Maternal and neonatal risks and outcomes after bariatric surgery: a comparative population based study across BMI categories in Qatar.

Autor: Al-Dewik NI; Department of Research, Women's Wellness and Research Center, Hamad Medical Corporation, P.O.BOX. 3050, Doha, Qatar. Naldewik@hamad.qa.; Genomics and Precision Medicine (GPM), College of Health & Life Science (CHLS), Hamad Bin Khalifa University (HBKU), 34110, Doha, Qatar. Naldewik@hamad.qa.; Translational Research Institute (TRI), Hamad Medical Corporation (HMC), Doha, Qatar. Naldewik@hamad.qa.; Faculty of Health and Social Care Sciences, Kingston University, St. George's University of London, London, UK. Naldewik@hamad.qa., Samara M; Department of Psychology, Kingston University London, Kingston upon Thames, UK., Mahmah A; Health Profession Awareness Program, Health Facilities Development, Hamad Medical Corporation (HMC), Doha, Qatar.; School of Medicine, Bahcesehir University, Istanbul, Turkey., Al-Dewik A; Health Profession Awareness Program, Health Facilities Development, Hamad Medical Corporation (HMC), Doha, Qatar.; School of Medicine, Bahcesehir University, Istanbul, Turkey., Abou Nahia S; Health Profession Awareness Program, Health Facilities Development, Hamad Medical Corporation (HMC), Doha, Qatar.; School of Medicine, Bahcesehir University, Istanbul, Turkey., Abukhadijah HJ; Department of Academic Health System, Hamad Medical Corporation (HMC), Doha, Qatar., Samara Y; Faculty of Life Sciences & Medicine, King's College London, London, UK., Hammuda S; Department of Psychology, Kingston University London, Kingston upon Thames, UK., Razzaq A; Department of Research, Women's Wellness and Research Center, Hamad Medical Corporation, P.O.BOX. 3050, Doha, Qatar., Al-Dweik MR; Department of Research, Women's Wellness and Research Center, Hamad Medical Corporation, P.O.BOX. 3050, Doha, Qatar., Alahersh A; Hamad Medical Education, Hamad Medical Corporation (HMC), Doha, Qatar., Moamed L; Hamad Medical Education, Hamad Medical Corporation (HMC), Doha, Qatar., Singh R; Cardiology Research Center, Heart Hospital, Hamad Medical Corporation (HMC), Doha, Qatar., Al-Obaidly S; Obstetrics and Gynecology Department, Women's Wellness and Research Center, Hamad Medical Corporation (HMC), Doha, Qatar., Olukade T; Department of Pediatrics and Neonatology, Neonatal Intensive Care Unit, Newborn Screening Unit, Women's Wellness and Research Center, Hamad Medical Corporation (HMC), Doha, Qatar., Ismail MA; Department of Research, Women's Wellness and Research Center, Hamad Medical Corporation, P.O.BOX. 3050, Doha, Qatar., Alnaama A; Obstetrics and Gynecology Department, Women's Wellness and Research Center, Hamad Medical Corporation (HMC), Doha, Qatar., Thomas B; Department of Pharmacy, Women's Wellness and Research Center, Hamad Medical Corporation (HMC), Doha, Qatar., Silang JPB; Department of Research, Women's Wellness and Research Center, Hamad Medical Corporation, P.O.BOX. 3050, Doha, Qatar., Nasrallah G; Department of Biomedical Science, College of Health Sciences, Member of QU Health, Qatar University, Doha, Qatar., Rizk N; Department of Biomedical Science, College of Health Sciences, Member of QU Health, Qatar University, Doha, Qatar., Qoronfleh M; Q3CG Research Institute (QRI), Research & Policy Division, 7227 Rachel Drive, Ypsilanti, MI, 48917, USA.; 21HealthStreet, Consulting Services, 1 Christian Fields, London, SW16 3JY, UK., AlAlami U; School of Life Science, Manipal Academy of Higher Education (MAHE), Dubai, United Arab Emirates., Farrell T; Department of Research, Women's Wellness and Research Center, Hamad Medical Corporation, P.O.BOX. 3050, Doha, Qatar.; Obstetrics and Gynecology Department, Women's Wellness and Research Center, Hamad Medical Corporation (HMC), Doha, Qatar., Abdulrof PV; Department of Pharmacy, Women's Wellness and Research Center, Hamad Medical Corporation (HMC), Doha, Qatar., AlQubaisi M; Department of Pediatrics and Neonatology, Neonatal Intensive Care Unit, Newborn Screening Unit, Women's Wellness and Research Center, Hamad Medical Corporation (HMC), Doha, Qatar., Al Rifai H; Department of Pediatrics and Neonatology, Neonatal Intensive Care Unit, Newborn Screening Unit, Women's Wellness and Research Center, Hamad Medical Corporation (HMC), Doha, Qatar.
Jazyk: angličtina
Zdroj: Scientific reports [Sci Rep] 2024 Nov 07; Vol. 14 (1), pp. 27107. Date of Electronic Publication: 2024 Nov 07.
DOI: 10.1038/s41598-024-69845-y
Abstrakt: The impact of Bariatric Surgery (BS) on maternal and neonatal outcomes among pregnant women is not fully understood, especially in comparison to different weight categories. The primary aim of this study is to assess the factors associated to women who have undergone BS. The study also investigates the maternal and neonatal outcomes amongst this group in comparison to the three Body Mass Index (BMI) groups (women with obesity, overweight and normal weight). A 12-month population-based retrospective study was conducted using registry data from the PEARL-Peristat Study at the Women's Wellness and Research Center (WWRC) in Qatar from January 1, 2017, through December 31, 2017. Both univariate and multivariable regression analyses were employed to scrutinize risk factors and maternal and neonatal outcomes. The study included 6212 parturient women, of which 315 had a history of BS, while 5897 with no BS history. Qatari women, aged 35 and higher, with parity > 1, diabetes, and hypertension were more likely to be in the post-BS group. Women in the post-BS group were found to be more likely to have a cesarean delivery (37.5% vs. 24%, Adjusted Odds Ratio (aOR) = 1.59, CI 1.18-2.14), preterm babies (10% vs. 7%, aOR = 1.66, CI 1.06-2.59), and stillbirth (1.6% vs. 0.4%, aOR = 4.53, CI 1.33-15.50) compared to the normal weight women group. Moreover, post-BS women had a higher risk of low-birth-weight neonates than women with obesity (15% vs. 8%, aOR = 1.77, CI 1.153-2.73), overweight (15% vs. 7%, aOR = 1.63, CI 1.09-2.43), and normal weight (15% vs. 8%, aOR = 1.838, CI 1.23-2.75). Finally, women in the post-BS group were more likely to have low-birth-weight neonates amongst term babies than women with obesity and overweight. Pregnancies with post-BS should be considered a high-risk group for certain medical outcomes and should be monitored closely. These findings may guide the future clinical decisions of antenatal and postnatal follow-up for post-BS women.
(© 2024. The Author(s).)
Databáze: MEDLINE
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