Bariatric Surgery: Impact on Pregnancy Outcomes

被引：28

作者：

Sheiner, Eyal ^{[1
]}

Willis, Kent ^{[2
]}

Yogev, Yariv ^{[3
,4
]}

机构：

[1] Ben Gurion Univ Negev, Fac Hlth Sci, Dept Obstet & Gynecol, Soroka Univ,Med Ctr, Beer Sheva, Israel

[2] Ben Gurion Univ Negev, Fac Hlth Sci, Med Sch Int Hlth, Columbia Univ,Med Ctr, Beer Sheva, Israel

[3] Helen Schneider Hosp Women, Rabin Med Ctr, Div Obstet & Gynecol, Petah Tiqwa, Israel

[4] Tel Aviv Univ, Sackler Fac Med, IL-69978 Tel Aviv, Israel

来源：

CURRENT DIABETES REPORTS | 2013年 / 13卷 / 01期

关键词：

Bariatric surgery; Pregnancy; Pregnancy outcomes; Pregnancy complications; Maternal obesity; Diabetes; GASTRIC BYPASS-SURGERY; WEIGHT-LOSS; CESAREAN DELIVERY; RISK-FACTORS; OBESE WOMEN; BODY-MASS; FERTILITY; COMPLICATIONS; OVERWEIGHT;

D O I：

10.1007/s11892-012-0329-9

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The dramatic increase in the prevalence of obesity in women of reproductive age has resulted in approximately 1 in 5 women being obese when they conceive. Bariatric surgery has been shown to be the most effective long-term weight loss strategy in obese women in this age group. Clinicians should be aware of the effects of bariatric surgery on fertility and future pregnancies. Regarding certain complications, pregnancy after bariatric surgery appears to be safer than pregnancy in the obese. In patients where nutrition is properly maintained and monitored, the risks for obesity-related obstetric complications, such as gestational diabetes mellitus and hypertension, are significantly reduced, but possibly at the expense of an increase in neonates born small-for-gestational-age. At the present, definitive conclusions cannot be drawn concerning the risk for Caesarian delivery, differences in type of bariatric procedure, or the optimal surgery-to-conception interval.

引用

页码：19 / 26

页数：8

共 68 条

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