight and obesity in the United States. 1999–2004. JAMA. 2006;295:1549–55.PubMedCrossRef
4.
go back to reference American College of Obstetricians and Gynecologists. ACOG Committee Opinion 315: obesity in pregnancy. Obstet Gynecol. 2005;106:671–5.CrossRef American College of Obstetricians and Gynecologists. ACOG Committee Opinion 315: obesity in pregnancy. Obstet Gynecol. 2005;106:671–5.CrossRef
5.
go back to reference Dao T, Kuhn J, Ehmer D, et al. Pregnancy outcomes after gastric-bypass surgery. Am J Surg. 2006;192:762–6.PubMedCrossRef Dao T, Kuhn J, Ehmer D, et al. Pregnancy outcomes after gastric-bypass surgery. Am J Surg. 2006;192:762–6.PubMedCrossRef
7.
go back to reference Lima JG, Nobrega LHC, Mesquita JB, et al. Gestação após gastroplastia para tratamento de obesidade mórbida: série de casos e revisão da literatura. Rev Bras Ginecol Obstet. 2006;28(2):107–11.CrossRef Lima JG, Nobrega LHC, Mesquita JB, et al. Gestação após gastroplastia para tratamento de obesidade mórbida: série de casos e revisão da literatura. Rev Bras Ginecol Obstet. 2006;28(2):107–11.CrossRef
8.
go back to reference Buchwald H. Consensus conference statement bariatric surgery for morbid obesity: health implications for patients, health professionals, and third-party payers. Surg Obes Relat Dis. 2005;1:271–381.CrossRef Buchwald H. Consensus conference statement bariatric surgery for morbid obesity: health implications for patients, health professionals, and third-party payers. Surg Obes Relat Dis. 2005;1:271–381.CrossRef
9.
go back to reference Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292:1724–37.PubMedCrossRef Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292:1724–37.PubMedCrossRef
10.
go back to reference Pope GD, Birkmeyer JD, Finlayson SR. National trends in utilization and in-hospital outcomes of bariatric surgery. J Gastrointest Surg. 2002;6:855–60.PubMedCrossRef Pope GD, Birkmeyer JD, Finlayson SR. National trends in utilization and in-hospital outcomes of bariatric surgery. J Gastrointest Surg. 2002;6:855–60.PubMedCrossRef
11.
go back to reference Beard JH, Bell RL, Dufty AJ. Reproductive considerations and pregnancy after bariatric surgery: current evidence and recommendations. Obes Surg. 2008;8:1023–7.CrossRef Beard JH, Bell RL, Dufty AJ. Reproductive considerations and pregnancy after bariatric surgery: current evidence and recommendations. Obes Surg. 2008;8:1023–7.CrossRef
14.
go back to reference Institute of Medicine. National Academy of Sciences. Subcommittee on Nutritional Status and Weight Gain During Pregnancy. Nutrition during Pregnancy. Part I: Weight gain. Washington: National Academy Press. 1990;5 p. Institute of Medicine. National Academy of Sciences. Subcommittee on Nutritional Status and Weight Gain During Pregnancy. Nutrition during Pregnancy. Part I: Weight gain. Washington: National Academy Press. 1990;5 p.
15.
go back to reference Organizacion Panamericana de la Salud. Manual de la classificación estadística internacional de enfermedadestraumatismos causas de defunción9ª revisión. 1975;1:835–1978 (OMS—Publicación Científica no 353). Organizacion Panamericana de la Salud. Manual de la classificación estadística internacional de enfermedadestraumatismos causas de defunción9ª revisión. 1975;1:835–1978 (OMS—Publicación Científica no 353).
16.
go back to reference Ramos JLA. Avaliação do crescimento intra-uterino por medidas antropométricas do recém-nascido. São Paulo Tese (Doutorado) Faculdade de Medicina, Universidade de São Paulo. 1983. 180 p. Ramos JLA. Avaliação do crescimento intra-uterino por medidas antropométricas do recém-nascido. São Paulo Tese (Doutorado) Faculdade de Medicina, Universidade de São Paulo. 1983. 180 p.
19.
go back to reference Costa MCO, Santos CAST, Sobrinho CN, et al. Gravidez na adolescência: associação de variáveis sociodemográficas e biomédicas materna com resultado neonatal. feira de santana—Bahia. Rev Baiana de Saude Pública. 2005;29(2):300–12. Costa MCO, Santos CAST, Sobrinho CN, et al. Gravidez na adolescência: associação de variáveis sociodemográficas e biomédicas materna com resultado neonatal. feira de santana—Bahia. Rev Baiana de Saude Pública. 2005;29(2):300–12.
