Journal ArticleDOI
Pregnancy and Fertility Following Bariatric Surgery: A Systematic Review
Melinda A. Maggard,Irina Yermilov,Zhaoping Li,Margaret Maglione,Sydne J Newberry,Marika J Suttorp,Lara Hilton,Heena P. Santry,John M. Morton,Edward H. Livingston,Paul G. Shekelle +10 more
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TLDR
This work presents a novel, scalable, scalable and scalable approach that allows for real-time decision-making in the rapidly changing environment of the operating room and describes its use in simple and scalable settings.Abstract:
Context Use of bariatric surgery has increased dramatically during the past 10 years, particularly among women of reproductive age. Objectives To estimate bariatric surgery rates among women aged 18 to 45 years and to assess the published literature on pregnancy outcomes and fertility after surgery. Evidence Acquisition Search of the Nationwide Inpatient Sample (1998-2005) and multiple electronic databases (Medline, EMBASE, Controlled Clinical Trials Register Database, and the Cochrane Database of Reviews of Effectiveness) to identify articles published between 1985 and February 2008 on bariatric surgery among women of reproductive age. Search terms included bariatric procedures, fertility, contraception, pregnancy, and nutritional deficiencies. Information was abstracted about study design, fertility, and nutritional, neonatal, and pregnancy outcomes after surgery. Evidence Synthesis Of 260 screened articles, 75 were included. Women aged 18 to 45 years accounted for 49% of all patients undergoing bariatric surgery (>50 000 cases annually for the 3 most recent years). Three matched cohort studies showed lower maternal complication rates after bariatric surgery than in obese women without bariatric surgery, or rates approaching those of nonobese controls. In 1 matched cohort study that compared maternal complication rates in women after laparoscopic adjustable gastric band surgery with obese women without surgery, rates of gestational diabetes (0% vs 22.1%, P Conclusion Rates of many adverse maternal and neonatal outcomes may be lower in women who become pregnant after having had bariatric surgery compared with rates in pregnant women who are obese; however, further data are needed from rigorously designed studies.read more
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An Endocrine Society Clinical Practice Guideline Endocrine and Nutritional Management of the Post-Bariatric Surgery Patient:
David Heber,Frank L. Greenway,Lee M. Kaplan,Edward H. Livingston,Javier Salvador,Christopher D. Still +5 more
Journal ArticleDOI
Pre-pregnancy body mass index in relation to infant birth weight and offspring overweight/obesity: a systematic review and meta-analysis.
TL;DR: Sensitivity analyses revealed that sample size, study method, quality grade of study, source of pre-pregnancy BMI or BW had a strong impact on the association between pre-Pregnancy obesity and LGA and subsequent offspring overweight/obesity.
Journal ArticleDOI
The adverse effects of obesity on conception and implantation
Christopher Brewer,A.H. Balen +1 more
TL;DR: The effect of obesity upon key reproductive mechanisms and its relation to fertility treatments is discussed and weight loss through lifestyle modification or bariatric surgery has been demonstrated to restore menstrual cyclicity and ovulation and improve the likelihood of conception.
Journal ArticleDOI
Outcomes of Pregnancy after Bariatric Surgery
Kari Johansson,Sven Cnattingius,Ingmar Näslund,Nathalie Roos,Ylva Trolle Lagerros,Fredrik Granath,Olof Stephansson,Martin Neovius +7 more
TL;DR: Bariatric surgery was associated with reduced risks of gestational diabetes and excessive fetal growth, shorter gestation, an increased risk of small-for-gestational-age infants, and possibly increased mortality.
Journal ArticleDOI
Obesity in pregnancy.
TL;DR: Pregnancy is a period during which obesity can be more effectively managed, and the control of body weight during this period is of paramount importance for pregnancy outcome as well as the health status of the mother and the neonate.
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Effects of bariatric surgery on mortality in Swedish obese subjects.
Lars Sjöström,Kristina Narbro,C. David Sjöström,Kristjan Karason,B Larsson,Hans Wedel,Theodore Lystig,Marianne Sullivan,Claude Bouchard,Björn Carlsson,Calle Bengtsson,Sven Dahlgren,Anders Gummesson,Peter Jacobson,Jan Karlsson,Anna Karin Lindroos,Hans Lönroth,Ingmar Näslund,Torsten Olbers,Kaj Stenlöf,Jarl S Torgerson,Göran Ågren,Lena M. S. Carlsson +22 more