Bariatric Surgery and Pregnancy: Impact on Maternal and Fetal Health
DOI:
https://doi.org/10.56294/hl2024.396Keywords:
Diabetes mellitus, Macrosomia, Birth weight, Pregnancy complications, Fetal Health, Bariatric SurgeryAbstract
To contrast the prenatal results of female patients prior to and following weight-loss surgery giving birth. Methods: a review of the literature was conducted at a hospital to examine the prenatal results of women who gave birth before and after having weight loss procedure. To account for confounders, a model with multiple logistic regression variables was created. Findings: 301 deliveries occurred before and 507 occurred after weight loss surgery across the research period. Following the procedure, there was a notable decrease in the incidence of fetal obesity , hypertensive diseases , and metabolic syndrome . The results indicated that there was an independent link between bariatric surgery and a decrease in the incidence of hypertension , diabetes mellitus , and macros- . Bariatric surgery before pregnancy can enhance maternal health, though it must be carefully monitored to avoid nutritional deficits. Optimal prenatal care is critical for both fetal growth and maternal health.
References
1. Belogolovkin V, Salihu HM, Weldeselasse H, Biroscak BJ, August EM, Mbah AK, Alio AP. Impact of prior bariatric surgery on maternal and fetal outcomes among obese and non-obese mothers. Archives of gynecology and obstetrics. 2012 May;285:1211-8. https://doi.org/10.1007/s00404-011-2134-0
2. Kjaer MM, Nilas L. Pregnancy after bariatric surgery–a review of benefits and risks. Acta obstetricia et gynecologica Scandinavica. 2013 Mar;92(3):264-71. https://doi.org/10.1111/aogs.12035
3. González I, Rubio MA, Cordido F, Bretón I, Morales MJ, Vilarrasa N, Monereo S, Lecube A, Caixàs A, Vinagre I, Goday A. Maternal and perinatal outcomes after bariatric surgery: a Spanish multicenter study. Obesity surgery. 2015 Mar;25:436-42. https://doi.org/10.1007/s11695-014-1387-7
4. Guthrie TM, Dix CF, Truby H, Kumar S, de Jersey SJ. A Systematic Review Investigating Maternal Nutrition During Pregnancy After Bariatric Surgery. Obesity Surgery. 2023 Jun;33(6):1857-65. https://doi.org/10.1007/s11695-023-06565-8
5. Yu Y, Ma Q, Hollenbach S, Zhu Y, Groth S. Pregnant Women Following Bariatric Surgery: A Focus on Maternal Mental Health and Its Impact on Birth Outcomes. Obesity Surgery. 2022 Nov;32(11):3696-704. https://doi.org/10.1007/s11695-022-06283-7
6. Snoek K, van de Woestijne N, Willemsen S, Klaassen R, Galjaard S, Laven J, Steegers-Theunissen R, Schoenmakers S. The impact of preconception gastric bypass surgery on maternal micronutrient status before and during pregnancy: a retrospective cohort study in the Netherlands between 2009 and 2019. Nutrients. 2022 Feb 9;14(4):736. https://doi.org/10.3390/nu14040736
7. Grandfils S, Demondion D, Kyheng M, Duhamel A, Lorio E, Pattou F, Deruelle P. Impact of gestational weight gain on perinatal outcomes after a bariatric surgery. Journal of Gynecology Obstetrics and Human Reproduction. 2019 Jun 1;48(6):401-5. https://doi.org/10.1016/j.jogoh.2019.03.001
8. Burlina S, Dalfrà MG, Lapolla A. Pregnancy after bariatric surgery: Nutrition recommendations and glucose homeostasis: A point of view on unresolved questions. Nutrients. 2023 Mar 1;15(5):1244. https://doi.org/10.3390/nu15051244
