Pregnancy Management After Bariatric Surgery.
Obesity is a source of major morbidity and mortality and is a growing concern worldwide. Maternal obesity is associated with increased maternal and fetal risks during pregnancy. Bariatric surgery has emerged as one of the most sustainable treatments for severe obesity and its comorbidities. Patients who have undergone bariatric surgery often experience drastic improvements in hypertension and diabetes. It is not surprising, therefore, that the incidence of bariatric surgery is increasing, particularly in women of childbearing age. In fact, many women undergoing bariatric surgery plan to become pregnant in the future. Bariatric surgery may have a beneficial effect on rates of fetal macrosomia, gestational diabetes, hypertension, and preeclampsia. Conversely, studies have showed that bariatric surgery may increase the risk of small for gestational age infants and preterm birth. Given its rising incidence, it is important that physicians be able to thoroughly and accurately counsel and treat patients who plan to, or do, become pregnant after bariatric surgery.
Resident.
Nevert
N
Badreldin
Professor.
Jeffrey
J
Kuller
Assistant Professor, Obstetrics and Gynecology, Duke University.
Eleanor
E
Rhee
Nurse Practitioner, Duke University, Durham, NC.
Laura
L
Brown
Assistant Professor of Obstetrics and Gynecology, Yale University School of Medicine, New Haven, CT.
Steven
S
Laifer
D000328:Adult; D050110:Bariatric Surgery / Q000009:adverse effects / Q000379:methods; D005260:Female; D006801:Humans; D009765:Obesity / Q000150:complications* / Q000601:surgery*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology* / Q000517:prevention & control*; D011256:Pregnancy Outcome; D011295:Prenatal Care / Q000379:methods*; D039401:Prenatal Nutritional Physiological Phenomena; D012307:Risk Factors