Bariatricsurgery is effective in treating obesity and is becoming popular. Morbid obese
females represent 73% to 80% of all patients undergoing bariatric surgery. 43%
of these are in the childbearing group. One of the advantages of surgery is
increased fertility, resulting in pregnancies after surgery in patients who
were unable to conceive previously.
Thecurrent recommendation from American Society for Metabolic and Bariatric
Surgery (ASMBS) is to delay pregnancy for 12-18 months during the rapid weight
loss phase and until the weight loss stabilizes. It also states that women in
the reproductive age group undergoing bariatric surgery should be appropriately
counseled regarding contraception post operatively (non-oral) and those who get
pregnant should undergo surveillance for appropriate weight gain/loss, fetal
health, nutritional deficiencies. This is a grade D recommendation and is based
on early reports pointing out that pregnancy during this period may affect
foetal growth and maternal.
weightloss. British Obesity and Metabolic Surgery Society (BOMSS) recommend the same.
The Royal College of Obstetricians and Gynecologists (RCOG) recommend a “more
personalized approach, taking into account maternal age”. Presently there are
no controlled studies that validate these recommendations. The
aim of our study was to evaluate weight loss outcomes in women who became
pregnant after bariatric surgery, prior to the recommended 12-18 months. We
compared it to a cohort of non-pregnant women who underwent same surgery in the
same period.
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