Pregnancy after bariatric surgery: Consensus recommendations for periconception, antenatal and postnatal care
| Autor: | Beth Greenslade, Jill Shawe, Zainab Akhter, Elaine Mathews, Ann Robinson, Martin Whyte, Isy Douek, Shahrad Taheri, Kathryn Hart, Iztok Štotl, Sanjay Agrawal, Orit Blumenfeld, Dries Ceulemans, Roland Devlieger, Bobby Huda, Nicola Heslehurst, Judith Rankin, Régine P.M. Steegers-Theunissen, Sander Galjaard, Karl Neff |
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| Přispěvatelé: | Obstetrics & Gynecology |
| Rok vydání: | 2019 |
| Předmět: |
Postnatal Care
obesity medicine.medical_specialty bariatric surgery Endocrinology Diabetes and Metabolism Breastfeeding 030209 endocrinology & metabolism Reproductive age 03 medical and health sciences 0302 clinical medicine Multidisciplinary approach metabolic surgery medicine Guideline development 030212 general & internal medicine Reproductive health Protocol (science) Pregnancy obstetrics business.industry gynaecology Public Health Environmental and Occupational Health medicine.disease Surgery pregnancy business |
| Zdroj: | Obesity Reviews, 20(11), 1507-1522. Wiley-Blackwell Publishing Ltd |
| ISSN: | 1467-789X 1467-7881 |
| DOI: | 10.1111/obr.12927 |
| Popis: | The objective of the study is to provide evidence-based guidance on nutritional management and optimal care for pregnancy after bariatric surgery. A consensus meeting of international and multidisciplinary experts was held to identify relevant research questions in relation to pregnancy after bariatric surgery. A systematic search of available literature was performed, and the ADAPTE protocol for guideline development followed. All available evidence was graded and further discussed during group meetings to formulate recommendations. Where evidence of sufficient quality was lacking, the group made consensus recommendations based on expert clinical experience. The main outcome measures are timing of pregnancy, contraceptive choice, nutritional advice and supplementation, clinical follow-up of pregnancy, and breastfeeding. We provide recommendations for periconception, antenatal, and postnatal care for women following surgery. These recommendations are summarized in a table and print-friendly format. Women of reproductive age with a history of bariatric surgery should receive specialized care regarding their reproductive health. Many recommendations are not supported by high-quality evidence and warrant further research. These areas are highlighted in the paper. ispartof: OBESITY REVIEWS vol:20 issue:11 pages:1507-1522 ispartof: location:England status: published |
| Databáze: | OpenAIRE |
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