9. Baharuddin DM, Payus AO, Fahmy EH, Sawatan W, Than WW, Abdelhafez MM, Leik NK, Daud DM, Daud MN, Ahmad ZN. Bariatric surgery and its impact on fertility, pregnancy and its outcome: A narrative review. Annals of Medicine and Surgery. 2021 Dec 1;72:103038. https://doi.org/10.1016/j.amsu.2021.103038
10. Snoek KM, Steegers-Theunissen RP, Hazebroek EJ, Willemsen SP, Galjaard S, Laven JS, Schoenmakers S. The effects of bariatric surgery on periconception maternal health: a systematic review and meta-analysis. Human Reproduction Update. 2021 Nov 1;27(6):1030-55. https://doi.org/10.1093/humupd/dmab022
11. Kwong W, Tomlinson G, Feig DS. Maternal and neonatal outcomes after bariatric surgery; a systematic review and meta-analysis: do the benefits outweigh the risks?. American journal of obstetrics and gynecology. 2018 Jun 1;218(6):573-80. https://doi.org/10.1016/j.ajog.2018.02.003
12. Edison E, Whyte M, van Vlymen J, Jones S, Gatenby P, de Lusignan S, Shawe J. Bariatric surgery in obese women of reproductive age improves conditions that underlie fertility and pregnancy outcomes: retrospective cohort study of UK National Bariatric Surgery Registry (NBSR). Obesity surgery. 2016 Dec;26:2837-42. https://doi.org/10.1007/s11695-016-2202-4
13. Alamri SH, Abdeen GN. Maternal nutritional status and pregnancy outcomes post-bariatric surgery. Obesity Surgery. 2022 Apr;32(4):1325-40. https://doi.org/10.1007/s11695-021-05822-y
14. Al-Nimr RI, Hakeem R, Moreschi JM, Gallo S, McDermid JM, Pari-Keener M, Stahnke B, Papoutsakis C, Handu D, Cheng FW. Effects of bariatric surgery on maternal and infant outcomes of pregnancy—an evidence analysis center systematic review. Journal of the Academy of Nutrition and Dietetics. 2019 Nov 1;119(11):1921-43. https://doi.org/10.1016/j.jand.2019.02.008
15. Karmon A, Sheiner E. Timing of gestation after bariatric surgery: should women delay pregnancy for at least 1 postoperative year?. American journal of perinatology. 2008 May;25(06):331-3. https://doi.org/10.1055/s-2008-1078760
16. Getahun D, Fassett MJ, Jacobsen SJ, Sacks DA, Murali SB, Peltier MR, Mulugeta W, Chiu VY, Wing DA, Coleman KJ. Perinatal outcomes after bariatric surgery. American Journal of Obstetrics and Gynecology. 2022 Jan 1;226(1):121-e1. https://doi.org/10.1016/j.ajog.2021.06.087
17. Rottenstreich A, Elazary R, Goldenshluger A, Pikarsky AJ, Elchalal U, Ben-Porat T. Maternal nutritional status and related pregnancy outcomes following bariatric surgery: a systematic review. Surgery for obesity and related diseases. 2019 Feb 1;15(2):324-32. https://doi.org/10.1016/j.soard.2018.11.018
18. Patel D, Borrelli N, Patey O, Avesani M, Johnson MR, Di Salvo G, Savvidou MD. Maternal cardiovascular adaptation to pregnancy in women with previous bariatric surgery. American Journal of Obstetrics and Gynecology. 2022 Mar 1;226(3):409-e1. https://doi.org/10.1016/j.ajog.2021.08.052
19. Cornthwaite K, Prajapati C, Lenguerrand E, Knight M, Blencowe N, Johnson A, Draycott T, Siassakos D. Pregnancy outcomes following different types of bariatric surgery: a national cohort study. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2021 May 1;260:10-7. https://doi.org/10.1016/j.ejogrb.2021.02.031
20. Rehni AK, Singh TG, Kakkar T, Arora S. Involvement of src-kinase activation in ischemic preconditioning induced protection of mouse brain. Life sciences. 2011 May 9;88(19-20):825-9. https://doi.org/10.1016/j.lfs.2011.02.024.
Published
Issue
Section
License
Copyright (c) 2024 Jagmeet Sohal, RenukaJyothi S, Dhairyasheel D. Patil, Sameer Rastogi, Ravindra, Suvendu Narayan Mishra, Nittin Sharma (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.