Pregnancy Outcomes Following Bariatric Surgery

Authors

  • Widad Aloufi Senior Consultant of Obstetrics and Gynaecology Maternity and Children Hospital, Madinah, Saudi Arabia
  • Basil M. Othman Medical student, College of Medicine Taibah University, Madinah, Saudi Arabia
  • Mohammad Othman Assistant professor of Obstetrics and Gynaecology Fakeeh College for Medical Sciences, Jeddah, Saudi Arabia

DOI:

https://doi.org/10.14738/jbemi.95.13236

Keywords:

Bariatric Surgery, Gestational Diabetes Mellitus, Retrospective study, multicenter study, Macrosomia, Matched control group.

Abstract

Obesity in Saudi Arabia is three times the global average. Bariatric surgery as a fast solution to obesity problems associated with higher rate of Diabetes mellitus remission. In gestational diabetes mellitus, bariatric surgery in small scale studies showed promising outcomes for both the mother and the infant. This study investigated gestational diabetes mellitus and perinatal outcomes in women with history of bariatric surgery compared to matched women without such a history. In this retrospective multicenter cohort study in Al-Baha area, 2412 women were included. This study concluded that bariatric surgery may be associated with reduced risks of gestational diabetes, macrosomia, operative deliveries, congenital malformation and neonatal mortality. Also, this study showed the need for nationwide studies on such important issue.

References

Finucane, M., et al., Global Burden of Metabolic Risk Factors of Chronic Diseases Collaborating Group (Body Mass Index). National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9·1 million participants. Lancet, 2011. 377(9765): p. 557-67.

Almubark, R., et al., Gender Differences in the Attitudes and Management of People with Obesity in Saudi Arabia: Data from the ACTION-IO Study. Risk Management and Healthcare Policy, 2022. 15: p. 1179–88.

Salem, V., et al., Prevalence, risk factors, and interventions for obesity in Saudi Arabia: A systematic review. Obesity Reviews, 2022. 23: p. e13448-e13460.

Al-Quwaidhi, A., et al., Trends and future projections of the prevalence of adult obesity in Saudi Arabia, 1992–2022. Eastern Mediterranean Health Journal, 2014. 20(10): p. 589-96.

Sun, Y., et al., Effects of pre-pregnancy body mass index and gestational weight gain on maternal and infant complications. BMC Pregnancy and Childbirth, 2020. 20(1): p. 390-7.

Surkan, P., et al., Reasons for increasing trends in large for gestational age births. Obstetrics and Gynecology, 2004. 104: p. 720-6.

Faria, G., A brief history of bariatric surgery. Porto Biomedical Journal, 2017. 2(3): p. 90-2.

Moxthe, L., et al., Effects of Bariatric Surgeries on Male and Female Fertility: A Systematic Review. Journal of Reproductive Infertility, 2020. 21(2): p. 71-86.

Baharuddina, D., et al., Bariatric surgery and its impact on fertility, pregnancy and its outcome: A narrative review. Annals of Medicine and Surgery, 2021. 72(103038): p. 1-5. 201

Akhter, Z., et al., Pregnancy after bariatric surgery and adverse perinatal outcomes: A systematic review and meta-analysis. PLoS Med, 2019. 16(8): p. e1002866-e1002886.

Kjaer, M. and L. Nilas, Pregnancy after bariatric surgery — a review of benefits and risks. Acta Obstetricia et Gynecologica Scandinavica, 2013. 92: p. 264-71.

Statistics, S.A.G.A.f., Annual Report of Statistics. 2021. 2021, Saudi Arabian General Authority for Statistics: Internet. p. 296.

Lesko, J. and A. Peaceman, Pregnancy outcomes in women after bariatric surgery compared with obese and morbidly obese controls. Obstetrics and Gynecology, 2012. 119: p. 547-54.

Johansson, K., et al., Outcomes of Pregnancy after Bariatric Surgery. The New England Journal of Medicine, 2015. 372: p. 814-24.

Downloads

Published

2022-10-17

How to Cite

Aloufi, W., Othman, B. M., & Othman, M. (2022). Pregnancy Outcomes Following Bariatric Surgery. British Journal of Healthcare and Medical Research, 9(5), 196–202. https://doi.org/10.14738/jbemi.95.13236