20.
go back to reference Garrido Junior AB. Cirurgia em obesos mórbidos: experiência pessoal. Arq Bras Endocrinol Metabol. 2000;44:106–10.CrossRef Garrido Junior AB. Cirurgia em obesos mórbidos: experiência pessoal. Arq Bras Endocrinol Metabol. 2000;44:106–10.CrossRef
21.
go back to reference Melo SMD'A, Vasconcelos FAR, Melo VA, et al. Cirurgia bariátrica: existe necessidade de internação em unidade de terapia intensiva? Rev bras ter intensiva. 2009;21:162–8.CrossRef Melo SMD'A, Vasconcelos FAR, Melo VA, et al. Cirurgia bariátrica: existe necessidade de internação em unidade de terapia intensiva? Rev bras ter intensiva. 2009;21:162–8.CrossRef
22.
go back to reference Cendan JC, Abu-aouf D, Gabrielli A, et al. Utilization of intensive care resources in bariatric surgery. Obes Surg. 2005;15:1247–51.PubMedCrossRef Cendan JC, Abu-aouf D, Gabrielli A, et al. Utilization of intensive care resources in bariatric surgery. Obes Surg. 2005;15:1247–51.PubMedCrossRef
23.
go back to reference Sheiner E, Balaban E, Dreiher J, et al. Pregnancy in patients following different types of bariatric surgeries. Obes Surg. 2009;19:1286–92.PubMedCrossRef Sheiner E, Balaban E, Dreiher J, et al. Pregnancy in patients following different types of bariatric surgeries. Obes Surg. 2009;19:1286–92.PubMedCrossRef
24.
go back to reference Fantuch J, Dias CGD, Fazio ES. Pregnancy nutritional indices and birth weight after Roux-en-Y gastric bypass. Obes Surg. 2009;19:583–9.CrossRef Fantuch J, Dias CGD, Fazio ES. Pregnancy nutritional indices and birth weight after Roux-en-Y gastric bypass. Obes Surg. 2009;19:583–9.CrossRef
25.
go back to reference Wittgrove AC, Jester L, Wittgrove P, Clark GW. Pregnancy following gastric bypass for morbid obesity. Obes Surg. 1998;8:461–6.PubMedCrossRef Wittgrove AC, Jester L, Wittgrove P, Clark GW. Pregnancy following gastric bypass for morbid obesity. Obes Surg. 1998;8:461–6.PubMedCrossRef
26.
go back to reference Poitou BC, Ciangura C, Coupaye M, et al. Nutritional deficiency after gastric bypass: diagnosis, prevention, treatment. Diab Metab. 2007;33:13–24.CrossRef Poitou BC, Ciangura C, Coupaye M, et al. Nutritional deficiency after gastric bypass: diagnosis, prevention, treatment. Diab Metab. 2007;33:13–24.CrossRef
27.
go back to reference Sakala C. Medically unnecessary cesarean section births: introduction to a symposium. Soc Sci Med. 1993;37(10):1117–98. Sakala C. Medically unnecessary cesarean section births: introduction to a symposium. Soc Sci Med. 1993;37(10):1117–98.
28.
go back to reference Sheiner E, Levy A, Silverberg D, et al. Pregnancy after bariatric surgery is not associated with adverse perinatal outcome. Am J Obstet Gynecol. 2004;190:1335–40.PubMedCrossRef Sheiner E, Levy A, Silverberg D, et al. Pregnancy after bariatric surgery is not associated with adverse perinatal outcome. Am J Obstet Gynecol. 2004;190:1335–40.PubMedCrossRef
29.
go back to reference Antonio MARGM, Zanolli ML, Carniel EF, et al. Fatores associados ao peso insuficiente ao nascimento. Rev Assoc Méd Bras. 2009;55(2):153–7.PubMedCrossRef Antonio MARGM, Zanolli ML, Carniel EF, et al. Fatores associados ao peso insuficiente ao nascimento. Rev Assoc Méd Bras. 2009;55(2):153–7.PubMedCrossRef
30.
go back to reference Marceau P, Kaufman D, Biron S, et al. Outcome of pregnancies after biliopancreatic diversion. Obes Surg. 2004;14(3):318–24.PubMedCrossRef Marceau P, Kaufman D, Biron S, et al. Outcome of pregnancies after biliopancreatic diversion. Obes Surg. 2004;14(3):318–24.PubMedCrossRef
31.
go back to reference Wax JR, Cartin A, Wolff R, et al. Pregnancy following gastric bypass surgery for morbid obesity: maternal and neonatal outcomes. Obes Surg. 2008;18:540–4.PubMedCrossRef Wax JR, Cartin A, Wolff R, et al. Pregnancy following gastric bypass surgery for morbid obesity: maternal and neonatal outcomes. Obes Surg. 2008;18:540–4.PubMedCrossRef
Metadata
Title
Pregnancy After Bariatric Surgery: Implications for Mother and Newborn
Authors
Cátia Millene Dell’Agnolo
Maria Dalva de Barros Carvalho
Sandra Marisa Pelloso
Publication date
01-06-2011
Publisher
Springer-Verlag
Published in
Obesity Surgery / Issue 6/2011
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-011-0363-8

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