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Obesity Surgery
Published in: Obesity Surgery 8/2021

01-08-2021 | Fertility | Original Contributions

Pregnancy Outcomes Post-bariatric Surgery—a Single-Centre Retrospective Study from India

Authors: Riddhish Gadani, Manish Khaitan, P. D. Rekha, Aparna Hedge, Koshish Nandan Pokharel, Vinay Khatri

Published in: Obesity Surgery | Issue 8/2021

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Abstract

Background

Bariatric surgery presently is the best possible intervention for treatment of severe obesity and its related conditions. This study presents retrospective data on the pregnancy outcomes of Indian patients who underwent bariatric surgery before conception.

Methodology

This is a single-centre retrospective, observational study. Data on demographics, pre-surgery weight, body mass index (BMI), types of bariatric surgery, weight at conception, weight gain during pregnancy, type of delivery and the health of the baby were collected and analysed to study the weight loss pattern and pregnancy outcomes in female patients of childbearing potential.

Results

The study included 34 women of childbearing potential (BMI>30 kg/m2) who underwent bariatric surgery. The study population was followed up from the time of surgery until 1-year post-delivery of the baby. The mean weight gain during the pregnancy was 14.9±5.4 kg. Twenty-three underwent LSCS, and the rest had normal delivery with mean baby weight of 2.5±0.4 kg. Six babies required neonatal intensive care. In our series, only 4 of 35 cohorts that are only 11% had substantial weight retention (range 5–13 kg) at the end of 12 months which is significantly lower than the normal cohorts who did not undergo bariatric surgery.

Conclusion

Bariatric surgery improves fertility with safe pregnancy and its outcomes in terms of preeclampsia, eclampsia, gestational diabetes, premature rupture of the membranes (PROM), postpartum haemorrhage (PPH) and puerperal sepsis in women with childbearing potential and safe for offspring in terms of shoulder dystocia, macrosomia, birth asphyxia and perinatal mortality. However, they should be well aware of the risks associated with bariatric surgery especially the mal-absorptive procedures.

Graphical abstract

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Metadata
Title
Pregnancy Outcomes Post-bariatric Surgery—a Single-Centre Retrospective Study from India
Authors
Riddhish Gadani
Manish Khaitan
P. D. Rekha
Aparna Hedge
Koshish Nandan Pokharel
Vinay Khatri
Publication date
01-08-2021
Publisher
Springer US
Published in
Obesity Surgery / Issue 8/2021
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-021-05482-y

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