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Wednesday, September 22, 2021

Mom’s Weight-loss Surgery Reduces Some Pregnancy Complications While Increasing Others

With overweight females who desire to lose overweight while getting pregnant, weight-loss operations might be a risk battle. As per a new study, it reduces the chance of some issues while potentially increasing the chance of others.

The bariatric procedure has been linked to a 47 percent lower risk of preeclampsia (high blood pressure during pregnancy), a 40 percent lower danger of gestational diabetes, a 76 percent lower threat of getting a child that was greater than avg for gestation era, a 55 percent lower threat of virus of a fluid as well as membranes encircling the child throughout the womb, and a 35 percent lower threat of need.

Mom’s weight-loss surgery reduces some pregnancy complications while increasing others

For most of the mothers, this surgery was required as they were with ample weight gain which could lead to other health issues during pregnancy.  

“We evaluated moms who had undergone vertical sleeve gastrectomy, which is the most prevalent bariatric surgical procedure used in the United States,” said lead author Dr. DariosGetahun of Kaiser Permanente’s Southern California Department of Research & Evaluation.

From 2007 and 2018, the researcher’s monitored and over 20,000 expectant mothers in California. 9.3 percent of women who were pregnant had a weight-loss operation.

Mom's weight-loss surgery reduces some pregnancy complications while increasing others

Bariatric treatment on the other side is linked to a 146 percent higher chance of small-for-gestational-age delivery as well as a 79 percent higher chance of postnatal hemorrhage.

“We found that bariatric surgery may decrease the risk of NICU admission by nearly 30% and may significantly decrease the risk of several serious outcomes. However, bariatric surgery also was associated with increased risk of a mom having heavy bleeding after the birth, and babies who are born small for their gestational age,” Getahun said in a Kaiser news release.

According to the scientists, an increasing percentage of females are getting babies even undergoing weight-loss surgery that offers lengthy weight management and other advantages.

“This was our first study showing the benefit of bariatric surgery for women who intend to get pregnant. It is very important for women who are considering pregnancy in the future to talk to their physicians about what they need to do now to prepare to have the healthiest baby possible,” said study senior author Karen Coleman, also from Kaiser’s Southern California Department of Research & Evaluation.

“Our findings suggest that for women with severe obesity, one of those options may be bariatric surgery, but this decision would need to be made in collaboration with their physician,” she said in the release.

The research was just posted in the American Journal of Obstetrics and Gynecology online.

A background of BS is linked to a number of dangers for both the mother and fetus. Females who desire to start a family must receive preconception counseling to learn of the dangers of pregnancy after BS, such as malnutrition, vitamin deficiency, and subsequent micronutrient supplementation, internal hernia, and SGA babies. Blood tests and ultrasound scans of the growing fetus are required on a routine basis.

Moreover, owing to the increased danger of hypoglycemia, the OGTT must not be used as regular diagnostic testing for gestational diabetes. Expectant mothers must preferably be cared for by a specialized center with a multidisciplinary staff with expertise managing pregnancies following BS.

Given the increased incidence of internal hernia, any acute upper abdominal pain should be taken seriously. Due to the novelty of the condition, there is no global therapeutic agreement for pregnancy after BS; thus, specific guidelines for birth or nursing are not currently available. However, obstetricians will face a growing proportion of pregnant BS sufferers and associated difficulties in the coming years.

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