1,225
Views
43
CrossRef citations to date
0
Altmetric
Review Article

Pregnancy and foetal outcome after bariatric surgery: a review of recent studies

, , &
Pages 1537-1543 | Received 05 Dec 2011, Accepted 01 Feb 2012, Published online: 16 Mar 2012

References

  • Department of Health. Health Profile of England 2008. London: Department of Health; 2008.
  • National Obesity Observatory. Trends in obesity prevalence. London: Department of Health; 2010. Available at: http://www.noo.org.uk/NOO_about_obesity/ trends
  • Heslehurst N, Ells LJ, Simpson H, Batterham A, Wilkinson J, Summerbell CD. Trends in maternal obesity incidence rates, demographic predictors, and health inequalities in 36,821 women over a 15-year period. BJOG 2007;114:187–194.
  • Kral JG. Preventing and treating obesity in girls and young women to curb the epidemic. Obes Res 2004;12:1539–1546.
  • Institute of Medicine (Subcommittees on Nutritional Status and Weight Gain During Pregnancy and Dietary Intake and Nutrient Supplements During Pregnancy, Committee on Nutritional Status During Pregnancy and Lactation, Food and Nutrition Board). Weight gain during pregnancy: reexamining the guidelines. Washington, DC: National Academy Press; 2009.
  • Bianco AT, Smilen SW, Davis Y, Lopez S, Lapinski R, Lockwood CJ. Pregnancy outcome and weight gain recommendations for the morbidly obese woman. Obstet Gynecol 1998;91:97–102.
  • Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, Schoelles K. Bariatric surgery: a systematic review and meta-analysis. JAMA 2004;292:1724–1737.
  • Kral JG, Näslund E. Surgical treatment of obesity. Nat Clin Pract Endocrinol Metab 2007;3:574–583.
  • Rasmussen SA, Chu SY, Kim SY, Schmid CH, Lau J. Maternal obesity and risk of neural tube defects: a metaanalysis. Am J Obstet Gynecol 2008;198:611–619.
  • Stothard KJ, Tennant PW, Bell R, Rankin J. Maternal overweight and obesity and the risk of congenital anomalies: a systematic review and meta-analysis. JAMA 2009;301:636–650.
  • Shaw GM, Carmichael SL. Prepregnant obesity and risks of selected birth defects in offspring. Epidemiology 2008;19:616–620.
  • Cedergren MI, Källén BA. Maternal obesity and infant heart defects. Obes Res 2003;11:1065–1071.
  • Cedergren M, Källén B. Maternal obesity and the risk for orofacial clefts in the offspring. Cleft Palate Craniofac J 2005;42:367–371.
  • Waller DK, Shaw GM, Rasmussen SA, Hobbs CA, Canfield MA, Siega-Riz AM, Gallaway MS, Correa A; National Birth Defects Prevention Study. Prepregnancy obesity as a risk factor for structural birth defects. Arch Pediatr Adolesc Med 2007;161:745–750.
  • Werler MM, Louik C, Shapiro S, Mitchell AA. Prepregnant weight in relation to risk of neural tube defects. JAMA 1996;275:1089–1092.
  • Mojtabai R. Body mass index and serum folate in childbearing age women. Eur J Epidemiol 2004;19:1029–1036.
  • Hendricks KA, Nuno OM, Suarez L, Larsen R. Effects of hyperinsulinemia and obesity on risk of neural tube defects among Mexican Americans. Epidemiology 2001;12:630–635.
  • Naeye RL. Maternal body weight and pregnancy outcome. Am J Clin Nutr 1990;52:273–279.
  • Ehrenberg HM, Mercer BM, Catalano PM. The influence of obesity and diabetes on the prevalence of macrosomia. Am J Obstet Gynecol 2004;191:964–968.
  • Jensen DM, Damm P, Sørensen B, Mølsted-Pedersen L, Westergaard JG, Ovesen P, Beck-Nielsen H. Pregnancy outcome and prepregnancy body mass index in 2459 glucose-tolerant Danish women. Am J Obstet Gynecol 2003;189:239–244.
  • Hull HR, Dinger MK, Knehans AW, Thompson DM, Fields DA. Impact of maternal body mass index on neonate birthweight and body composition. Am J Obstet Gynecol 2008;198:416.e1–416.e6.
