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Obesity Surgery
Published in: Obesity Surgery 11/2019

01-11-2019 | Bariatric Surgery | Review

Clinical Practice Guidelines for Childbearing Female Candidates for Bariatric Surgery, Pregnancy, and Post-partum Management After Bariatric Surgery

Authors: Cécile Ciangura, Muriel Coupaye, Philippe Deruelle, Géraldine Gascoin, Daniela Calabrese, Emmanuel Cosson, Guillaume Ducarme, Bénédicte Gaborit, Bénédicte Lelièvre, Laurent Mandelbrot, Niccolo Petrucciani, Didier Quilliot, Patrick Ritz, Geoffroy Robin, Agnès Sallé, Jean Gugenheim, Jacky Nizard, BARIA-MAT Group

Published in: Obesity Surgery | Issue 11/2019

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Abstract

Emerging evidence suggests that bariatric surgery improves pregnancy outcomes of women with obesity by reducing the rates of gestational diabetes, pregnancy-induced hypertension, and macrosomia. However, it is associated with an increased risk of a small-for-gestational-age fetus and prematurity. Based on the work of a multidisciplinary task force, we propose clinical practice recommendations for pregnancy management following bariatric surgery. They are derived from a comprehensive review of the literature, existing guidelines, and expert opinion covering the preferred type of surgery for women of childbearing age, timing between surgery and pregnancy, contraception, systematic nutritional support and management of nutritional deficiencies, screening and management of gestational diabetes, weight gain during pregnancy, gastric banding management, surgical emergencies, obstetrical management, and specific care in the postpartum period and for newborns.
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Metadata
Title
Clinical Practice Guidelines for Childbearing Female Candidates for Bariatric Surgery, Pregnancy, and Post-partum Management After Bariatric Surgery
Authors
Cécile Ciangura
Muriel Coupaye
Philippe Deruelle
Géraldine Gascoin
Daniela Calabrese
Emmanuel Cosson
Guillaume Ducarme
Bénédicte Gaborit
Bénédicte Lelièvre
Laurent Mandelbrot
Niccolo Petrucciani
Didier Quilliot
Patrick Ritz
Geoffroy Robin
Agnès Sallé
Jean Gugenheim
Jacky Nizard
BARIA-MAT Group
Publication date
01-11-2019
Publisher
Springer US
Published in
Obesity Surgery / Issue 11/2019
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-019-04093-y

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