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Obesity Surgery

, Volume 26, Issue 6, pp 1352–1356 | Cite as

The Controversy of the Most Proper Time for Pregnancy After Bariatric Surgery: a Review of Ten Cases

  • Shahla Chaichian
  • Bahram Moazzami
  • Fatemeh Jesmi
  • Abdolreza PazoukiEmail author
  • Mohadeseh Pishgahroudsari
  • Somayeh Mokhber
  • Sajedeh Riazi
Brief Communication

Abstract

Background

Many infertile obese women conceive after bariatric surgery after many years, while guidelines prohibit them from pregnancy for at least 12–18 months after surgery, due to complications.

Methods

We hereby present 11 cases in our research center, pregnant in less than 12 months after surgery from 2011 to 2015, to evaluate their pregnancy outcome and complications.

Results

The mean conception time was 3.6 months after surgery and mean birth weight was 2695 g. Regarding neonatal/fetal complications, there was one case of intrauterine growth retardation and one NICU hospitalization. Among pregnancy complications, eight patients had hyperemesis gravidarum and one had pre-eclampsia.

Conclusions

The results of the present study suggest revising setting a contraindication for conception for patients undergoing bariatric surgery.

Keywords

Bariatric surgery Pregnancy outcome Obesity 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

For this type of study (retrospective studies), formal consent is not required.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