  • Sewell MF, Huston-Presley L, Super DM, Catalano P. Increased neonatal fat mass, not lean body mass, is associated with maternal obesity. Am J Obstet Gynecol 2006;195:1100–1103.
  • Ay L, Van Houten VA, Steegers EA, Hofman A, Witteman JC, Jaddoe VW, Hokken-Koelega AC. Fetal and postnatal growth and body composition at 6 months of age. J Clin Endocrinol Metab 2009;94:2023–2030.
  • Lustig RH. Childhood obesity: behavioral aberration or biochemical drive? Reinterpreting the First Law of Thermodynamics. Nat Clin Pract Endocrinol Metab 2006;2:447–458.
  • Gastrointestinal surgery for severe obesity. National Institutes of Health Consensus Development Conference Draft Statement. Obes Surg 1991;1: 257–265.
  • Steinbrook R. Surgery for severe obesity. N Engl J Med 2004;350:1075–1079.
  • Pournas DJ, Osborne A, Hawkins SC et al. The effect of bariatric surgery on gut hormones that alter appetite. Diabetes Metab 2009;35:508–512.
  • Lautz D, Halperin F, Goebel-Fabbri A, Goldfine AB. The great debate: medicine or surgery: what is best for the patient with type 2 diabetes? Diabetes Care 2011;34:763–770.
  • Buchwald H; Consensus Conference Panel. Consensus conference statement bariatric surgery for morbid obesity: health implications for patients, health professionals, and third-party payers. Surg Obes Relat Dis 2005;1:371–381.
  • O’Brien PE. Bariatric surgery: mechanisms, indications and outcomes. J Gastroenterol Hepatol 2010;25:1358–1365.
  • Favretti F, Segato G, Ashton D, Busetto L, De Luca M, Mazza M, Ceoloni A et al. Laparoscopic adjustable gastric banding in 1,791 consecutive obese patients: 12-year results. Obes Surg 2007;17:168–175.
  • Busetto L, Segato G, De Marchi F, Foletto M, De Luca M, Favretti F, Enzi G. Postoperative management of laparoscopic gastric banding. Obes Surg 2003;13:121–127.
  • Gore SA, Brown DM, West DS. The role of postpartum weight retention in obesity among women: a review of the evidence. Ann Behav Med 2003;26:149–159.
  • Clinical Guideline No. 43. Obesity: guidance on the prevention, identification, assessment and management of overweight and obesity in adults and children. National Institute for Health and Clinical Excellence Section 5 2006;638.
  • Pereira L. Surgery in the obese pregnant patient. Clin Obstet Gynecol 2009;52:546–556.
  • Aronne LJ, Wadden T, Isoldi KK, Woodworth KA. When prevention fails: obesity treatment strategies. Am J Med 2009;122:S24–S32.
  • Wittgrove AC, Jester L, Wittgrove P, Clark GW. Pregnancy following gastric bypass for morbid obesity. Obes Surg 1998;8:461–4; discussion 465.
  • Dixon JB, Dixon ME, O’Brien PE. Birth outcomes in obese women after laparoscopic adjustable gastric banding. Obstet Gynecol 2005;106:965–972.
  • Dixon JB, Dixon ME, O’Brien PE. Pregnancy after Lap-Band surgery: management of the band to achieve healthy weight outcomes. Obes Surg 2001;11:59–65.
  • Skull AJ, Slater GH, Duncombe JE, Fielding GA. Laparoscopic adjustable banding in pregnancy: safety, patient tolerance and effect on obesity-related pregnancy outcomes. Obes Surg 2004;14:230–235.
  • Gurewitsch ED, Smith-Levitin M, Mack J. Pregnancy following gastric bypass surgery for morbid obesity. Obstet Gynecol 1996;88:658–661.
  • Huerta S, Rogers LM, Li Z, Heber D, Liu C, Livingston EH. Vitamin A deficiency in a newborn resulting from maternal hypovitaminosis A after biliopancreatic diversion for the treatment of morbid obesity. Am J Clin Nutr 2002;76:426–429.
  • Marceau P, Kaufman D, Biron S, Hould FS, Lebel S, Marceau S, Kral JG. Outcome of pregnancies after biliopancreatic diversion. Obes Surg 2004;14:318–324.
