Document Detail

Preparing for and managing a pregnancy after bariatric surgery.
MedLine Citation:
PMID:  22108087     Owner:  NLM     Status:  MEDLINE    
The number of bariatric surgeries performed in the United States has increased exponentially. Given that most patients are female and of reproductive age, it is important for clinicians who manage women's health issues to be aware of the surgery, its long-term goals, and the potential effect on future pregnancies. Most pregnancies after bariatric surgery have successful outcomes with decreased occurrences of gestational diabetes and hypertension and lower birth weight compared with control patients. Following nutritional guidelines and supplementation in the event of deficiencies are critical in the provision of prenatal care to this unique population. Other important issues include a multidisciplinary team management, a different approach to screening for gestational diabetes, careful evaluation of any gastrointestinal complaints, and appropriate counseling for gravidas who still remain obese during pregnancy. Further research should investigate the long-term maternal outcomes in pregnancies after bariatric surgery as well as the effect on the offspring.
Michelle A Kominiarek
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Seminars in perinatology     Volume:  35     ISSN:  1558-075X     ISO Abbreviation:  Semin. Perinatol.     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-11-23     Completed Date:  2012-04-04     Revised Date:  2013-06-27    
Medline Journal Info:
Nlm Unique ID:  7801132     Medline TA:  Semin Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  356-61     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Illinois at Chicago, Chicago, IL 60612, USA.
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MeSH Terms
Bariatric Surgery* / adverse effects
Diabetes, Gestational / epidemiology
Hypertension, Pregnancy-Induced / epidemiology
Infant, Low Birth Weight
Infant, Newborn
Maternal Nutritional Physiological Phenomena
Obesity / complications,  surgery*
Pregnancy Complications*
Pregnancy Outcome*
Prenatal Care / methods
Grant Support

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