References

  1. 1.
    Mirzazadeh A, Sadeghirad B, Haghdoost A, et al. The prevalence of obesity in Iran in recent decade; a systematic review and meta-analysis study. Iran J Public Health. 2009;38(3):1–11.Google Scholar
  2. 2.
    Pasquali R, Patton L, Gambineri A. Obesity and infertility. Curr Opin Endocrinol Diabetes Obes. 2007;14(6):482–7.CrossRefPubMedGoogle Scholar
  3. 3.
    Yu C, Teoh T, Robinson S. Review article: obesity in pregnancy. BJOG: Int J Obstet Gynaecol. 2006;113(10):1117–25.CrossRefGoogle Scholar
  4. 4.
    Bult MJ, van Dalen T, Muller AF. Surgical treatment of obesity. Eur J Endocrinol. 2008;158(2):135–45.CrossRefPubMedGoogle Scholar
  5. 5.
    Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. Jama. 2004;292(14):1724–37.CrossRefPubMedGoogle Scholar
  6. 6.
    Teitelman M, Grotegut CA, Williams NN, et al. The impact of bariatric surgery on menstrual patterns. Obes Surg. 2006;16(11):1457–63.CrossRefPubMedGoogle Scholar
  7. 7.
    Maggard MA, Yermilov I, Li Z, et al. Pregnancy and fertility following bariatric surgery: a systematic review. JaMa. 2008;300(19):2286–96.CrossRefPubMedGoogle Scholar
  8. 8.
    Torres-Villalobos GM, Kellogg TA, Leslie DB, et al. Small bowel obstruction and internal hernias during pregnancy after gastric bypass surgery. Obes Surg. 2009;19(7):944–50.CrossRefPubMedGoogle Scholar
  9. 9.
    Iavazzo C, Ntziora F, Rousos I, et al. Complications in pregnancy after bariatric surgery. Arch Gynecol Obstet. 2010;282(2):225–7.CrossRefPubMedGoogle Scholar
  10. 10.
    Karmon A, Sheiner E. Pregnancy after bariatric surgery: a comprehensive review. Arch Gynecol Obstet. 2008;277(5):381–8.CrossRefPubMedGoogle Scholar
  11. 11.
    Musella M, Milone M, Bellini M, et al. Effect of bariatric surgery on obesity-related infertility. Surg Obes Relat Dis. 2012;8(4):445–9.CrossRefPubMedGoogle Scholar
  12. 12.
    Chagas CB, Saunders C, Pereira S, et al. Vitamin A deficiency in pregnancy: perspectives after bariatric surgery. Obes Surg. 2013;23(2):249–54.CrossRefPubMedGoogle Scholar
  13. 13.
    Sallé A, Demarsy D, Poirier AL, et al. Zinc deficiency: a frequent and underestimated complication after bariatric surgery. Obes Surg. 2010;20(12):1660–70.CrossRefPubMedGoogle Scholar
  14. 14.
    Beard JH, Bell RL, Duffy AJ. Reproductive considerations and pregnancy after bariatric surgery: current evidence and recommendations. Obes Surg. 2008;18(8):1023–7.CrossRefPubMedGoogle Scholar
  15. 15.
    Eid GM, Cottam DR, Velcu LM, et al. Effective treatment of polycystic ovarian syndrome with Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2005;1(2):77–80.CrossRefPubMedGoogle Scholar
  16. 16.
    Kjær MM, Lauenborg J, Breum BM, et al. The risk of adverse pregnancy outcome after bariatric surgery: a nationwide register-based matched cohort study. Am J Obstet Gynecol. 2013;208(6):464. e1-. e5.CrossRefPubMedGoogle Scholar
  17. 17.
    Patel JA, Patel NA, Thomas RL, et al. Pregnancy outcomes after laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2008;4(1):39–45.CrossRefPubMedGoogle Scholar
  18. 18.
    Dao T, Kuhn J, Ehmer D, et al. Pregnancy outcomes after gastric-bypass surgery. Am J Surg. 2006;192(6):762–6.CrossRefPubMedGoogle Scholar
  19. 19.
    Sheiner E, Edri A, Balaban E, et al. Pregnancy outcome of patients who conceive during or after the first year following bariatric surgery. Am J Obstet Gynecol. 2011;204(1):50. e1-. e6.CrossRefPubMedGoogle Scholar
  20. 20.
    Weintraub AY, Levy A, Levi I, et al. Effect of bariatric surgery on pregnancy outcome. Int J Gynecol Obstet. 2008;103(3):246–51.CrossRefGoogle Scholar
  21. 21.
    Magdaleno Jr R, Pereira BG, Chaim EA, et al. Pregnancy after bariatric surgery: a current view of maternal, obstetrical and perinatal challenges. Arch Gynecol Obstet. 2012;285(3):559–66.CrossRefPubMedGoogle Scholar
  22. 22.
    Sheiner E, Levy A, Silverberg D, et al. Pregnancy after bariatric surgery is not associated with adverse perinatal outcome. Am J Obstet Gynecol. 2004;190(5):1335–40.CrossRefPubMedGoogle Scholar
  23. 23.
    Belogolovkin V, Salihu HM, Weldeselasse H, et al. Impact of prior bariatric surgery on maternal and fetal outcomes among obese and non-obese mothers. Arch Gynecol Obstet. 2012;285(5):1211–8.CrossRefPubMedGoogle Scholar
  24. 24.
    Pazouki A, Cheraghali R, Saeedimotahhar H, et al. Pre-operative rectal indomethacin for reduction of postoperative nausea and vomiting after laparoscopic cholecystectomy: a double-blind randomized clinical trial. J Coll Physicians Surg Pak. 2015;25(1):56–9.PubMedGoogle Scholar
  25. 25.
    Khosravi A, Najafi F, Rahbar M, Atefi A, Motlagh M, Kabir M. Health profile indicators in the Islamic Republic of Iran. Tehran: Iran Ministry of Health and Medical Education, Deputy for Health. 2009Google Scholar
  26. 26.
    Guelinckx I, Devlieger R, Donceel P, et al. Lifestyle after bariatric surgery: a multicenter, prospective cohort study in pregnant women. Obes Surg. 2012;22(9):1456–64.CrossRefPubMedGoogle Scholar
  27. 27.
    Shankar P, Boylan M, Sriram K. Micronutrient deficiencies after bariatric surgery. Nutrition. 2010;26(11):1031–7.CrossRefPubMedGoogle Scholar
  28. 28.
    Marceau P, Smith J, Biron S, et al. PL-110: successful bariatric surgery in the mother improves health of offspring. Surg Obes Relat Dis. 2009;5(3):S4.CrossRefGoogle Scholar
  29. 29.
    Wittgrove AC, Jester L, Wittgrove P, et al. Pregnancy following gastric bypass for morbid obesity. Obes Surg. 1998;8(4):461–4.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Shahla Chaichian
    • 1
  • Bahram Moazzami
    • 2
  • Fatemeh Jesmi
    • 3
  • Abdolreza Pazouki
    • 3
    Email author
  • Mohadeseh Pishgahroudsari
    • 3
  • Somayeh Mokhber
    • 3
  • Sajedeh Riazi
    • 3
  1. 1.Minimally Invasive Techniques Research Center in Women, Tehran Medical Sciences BranchIslamic Azad UniversityTehranIran
  2. 2.Pars Advanced & Minimally Invasive Manners Research CenterPars HospitalTehranIran
  3. 3.Minimally Invasive Surgery Research CenterIran University of Medical SciencesTehranIran

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