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Published in: Obesity Surgery 9/2022

23-06-2022 | Obesity | Original Contributions

Pregnancy After Sleeve Gastrectomy: Time Matters?

Authors: Arocena Luciano, Martin Andrada, Pereyra Ferrero Rafael, Signorini Franco, Obeide Lucio, Moser Federico

Published in: Obesity Surgery | Issue 9/2022

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Abstract

Purpose

Obesity has an especial implication for women of childbearing age because of a higher risk of adverse outcomes during pregnancy and labor. This report aimed to analyze complications of pregnancy after sleeve gastrectomy (SG) concerning the time after surgery.

Methods

A retrospective descriptive-analytical study was conducted including women of childbearing age who underwent sleeve gastrectomy (SG) from 2006 to 2017. Patients were divided into two groups regarding the time elapsed from SG to pregnancy: less than and greater than one year (group A /group B, respectively).

Results

During the studied time, 51 pregnancies with complete clinical records were found. The mean weight and gestational age (GA) of the newborn (NB) were normal. The mean time from surgery to pregnancy was 30.4 ± 21 months. Patients from Group A and B presented 28.6% and 16.7% respectively of preterm NB (p = 0.5). Group A registered no low birth weight (LBW) babies (3.0 ± 0.4 kg) with a GA of 37.2 ± 2.1 weeks, while in Group B, 8.6% of NB were at LBW 2.1 ± 0.1 kg and GA of 33.3 ± 3.8 weeks (p = NS).

Conclusion

After SG, no differences in terms of maternal and neonatal complications were found concerning the time between surgery and pregnancy.

Graphical abstract

Literature
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go back to reference Duran A, Śaenz S, Torrej́on MJ, et al. Introduction of IADPSG criteria for the screening and diagnosis of gestational diabetes mellitus results in improved pregnancy outcomes at a lower cost in a large cohort of pregnant women: the St Carlos gestational diabetes study. Diabetes Care. 2014;37(9):2442–50. https://doi.org/10.2337/dc14-0179.CrossRefPubMed Duran A, Śaenz S, Torrej́on MJ, et al. Introduction of IADPSG criteria for the screening and diagnosis of gestational diabetes mellitus results in improved pregnancy outcomes at a lower cost in a large cohort of pregnant women: the St Carlos gestational diabetes study. Diabetes Care. 2014;37(9):2442–50. https://​doi.​org/​10.​2337/​dc14-0179.CrossRefPubMed
Metadata
Title
Pregnancy After Sleeve Gastrectomy: Time Matters?
Authors
Arocena Luciano
Martin Andrada
Pereyra Ferrero Rafael
Signorini Franco
Obeide Lucio
Moser Federico
Publication date
23-06-2022
Publisher
Springer US
Published in
Obesity Surgery / Issue 9/2022
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-022-06149-y

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