Document Detail


Timing of gestation after bariatric surgery: should women delay pregnancy for at least 1 postoperative year?
MedLine Citation:
PMID:  18493884     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Bariatric surgery is both a popular and highly effective treatment for obesity. Pregnancy after these procedures has proved safe, with certain gestational complication rates lower than those associated with pregnancy in the obese. Current recommendations suggest delaying pregnancy until after the first postoperative year to avoid gestation during the rapid weight-loss phase. However, few controlled studies have examined the effects of postoperative pregnancy timing on gestational complications and outcomes. We discuss the current recommendations regarding timing of pregnancy after bariatric surgery. No conclusive evidence exists suggesting that pregnancy during the first postoperative year is unsafe, although more research is needed. Future studies should examine the safety of early postoperative pregnancy and determine whether or not its gestational complication rates are lower than those associated with obesity. Until the influence of pregnancy timing on post-bariatric surgery perinatal outcomes is better understood, clinicians should take into account all relevant data, consult with their postoperative patients, and create reproductive timelines best suited to individual needs.
Authors:
Anatte Karmon; Eyal Sheiner
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Publication Detail:
Type:  Journal Article     Date:  2008-05-20
Journal Detail:
Title:  American journal of perinatology     Volume:  25     ISSN:  0735-1631     ISO Abbreviation:  Am J Perinatol     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-06-20     Completed Date:  2008-10-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  331-3     Citation Subset:  IM    
Affiliation:
Department of Obstetrics, Soroka University Medical Center, Beer-Sheva, Israel.
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MeSH Terms
Descriptor/Qualifier:
Adult
Bariatric Surgery* / adverse effects
Female
Humans
Obesity, Morbid / epidemiology,  surgery
Postoperative Period
Pregnancy
Pregnancy Complications / epidemiology*
Pregnancy Outcome
Risk Assessment

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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