  • Wax JR, Pinette MG, Cartin A, Blackstone J. Female reproductive issues following bariatric surgery. Obstet Gynecol Surv 2007;62:595–604.
  • Bebber FE, Rizzolli J, Casagrande DS, Rodrigues MT, Padoin AV, Mottin CC, Repetto G. Pregnancy after bariatric surgery: 39 pregnancies follow-up in a multidisciplinary team. Obes Surg 2011;21:1546–1551.
  • Millene Dell’agnolo C, Dalva deBarrosCarvalho M, Marisa Pelloso S. Pregnancy after bariatric surgery: implications for mother and newborn. Obes Surg 2011;21:699–706.
  • Sheiner E, Levy A, Silverberg D, Menes TS, Levy I, Katz M, Mazor M. Pregnancy after bariatric surgery is not associated with adverse perinatal outcome. Am J Obstet Gynecol 2004;190:1335–1340.
  • Harris AA, Barger MK. Specialized care for women pregnant after bariatric surgery. J Midwifery Womens Health 2010;55:529–539.
  • Ramirez MM, Turrentine MA. Gastrointestinal hemorrhage during pregnancy in a patient with a history of vertical-banded gastroplasty. Am J Obstet Gynecol 1995;173:1630–1631.
  • Moore KA, Ouyang DW, Whang EE. Maternal and fetal deaths after gastric bypass surgery for morbid obesity. N Engl J Med 2004;351:721–722.
  • Ducarme G, Revaux A, Rodrigues A, Aissaoui F, Pharisien I, Uzan M. Obstetric outcome following laparoscopic adjustable gastric banding. Int J Gynaecol Obstet 2007;98:244–247.
  • Lapolla A, Marangon M, Dalfrà MG, Segato G, De Luca M, Fedele D, Favretti F et al. Pregnancy outcome in morbidly obese women before and after laparoscopic gastric banding. Obes Surg 2010;20:1251–1257.
  • Patel JA, Patel NA, Thomas RL, Nelms JK, Colella JJ. Pregnancy outcomes after laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis 2008;4:39–45.
  • Richards DS, Miller DK, Goodman GN. Pregnancy after gastric bypass for morbid obesity. J Reprod Med 1987;32:172–176.
  • Patel JA, Colella JJ, Esaka E, Patel NA, Thomas RL. Improvement in infertility and pregnancy outcomes after weight loss surgery. Med Clin North Am 2007;91:515–28, xiii.
  • Friedman D, Cuneo S, Valenzano M, Marinari GM, Adami GF, Gianetta E, Traverso E, Scopinaro N. Pregnancies in an 18-Year Follow-up after Biliopancreatic Diversion. Obes Surg 1995;5:308–313.
  • Printen KJ, Scott D. Pregnancy following gastric bypass for the treatment of morbid obesity. Am Surg 1982;48:363–365.
  • Granström L, Granström L, Backman L. Fetal growth retardation after gastric banding. Acta Obstet Gynecol Scand 1990;69:533–536.
  • Martin L, Chavez GF, Adams MJ Jr, Mason EE, Hanson JW, Haddow JE, Currier RW. Gastric bypass surgery as maternal risk factor for neural tube defects. Lancet 1988;1:640–641.
  • Eerdekens A, Debeer A, Van Hoey G, De Borger C, Sachar V, Guelinckx I, Devlieger R et al. Maternal bariatric surgery: adverse outcomes in neonates. Eur J Pediatr 2010;169:191–196.
  • Kral JG, Biron S, Simard S, Hould FS, Lebel S, Marceau S, Marceau P. Large maternal weight loss from obesity surgery prevents transmission of obesity to children who were followed for 2 to 18 years. Pediatrics 2006;118:e1644–e1649.
  • Graubard Z, Graham KM, Schein M. Small-bowel obstruction in pregnancy after Scopinaro weight reduction operation. A case report. S Afr Med J 1988;73:127–128.
  • Martens WS 2nd, Martin LF, Berlin CM Jr. Failure of a nursing infant to thrive after the mother’s gastric bypass for morbid obesity. Pediatrics 1990;86:777–778.
  • Adami GF, Friedman D, Cuneo S, Cuneo G, Marinari G, Gandolfo P, Scopinaro N. Intravenous nutritional support in pregnancy. Experience following biliopancreatic diversion. Clin Nutr 1992;11:106–109.
