Maternal Nutritional Deficiencies and Small-for-Gestational-Age Neonates at Birth of Women Who Have Undergone Bariatric Surgery

Autor: Hazart, J., Le Guennec, D., Accoceberry, M., Lemery, D., Mulliez, A., Farigon, N., Lahaye, C., Miolanne-Debouit, M., Boirie, Y.
Přispěvatelé: Service Nutrition Clinique, Centre Hospitalier Universitaire de Clermont-Ferrand, Université Clermont Auvergne (UCA), Centre de Recherche en Nutrition Humaine d'Auvergne (CRNH d'Auvergne), service gynécologie obstétrique, Délégation à la Recherche Clinique et à l'Innovation (DRCI), Unité de Nutrition Humaine - Clermont Auvergne (UNH), Institut National de la Recherche Agronomique (INRA)-Université Clermont Auvergne (UCA), CHU Clermont-Ferrand, Université Clermont Auvergne [2017-2020] (UCA [2017-2020]), Unité de Nutrition Humaine (UNH), Institut National de la Recherche Agronomique (INRA)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020])
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Journal of Pregnancy
Journal of Pregnancy, Hindawi, 2017, 11p. ⟨10.1155/2017/4168541⟩
Journal of Pregnancy, 11p.. (2017)
Journal of Pregnancy, Vol 2017 (2017)
ISSN: 2090-2727
DOI: 10.1155/2017/4168541⟩
Popis: The aim is to compare the prevalence of maternal deficiencies in micronutrients, the obstetrical and neonatal complications after bariatric surgery according to surgical techniques, the time between surgery and conception, and BMI at the onset of pregnancy. A retrospective cohort study concerned 57 singleton pregnancies between 2011 and 2016 of 48 adult women who have undergone bariatric surgery. Small-for-gestational-age neonates were identified in 36.0% of pregnancies. With supplements intake (periconceptional period: 56.8%, trimester 1 (T1): 77.8%, T2: 96.3%, and T3: 100.0%), nutritional deficiencies involved vitamins A (T1: 36.4%, T2: 21.1%, and T3: 40.0%), D (T1: 33.3%, T2: 26.3%, and T3: 8.3%), C (T1: 66.7%, T2: 41.2%, and T3: 83.3%), B1 (T1: 45.5%, T2: 15.4%, and T3: 20.0%), and B9 (T1: 14.3%, T2: 0%, and T3: 9.1%) and selenium (T1: 77.8%, T2: 22.2%, and T3: 50.0%). There was no significant difference in the prevalence of nutritional deficiencies and complications according to surgery procedures and in the prevalence of pregnancy issues according to BMI at the beginning of the pregnancy and time between surgery and pregnancy. Prevalence of micronutritional deficiencies and small-for-gestational-age neonates is high in pregnant women following bariatric surgery. Specific nutritional programmes should be recommended for these women.
Databáze: OpenAIRE