The effects of bariatric surgery on periconception maternal health: a systematic review and meta-analysis.
Katinka Marianne SnoekRégine Patricia Maria Steegers-TheunissenEric J HazebroekSten P WillemsenSander GaljaardJoop S E LavenSam SchoenmakersPublished in: Human reproduction update (2022)
The current systematic review and meta-analysis show associations between bariatric surgery and periconception maternal health and underlines the need for providing and personalizing preconception care for women after bariatric surgery. We recommend preconception care including the recommendation of postponing pregnancy until weight loss has stabilized, irrespective of the surgery-to-pregnancy interval, and until vitamin status is normalized. Therefore, regular monitoring of vitamin status and vitamin supplementation to restore deficiencies is recommended. Furthermore, this systematic review emphasizes the need for a long-term follow-up research of these women from the periconception period onwards as well as their pregnancies and offspring, to further improve care and outcomes of these mothers and children.
Keyphrases
- pregnancy outcomes
- bariatric surgery
- healthcare
- weight loss
- systematic review
- palliative care
- pregnant women
- public health
- obese patients
- quality improvement
- preterm birth
- mental health
- minimally invasive
- pain management
- roux en y gastric bypass
- affordable care act
- meta analyses
- health information
- randomized controlled trial
- type diabetes
- physical activity
- high fat diet
- body mass index
- chronic pain
- metabolic syndrome
- coronary artery disease
- skeletal muscle
- risk assessment
- breast cancer risk