title: Pregnancy after bariatric surgery: 39 pregnancies follow-up in a multidisciplinary team.
abstract: BACKGROUND
  We investigate the outcomes of pregnancy in women who undergone restrictive-malabsorptive procedure at Centro da Obesidade Mórbida-Hospital São Lucas (COM HSL-PUCRS), Porto Alegre, Brazil.
  
  
  METHODS
  All pregnancies started after the bariatric surgery and with estimated due date until June 2008 were eligible for the study. Only the first pregnancy of each patient was included in the data analysis. Data was collected from medical records.
  
  
  RESULTS
  Forty seven pregnancies were identified in 41 women. Eight of them were ineligible. There were 30 complete pregnancies and nine miscarriages (23%). Cesarean delivery was performed in 69% of the complete pregnancies. Mature infants occurred in 93.1%. Twelve pregnancies (30.8%) occurred in the first year after surgery. Vitamin B12 was low in 53.4% patients; folic acid in 16.1%, iron in 6.7%, ferritin in 41.7%, calcium in 16.7%, and albumin in 10.3% of the patients. Nineteen women (79.2%) had no complication during the pregnancy and two (8.3%) presented with internal hernia. The average of newborns weight and length on delivery were 3,037 g and 48.07 cm, respectively. Children from pregnancies started in the first year of post operatory had similar outcomes of children from pregnancies started after 1 year of surgery.
  
  
  CONCLUSIONS
  Pregnancy after bariatric surgery is safe and has fewer complications than pregnancy in morbidly obese women. However, the recommendation to delay the pregnancy for at least 12-18 months post-operatively should be kept.
authors.affiliation: Centro da Obesidade e Síndrome Metabólica do Hospital São Lucas da Pontifica Universidade Católica do Rio Grande do Sul (COM HSL-PUCRS), Porto Alegre, Rio Grande do Sul, Brazil. flaviabebber@gmail.com
authors.forename: Flavia Emilia
authors.initials: FE
authors.lastname: Bebber
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Rizzolli
authors.forename: Daniela Schaan
authors.initials: DS
authors.lastname: Casagrande
authors.forename: Marcelo Tadday
authors.initials: MT
authors.lastname: Rodrigues
authors.forename: Alexandre Vontobel
authors.initials: AV
authors.lastname: Padoin
authors.forename: Claudio Corá
authors.initials: CC
authors.lastname: Mottin
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Repetto
mesh_terms: D000328:Adult; D001938:Brazil; D005260:Female; D005500:Follow-Up Studies; D015390:Gastric Bypass; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009765:Obesity / Q000601:surgery*; D010348:Patient Care Team; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome; D013997:Time Factors
references.citation: Paediatr Perinat Epidemiol. 2004 May;18(3):196-201
references.pmid: 15130159
references.citation: Am J Obstet Gynecol. 2004 Apr;190(4):1091-7
references.pmid: 15118648
references.citation: J Perinat Neonatal Nurs. 2004 Oct-Dec;18(4):329-40
references.pmid: 15646304
references.citation: Arch Gynecol Obstet. 2008 May;277(5):381-8
references.pmid: 18299862
references.citation: Surg Endosc. 2006 Oct;20(10):1580-3
references.pmid: 16902748
references.citation: Crit Care Nurs Q. 2005 Jul-Sep;28(3):263-8
references.pmid: 16041226
references.citation: Obes Surg. 2004 Mar;14(3):318-24
references.pmid: 15072650
references.citation: Obes Rev. 2009 Jan;10(1):28-35
references.pmid: 19021871
references.citation: Obes Surg. 1998 Aug;8(4):461-4; discussion 465-6
references.pmid: 9731683
references.citation: Surg Obes Relat Dis. 2005 Sep-Oct;1(5):506-8
references.pmid: 16925279
references.citation: Obstet Gynecol. 2005 May;105(5 Pt 2):1195-8
references.pmid: 15863579
references.citation: Surg Obes Relat Dis. 2005 May-Jun;1(3):371-81
references.pmid: 16925250
references.citation: Obstet Gynecol. 2000 Jun;95(6 Pt 1):927-30
references.pmid: 10831994
references.citation: Am Surg. 2005 Mar;71(3):231-4
references.pmid: 15869139
references.citation: Am J Obstet Gynecol. 2004 May;190(5):1335-40
references.pmid: 15167839
references.citation: Am J Surg. 2006 Dec;192(6):762-6
references.pmid: 17161090