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A Retrospective Evaluation of Pregnancy Outcomes Following Bariatric Surgery: A Single-Center Experience

BACKGROUND: Bariatric and metabolic surgery (BMS) is an effective treatment for obesity and its complications, but its effect on pregnancy outcomes is inconclusive. The present study aimed to investigate women’s pregnancy status and outcomes as well as the impact of pregnancy intervals after BMS. ME...

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Autores principales: Wang, Xiufang, Liu, Jia, He, Andong, Dong, Zhiyong, Chen, Xiaomei, Yu, Shuqing, Gao, Lilian, Wang, Huaxi, Chen, Wenhui, Hu, Ruixiang, Jiang, Shuwen, Wang, Jianxue, Chen, Yuan, Wang, Cunchuan, Yang, Wah, Li, Ruiman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9709859/
https://www.ncbi.nlm.nih.gov/pubmed/36465990
http://dx.doi.org/10.2147/DMSO.S386773
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author Wang, Xiufang
Liu, Jia
He, Andong
Dong, Zhiyong
Chen, Xiaomei
Yu, Shuqing
Gao, Lilian
Wang, Huaxi
Chen, Wenhui
Hu, Ruixiang
Jiang, Shuwen
Wang, Jianxue
Chen, Yuan
Wang, Cunchuan
Yang, Wah
Li, Ruiman
author_facet Wang, Xiufang
Liu, Jia
He, Andong
Dong, Zhiyong
Chen, Xiaomei
Yu, Shuqing
Gao, Lilian
Wang, Huaxi
Chen, Wenhui
Hu, Ruixiang
Jiang, Shuwen
Wang, Jianxue
Chen, Yuan
Wang, Cunchuan
Yang, Wah
Li, Ruiman
author_sort Wang, Xiufang
collection PubMed
description BACKGROUND: Bariatric and metabolic surgery (BMS) is an effective treatment for obesity and its complications, but its effect on pregnancy outcomes is inconclusive. The present study aimed to investigate women’s pregnancy status and outcomes as well as the impact of pregnancy intervals after BMS. METHODS: The menstrual cycle and fertility status of women who underwent BMS in our centre between July 2010 and January 2021 were retrospectively analyzed and followed up until one-year post-delivery. The pregnancy outcomes after BMS were observed, including changes in weight, pregnancy interval, pregnancy complications, weight and health status of the newborn (premature birth, admission to neonatology, or deformity). RESULTS: We identified 31 women who were successfully conceived after BMS. There were statistical differences in weight and menstrual status before and post-operation (P < 0.05), and 77.97% of them had remission or recovery of obesity-related comorbidities. Eighteen patients delivered successfully after BMS, but there were still 12 cases of spontaneous abortion and 1 case of induced abortion. The abortion rate in pregnancy intervals less than 2 years was higher than those ≥2 years (P = 0.045). Of the women who delivered successfully, 5 had pregnancy-specific complications, including gestational diabetes mellitus and hypertensive disorder of pregnancy. However, the growth and development of the newborn are normal since the birth follow-up. CONCLUSION: The present results suggest that the abortion rate in pregnancy intervals less than 2 years was higher than those ≥2 years. It is recommended that postoperative patients avoid pregnancy until their weight is stable to reduce the risk of adverse pregnancy outcomes.
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spelling pubmed-97098592022-12-01 A Retrospective Evaluation of Pregnancy Outcomes Following Bariatric Surgery: A Single-Center Experience Wang, Xiufang Liu, Jia He, Andong Dong, Zhiyong Chen, Xiaomei Yu, Shuqing Gao, Lilian Wang, Huaxi Chen, Wenhui Hu, Ruixiang Jiang, Shuwen Wang, Jianxue Chen, Yuan Wang, Cunchuan Yang, Wah Li, Ruiman Diabetes Metab Syndr Obes Original Research BACKGROUND: Bariatric and metabolic surgery (BMS) is an effective treatment for obesity and its complications, but its effect on pregnancy outcomes is inconclusive. The present study aimed to investigate women’s pregnancy status and outcomes as well as the impact of pregnancy intervals after BMS. METHODS: The menstrual cycle and fertility status of women who underwent BMS in our centre between July 2010 and January 2021 were retrospectively analyzed and followed up until one-year post-delivery. The pregnancy outcomes after BMS were observed, including changes in weight, pregnancy interval, pregnancy complications, weight and health status of the newborn (premature birth, admission to neonatology, or deformity). RESULTS: We identified 31 women who were successfully conceived after BMS. There were statistical differences in weight and menstrual status before and post-operation (P < 0.05), and 77.97% of them had remission or recovery of obesity-related comorbidities. Eighteen patients delivered successfully after BMS, but there were still 12 cases of spontaneous abortion and 1 case of induced abortion. The abortion rate in pregnancy intervals less than 2 years was higher than those ≥2 years (P = 0.045). Of the women who delivered successfully, 5 had pregnancy-specific complications, including gestational diabetes mellitus and hypertensive disorder of pregnancy. However, the growth and development of the newborn are normal since the birth follow-up. CONCLUSION: The present results suggest that the abortion rate in pregnancy intervals less than 2 years was higher than those ≥2 years. It is recommended that postoperative patients avoid pregnancy until their weight is stable to reduce the risk of adverse pregnancy outcomes. Dove 2022-11-25 /pmc/articles/PMC9709859/ /pubmed/36465990 http://dx.doi.org/10.2147/DMSO.S386773 Text en © 2022 Wang et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Wang, Xiufang
Liu, Jia
He, Andong
Dong, Zhiyong
Chen, Xiaomei
Yu, Shuqing
Gao, Lilian
Wang, Huaxi
Chen, Wenhui
Hu, Ruixiang
Jiang, Shuwen
Wang, Jianxue
Chen, Yuan
Wang, Cunchuan
Yang, Wah
Li, Ruiman
A Retrospective Evaluation of Pregnancy Outcomes Following Bariatric Surgery: A Single-Center Experience
title A Retrospective Evaluation of Pregnancy Outcomes Following Bariatric Surgery: A Single-Center Experience
title_full A Retrospective Evaluation of Pregnancy Outcomes Following Bariatric Surgery: A Single-Center Experience
title_fullStr A Retrospective Evaluation of Pregnancy Outcomes Following Bariatric Surgery: A Single-Center Experience
title_full_unstemmed A Retrospective Evaluation of Pregnancy Outcomes Following Bariatric Surgery: A Single-Center Experience
title_short A Retrospective Evaluation of Pregnancy Outcomes Following Bariatric Surgery: A Single-Center Experience
title_sort retrospective evaluation of pregnancy outcomes following bariatric surgery: a single-center experience
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9709859/
https://www.ncbi.nlm.nih.gov/pubmed/36465990
http://dx.doi.org/10.2147/DMSO.S386773
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