Bariatric surgery and its impact on fertility, pregnancy and its outcome: A narrative review
| Autor: | Alvin Oliver Payus, Win Win Than, Ehab Helmy Abdel Malek Fahmy, Mohd Nazri Mohd Daud, Zulkhairul Naim Sidek Ahmad, Nang Kham Oo Leik, D. Maryama Ag. Daud, Waidah Sawatan, Dg Marshitah Pg Baharuddin, Mohsen M.A. Abdelhafez |
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| Rok vydání: | 2021 |
| Předmět: |
Systematic Review / Meta-analysis
Bariatric surgery medicine.medical_specialty Pregnancy business.industry medicine.medical_treatment media_common.quotation_subject Perinatal outcome Fertility General Medicine Prenatal care medicine.disease Surgery Gestational diabetes Weight loss medicine Small for gestational age Caesarean section medicine.symptom business Obstetrics outcome Menstrual cycle media_common |
| Zdroj: | Annals of Medicine and Surgery |
| ISSN: | 2049-0801 |
| Popis: | Bariatric procedures are on the rise as a surgical treatment for morbid obesity. In reproductive age of women, bariatric surgeries will improve factors related to anovulation and lead to spontaneous fertility. Spontaneous pregnancy can happen within a year after bariatric surgery due to higher level of sex hormone binding globulin and follicular stimulating hormone and reduction in androgens level. Reduction of length of follicular phase of menstrual cycle was reported and contribute to improved ovulatory status. The major impact to pregnant women is development of small for gestational age babies due to persistent weight loss but this can be minimized by avoiding pregnancies too soon after bariatric surgery and good nutrition supplement. Risk of developing gestational diabetes mellitus and preeclampsia reduced among post bariatric surgery compared to no surgery. Another benefit observed are reduction in the risk of caesarean section and admission to neonatal intensive care unit. There are no significant changes in composition of breast milk in postpartum women without bariatric surgery and with women whom undergone surgery although more study needed to evaluate this effect. Good prenatal care, micronutrient supplement during antenatal follow up and close supervision from expert managing this pregnancy are essential component to ensure good outcome to mothers and their newborn. Highlights • Bariatric surgery in obese women will lead to improvement in ovulation. • Bariatric surgery will improve the BMI and reduce risk associated with Gestational Diabetes Mellitus and Preeclampsia. • Bariatric surgery will improve BMI and reduce miscarriages. • Bariatric surgery in obese women will improve perinatal outcome. • Mode of delivery and role of breastfeeding after bariatric surgery in obese women. |
| Databáze: | OpenAIRE |
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