Dell'Agnolo Cátia Millene, Cyr Caroline, de Montigny Francine, de Barros Carvalho Maria Dalva, Pelloso Sandra Marisa
Post Graduate Program in Nursing, Maringa State University, Parana, Brazil.
Research, Québec University, Gatineau, QC, Canada.
Obes Surg. 2015 Nov;25(11):2030-9. doi: 10.1007/s11695-015-1668-9.
Several outcomes of pregnancy after bariatric surgery are currently being studied.
This cross-sectional, retrospective study evaluated the obstetric and perinatal outcomes of pregnancies in 19 women who underwent bariatric surgery, as well as the growth and development of their children, in the Southern Brazil.
Among these women, 11 children were born prior to surgery and 32 were born post-surgery. The mean time between the surgery and the first pregnancy was 42.96 months. Preterm newborns were more common among the pre-surgery childbirths. Regarding growth, normal weights were observed in 27.3 % of the children in the pre-surgery births and obesity was observed in 54.5 %. In contrast, normal weights were observed in 59.4 % of the children born during the postoperative period and obesity was observed in 31.2 %. The average excess weight that the women lost prior to pregnancy was 64.88. Speech delays were found in three male children evaluated using the Denver Developmental Screening Test II. A statistical association was found between the interval from the surgery to the pregnancy and the outcome of the questionable Denver II test results (p = 0.011).
Except for the large index of low birth weight, it can be concluded that pregnancy after bariatric surgery is safe. The growth rate was found to be adequate in the children born after the surgery, with reduced obesity. Although changes in speech development were detected, no factors were supported an association with pregnancy after bariatric surgery.
目前正在研究减肥手术后的几种妊娠结局。
这项横断面回顾性研究评估了巴西南部19名接受减肥手术的女性的妊娠产科和围产期结局，以及她们孩子的生长发育情况。
在这些女性中，11名儿童在手术前出生，32名在手术后出生。手术与首次妊娠之间的平均时间为42.96个月。早产新生儿在手术前分娩中更为常见。关于生长情况，手术前出生的儿童中有27.3%体重正常，54.5%肥胖。相比之下，术后出生的儿童中有59.4%体重正常，31.2%肥胖。女性在怀孕前减掉的平均多余体重为64.88。使用丹佛发育筛查测验第二版评估发现，有三名男童存在语言发育迟缓。发现手术至怀孕的间隔时间与丹佛发育筛查测验第二版可疑结果的结局之间存在统计学关联（p = 0.011）。
除低出生体重比例较高外，可以得出结论，减肥手术后妊娠是安全的。发现手术后出生的儿童生长速度足够，肥胖情况减少。虽然检测到语言发育有变化，但没有发现支持与减肥手术后妊娠存在关联的因素。
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