Effect of bariatric surgery on pregnancy outcome

Adi Y. Weintraub, Amalia Levy, Isaac Levi, Moshe Mazor, Arnon Wiznitzer, Eyal Sheiner

    Research output: Contribution to journalArticlepeer-review

    117 Scopus citations

    Abstract

    Objective: To compare the perinatal outcomes of women who delivered before with women who delivered after bariatric surgery. Methods: A retrospective study was undertaken to compare perinatal outcomes of women who delivered before with women who delivered after bariatric surgery in a tertiary medical center between 1988 and 2006. A multivariate logistic regression model was constructed to control for confounders. Results: During the study period, 301 deliveries preceded bariatric surgery and 507 followed surgery. A significant reduction in rates of diabetes mellitus (17.3% vs 11.0; P = 0.009), hypertensive disorders (23.6% vs 11.2%; P < 0.001), and fetal macrosomia (7.6% vs 3.2%; P = 0.004) were noted after bariatric surgery. Bariatric surgery was found to be independently associated with a reduction in diabetes mellitus (OR 0.42, 95% CI 0.26-0.67; P < 0.001), hypertensive disorders (OR 0.38, 95% CI 0.25-0.59; P < 0.001), and fetal macrosomia (OR 0.45, 95% CI 0.21-0.94; P = 0.033). Conclusion: A decrease in maternal complications, such as diabetes mellitus and hypertensive disorders, as well as a decrease in the rate of fetal macrosomia is achieved following bariatric surgery.

    Original languageEnglish
    Pages (from-to)246-251
    Number of pages6
    JournalInternational Journal of Gynecology and Obstetrics
    Volume103
    Issue number3
    DOIs
    StatePublished - 1 Jan 2008

    Keywords

    • Bariatric surgery
    • Birth weight
    • Diabetes mellitus
    • Hypertensive disorders
    • Macrosomia
    • Pregnancy complications

    ASJC Scopus subject areas

    • Obstetrics and Gynecology

    Fingerprint

    Dive into the research topics of 'Effect of bariatric surgery on pregnancy outcome'. Together they form a unique fingerprint.

    Cite this