[Pregnancy after bariatric surgery].
Pregnancy after bariatric surgery has some peculiarities related to obesity, type of surgery, amount of weight loss, time elapsed from the surgery and adherence to medical prescriptions. Pregnant woman is at risk of nutritional deficiencies and it is unclear whether there is an increased incidence of intestinal complications during pregnancy after bariatric surgery and whether this kind of complications are more frequent during cesarean section. The fetus is at high risk of prematurity and fetal growth restriction, but they seem not at increased risk of birth defects (DTN) except in individual cases of folic acid deficiency (DTN) or vitamin K defect (similar abnormalities in patients receiving oral anticoagulants). In addition, the incidence of gestational diabetes and hypertension results to be decreased. Other postnatal outcomes from possible epigenetic modifications need to be evaluated in the long-term postnatal follow-up.
UOC Ostetricia e Ginecologia con Pronto Soccorso, Ospedale Santo Bambino, Catania, Italy.
Franco
F
Pepe
UOC Cardiologia Pediatrica, Ospedale Santo Bambino, Catania, Italy.
Francesco
F
DE Luca
Istituto di Patologia Ostetrica e Ginecologica, Ospedale Santo Bambino, Catania, Italy - mariagrazia.stracquadanio@gmail.com.
Mariagrazia
M
Stracquadanio
Istituto di Patologia Ostetrica e Ginecologica, Ospedale Santo Bambino, Catania, Italy.
Claudia
C
Garraffo
Istituto di Patologia Ostetrica e Ginecologica, Ospedale Santo Bambino, Catania, Italy.
Veronica C
VC
Santonocito
UOC Cardiologia Pediatrica, Ospedale Santo Bambino, Catania, Italy.
Agata
A
Privitera
D050110:Bariatric Surgery / Q000379:methods*; D002585:Cesarean Section; D003677:Deficiency Diseases / Q000453:epidemiology* / Q000209:etiology; D005260:Female; D005317:Fetal Growth Retardation / Q000453:epidemiology / Q000209:etiology; D006801:Humans; D009765:Obesity / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D011256:Pregnancy Outcome