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

Obes Surg. 2016 Jun;26(6):1352-6. doi: 10.1007/s11695-016-2124-1.

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; Obesity; Pregnancy outcome.

MeSH terms

  • Adult
  • Birth Weight
  • Contraindications, Procedure
  • Female
  • Gastric Bypass / adverse effects*
  • Gastric Bypass / methods
  • Humans
  • Infant, Newborn
  • Male
  • Obesity, Morbid / surgery*
  • Postoperative Period
  • Pre-Eclampsia / etiology
  • Pregnancy
  • Pregnancy Complications*
  • Pregnancy Outcome
  • Young Adult