  • Grange DK, Finlay JL. Nutritional vitamin B12 deficiency in a breastfed infant following maternal gastric bypass. Pediatr Hematol Oncol 1994;11:311–318.
  • Wardinsky TD, Montes RG, Friederich RL, Broadhurst RB, Sinnhuber V, Bartholomew D. Vitamin B12 deficiency associated with low breast-milk vitamin B12 concentration in an infant following maternal gastric bypass surgery. Arch Pediatr Adolesc Med 1995;149:1281–1284.
  • Baker MT, Kothari SN. Successful surgical treatment of a pregnancy-induced Petersen’s hernia after laparoscopic gastric bypass. Surg Obes Relat Dis 2005;1:506–508.
  • Campbell CD, Ganesh J, Ficicioglu C. Two newborns with nutritional vitamin B12 deficiency: challenges in newborn screening for vitamin B12 deficiency. Haematologica 2005;90:ECR45.
  • Charles A, Domingo S, Goldfadden A, Fader J, Lampmann R, Mazzeo R. Small bowel ischemia after Roux-en-Y gastric bypass complicated by pregnancy: a case report. Am Surg 2005;71:231–234.
  • Kakarla N, Dailey C, Marino T, Shikora SA, Chelmow D. Pregnancy after gastric bypass surgery and internal hernia formation. Obstet Gynecol 2005;105:1195–1198.
  • Loar PV 3rd, Sanchez-Ramos L, Kaunitz AM, Kerwin AJ, Diaz J. Maternal death caused by midgut volvulus after bariatric surgery. Am J Obstet Gynecol 2005;193:1748–1749.
  • Ahmed AR, O’Malley W. Internal hernia with Roux loop obstruction during pregnancy after gastric bypass surgery. Obes Surg 2006;16:1246–1248.
  • Bellanger DE, Ruiz JF, Solar K. Small bowel obstruction complicating pregnancy after laparoscopic gastric bypass. Surg Obes Relat Dis 2006;2:490–492.
  • Cools M, Duval EL, Jespers A. Adverse neonatal outcome after maternal biliopancreatic diversion operation: report of nine cases. Eur J Pediatr 2006;165:199–202.
  • Smets KJ, Barlow T, Vanhaesebrouck P. Maternal vitamin A deficiency and neonatal microphthalmia: complications of biliopancreatic diversion? Eur J Pediatr 2006;165:502–504.
  • Wang CB, Hsieh CC, Chen CH, Lin YH, Lee CY, Tseng CJ. Strangulation of upper jejunum in subsequent pregnancy following gastric bypass surgery. Taiwan J Obstet Gynecol 2007;46:267–271.
  • Wax JR, Heersink D, Pinette MG, Cartin A, Blackstone J. Symptomatic hypoglycemia complicating pregnancy following Roux-en-Y gastric bypass surgery. Obes Surg 2007;17:698–700.
  • Weissman A, Hagay Z, Schachter M, Dreazen E. Severe maternal and fetal electrolyte imbalance in pregnancy after gastric surgery for morbid obesity. A case report. J Reprod Med 1995;40:813–816.
  • Van Mieghem T, Van Schoubroeck D, Depiere M, Debeer A, Hanssens M. Fetal cerebral hemorrhage caused by vitamin K deficiency after complicated bariatric surgery. Obstet Gynecol 2008;112:434–436.
  • Aills L, Blankenship J, Buffington C, Furtado M, Parrott J; Allied Health Sciences Section Ad Hoc Nutrition Committee. ASMBS Allied Health Nutritional Guidelines for the Surgical Weight Loss Patient. Surg Obes Relat Dis 2008;4:S73–108.
  • American College of Obstetricians and Gynecologists. ACOG Committee Opinion No. 315: Obesity in pregnancy. Obstet Gynecol 2005;106:671–675.
  • Sheiner E, Edri A, Balaban E, Levi I, Aricha-Tamir B. Pregnancy outcome of patients who conceive during or after the first year following bariatric surgery. Am J Obstet Gynecol 2011;204:50.e1–50.e6.
  • Guelinckx I, Devlieger R, Vansant G. Reproductive outcome after bariatric surgery: a critical review. Hum Reprod Update 2009;15:189–201.

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.