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Intestinal bypass operation and pregnancy outcome
Acta Obstetricia Et Gynecologica Scandinavica
|January 1, 1986
Summary
Women who had intestinal bypass surgery for obesity experienced higher rates of low birth weight, premature birth, and growth issues in their infants. The timing of conception after surgery did not significantly alter these outcomes.
Area of Science:
- Reproductive Health
- Bariatric Surgery Outcomes
- Neonatal Health
Background:
- Intestinal bypass surgery is a weight-loss procedure.
- Pregnancy outcomes after bariatric surgery require further investigation.
Purpose of the Study:
- To evaluate delivery outcomes in women with a history of intestinal bypass surgery for obesity.
Main Methods:
- Utilized Danish and Swedish national Medical Birth Registries and Discharge Registries.
- Identified 77 women who underwent intestinal bypass surgery prior to pregnancy.
- Analyzed birth weight, gestation length, and congenital malformations.
Main Results:
- Infants born to these women showed increased rates of low birth weight and short gestation.
- Evidence of growth retardation was observed in the infants.
- No significant differences in outcomes were noted based on conception timing (less than or more than 24 months post-surgery).
- Two infants had congenital malformations; no perinatal deaths occurred.
Conclusions:
- Pregnancy following intestinal bypass surgery is associated with adverse infant outcomes.
- Close monitoring of pregnancies in women with a history of intestinal bypass surgery is recommended.