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Maternal and fetal outcomes after bariatric surgeries
Mohamed M Farghali1, Fatemah K Alhadhoud2, Noura H AlObaidly2
1Department of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Przeglad Menopauzalny = Menopause Review
|October 13, 2023
Summary
Obesity in reproductive-age women significantly increases risks for gestational diabetes, hypertension, preeclampsia, and cesarean sections. Bariatric surgery before pregnancy effectively reduces these adverse outcomes.
Area of Science:
- Reproductive Endocrinology
- Bariatric Surgery Outcomes
- Maternal-Fetal Medicine
Background:
- Obesity is a prevalent medical issue impacting women of reproductive age.
- Understanding the effects of obesity and bariatric surgery on pregnancy is crucial for maternal and fetal health.
Purpose of the Study:
- To determine the prevalence of obesity and bariatric surgeries in reproductive-age women.
- To compare the impact of maternal obesity versus prior bariatric surgery on pregnancy outcomes.
Main Methods:
- A study involving 14,474 pregnant women with complete antenatal and delivery records.
- Analysis of data using MedCalc to calculate odds ratios (OR) and relative risks (RR) for adverse outcomes.
Main Results:
- Obese pregnant women (33.94%) faced significantly higher risks of gestational diabetes mellitus, gestational hypertension, preeclampsia, cesarean sections, and delivering large-for-gestational-age infants compared to those who underwent bariatric surgery (3.8%).
- Bariatric surgery was associated with significantly reduced rates of these adverse pregnancy complications.
Conclusions:
- Approximately 33.94% of reproductive-age women in Kuwait are obese, with 3.8% having undergone bariatric surgery.
- Maternal obesity elevates risks for gestational diabetes, hypertension, preeclampsia, and cesarean delivery.
- Bariatric surgery significantly mitigates these risks, improving pregnancy outcomes.
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