Format

Send to:

Choose Destination
See comment in PubMed Commons below
Obstet Gynecol. 2012 Mar;119(3):547-54. doi: 10.1097/AOG.0b013e318239060e.

Pregnancy outcomes in women after bariatric surgery compared with obese and morbidly obese controls.

Author information

  • 1Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois 60611, USA. jenniferlesko@gmail.com

Abstract

OBJECTIVE:

To estimate the rates of pregnancy outcomes of women after bariatric surgery relative to women in a control groups.

METHODS:

The study was a chart review. Presurgery and prepregnancy body mass index (BMI) were calculated for 70 patients who had undergone bariatric surgery and who had a subsequent singleton pregnancy. Four control patients were then randomly selected for each case patient: two with a BMI within 6 points of the average presurgery BMI and two with a BMI within 6 points of the average prepregnancy BMI. The primary outcomes were the rates of gestational diabetes or hypertensive disorders of pregnancy.

RESULTS:

There was a significant decrease in rate of gestational diabetes in bariatric surgery patients (0.0%) as compared with both control groups (morbidly obese 16.4%, obese 9.3%; corrected odds ratio (OR)morbidly obese 0.04, with a 95% confidence interval [CI] 0.00-0.62, P<.01; corrected OR obese 0.07, CI 0.00-1.20, P=.01). There was no significant difference in the rate of hypertensive disorders of pregnancy with bariatric surgery. Additionally, neonates were significantly more likely to be small for gestational age (SGA) in the bariatric surgery group (17.4%) than the morbidly obese group (5.0%) (OR 3.94, CI 1.47-10.53, P<.01).

CONCLUSION:

Bariatric surgery is associated with reduction in gestational diabetes in a subsequent pregnancy, but possibly at the expense of an increase in SGA neonates.

PMID:
22353952
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Lippincott Williams & Wilkins
    Loading ...
    Write to the Help Desk