Obesity Surgery

, Volume 17, Issue 7, pp 873–877 | Cite as

Pregnancy after Gastric Bypass Surgery in Adolescents

  • Helmut R. Roehrig
  • Stavra A. Xanthakos
  • Jenny Sweeney
  • Meg H. Zeller
  • Thomas H. Inge
Article

Background

There is no previous research or documentation of the incidence of pregnancy or pregnancy outcomes in female adolescents after undergoing bariatric surgery.

Methods

Retrospective chart reviews were conducted for female patients who had bariatric surgery in our adolescent program from 2001–2007. Descriptive and clinical data were abstracted from the medical records, including data from the initial assessment and from follow-up clinic visits pre- and postoperatively.

Results

47 adolescents (age <19 years) underwent Roux-en-Y gastric bypass (RYGBP). 7 pregnancies occurred in 6 Caucasian females and resulted in 6 reported healthy term deliveries (1 pending). 6 of the 7 pregnancies were conceived between 10 and 22 months following surgery. In this small cohort of adolescent females, the pregnancy rate was 12.8%.

Conclusions

The program pregnancy rate for adolescent females in this cohort was greater than anticipated, compared with national pregnancy rates for age and race-matched females in the USA. Risk factors that may contribute to an increased incidence of adolescent pregnancy in this unique bariatric population are unclear, but may include poor adherence to contraceptive therapy and psychosocial factors. Further research is required to define risk factors, improve adherence to contraceptive therapy, and encourage postponement of pregnancy after surgery.

Key words

Morbid obesity bariatric surgery gastric bypass adolescence pregnancy 

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Copyright information

© Springer Science + Business Media B.V. 2007

Authors and Affiliations

  • Helmut R. Roehrig
    • 1
    • 6
  • Stavra A. Xanthakos
    • 2
  • Jenny Sweeney
    • 3
  • Meg H. Zeller
    • 4
  • Thomas H. Inge
    • 5
  1. 1.Assistant Professor of Pediatrics, Division of Behavioral Medicine and Clinical PsychologyUniversity of Cincinnati College of MedicineCincinnatiUSA
  2. 2.Assistant Professor of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Medical Director of the Surgical Weight Loss Program for TeensUniversity of Cincinnati College of MedicineCincinnatiUSA
  3. 3.Pediatric Nurse Practitioner, Division of Pediatric and Thoracic Surgery, Bariatric Nurse Coordinator of the Surgical Weight Loss Program for TeensUniversity of Cincinnati College of MedicineCincinnatiUSA
  4. 4.Associate Professor of Pediatrics, Division of Behavioral Medicine and Clinical PsychologyUniversity of Cincinnati College of MedicineCincinnatiUSA
  5. 5.Associate Professor of Surgery and Pediatrics, Division of Pediatric and Thoracic Surgery, Surgical Director of the Surgical Weight Loss Program for Teens, Cincinnati Children’s Hospital Medical CenterUniversity of Cincinnati College of MedicineCincinnatiUSA
  6. 6.Behavioral Medicine and Clinical Psychology, ML 3015Children’s Hospital Medical CenterCincinnatiUSA

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