The Safety and Effects of Pregnancy after Abdominoplasty: A Systematic Review of the Literature.

Autor: Karunaratne YG; Royal Prince Alfred Hospital, 50 Missenden Rd, Camperdown, Sydney, NSW, Australia. yasiru.karunaratne@health.nsw.gov.au., Romeo PB; Royal Prince Alfred Hospital, 50 Missenden Rd, Camperdown, Sydney, NSW, Australia., Willis M; Sunshine Coast University Hospital, Birtinya, QLD, Australia., Sanki A; St George Private Hospital, Sydney, NSW, Australia.
Jazyk: angličtina
Zdroj: Aesthetic plastic surgery [Aesthetic Plast Surg] 2023 Aug; Vol. 47 (4), pp. 1472-1479. Date of Electronic Publication: 2023 Jun 02.
DOI: 10.1007/s00266-023-03423-x
Abstrakt: Background: As advanced maternal age and bariatric procedures have become more common, the number of women seeking pregnancy after having abdominoplasty has increased. This has traditionally been a relative contraindication and counselled against, though there are little data in the literature regarding the potential effects to mother and baby.
Methods: A systematic review of Medline and Embase databases was performed to identify cases of pregnancy occurring after abdominoplasty. Data were extracted and analysed for presentation.
Results: 17 studies encompassing 237 patients met inclusion. Mean age was 33.08 years. Mean parity prior to first pregnancy after abdominoplasty 2.13. Previous bariatric surgery was reported in 31.75%. Body contouring procedure was abdominoplasty (94.51%), body lift (3.80%) and other (1.69%). Rectus plication was performed in 89.74%, where reported. Mean time between abdominoplasty and pregnancy was 3.75 years. Method of delivery was Caesarean section in 43.63%, and vaginal delivery in 56.37%. Mean gestational age at delivery was 38.90 weeks. Preterm delivery (<37 weeks) was reported in 9.85%, and low birthweight (<2500 g) was reported in 7.22%. Diagnoses or complications were documented in 14 studies (136 patients). These were grouped as foetal/neonatal (n = 21), maternal (n = 104) or abdominal wall/aesthetic (n = 96); and are detailed within. There were no neonatal or maternal mortalities in any study. A lower-than-expected spinal anaesthetic block was stated in 3 cases. Mean follow-up was 8.5 months.
Conclusion: Pregnancy should not be contraindicated after abdominoplasty. The data presented allow clinicians to have an evidence-based discussion and provide information for shared decision-making.
Level of Evidence Iii: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
(© 2023. Crown.)
Databáze: MEDLINE
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