Clinical Practice Guidelines for Childbearing Female Candidates for Bariatric Surgery, Pregnancy, and Post-partum Management After Bariatric Surgery
2019
Ciangura, Cécile | Coupaye, Muriel | Deruelle, Philippe | Gascoin, Géraldine | Calabrese, Daniela | Cosson, Emmanuel | Ducarme, Guillaume | Gaborit, Benedicte | Lelièvre, Bénédicte | Mandelbrot, Laurent | Petrucciani, Niccolò | Quilliot, Didier | Ritz, Patrick | Robin, Geoffroy | Sallé, Agnès | Gugenheim, Jean | Nizard, Jacky
Emerging evidence suggests that bariatric surgery improves pregnancy outcomes of women with obesity by reducing the rates of gestational diabetes, pregnancy-induced hypertension, and macrosomia. However, it is associated with an increased risk of a small-for-gestational-age fetus and prematurity. Based on the work of a multidisciplinary task force, we propose clinical practice recommendations for pregnancy management following bariatric surgery. They are derived from a comprehensive review of the literature, existing guidelines, and expert opinion covering the preferred type of surgery for women of childbearing age, timing between surgery and pregnancy, contraception, systematic nutritional support and management of nutritional deficiencies, screening and management of gestational diabetes, weight gain during pregnancy, gastric banding management, surgical emergencies, obstetrical management, and specific care in the postpartum period and for newborns.
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