Monson Martha, Jackson Marc
*Department of Obstetrics and Gynecology, University of Utah School of Medicine †Intermountain Healthcare, Salt Lake City, Utah.
Clin Obstet Gynecol. 2016 Mar;59(1):158-71. doi: 10.1097/GRF.0000000000000178.
Bariatric surgery is the most effective weight loss treatment available for morbidly obese patients. The majority of bariatric surgery cases are now performed on reproductive-aged women. The pregnant bariatric surgery patient is unique, with specific care needs that often require a multidisciplinary approach. Here, we will review the rationale for bariatric surgery and contemporary surgical modalities. We will then consider the obstetric and neonatal implications following these procedures and discuss the tenets of pregnancy care in the patient after bariatric surgery.
减肥手术是针对病态肥胖患者最有效的减肥治疗方法。现在,大多数减肥手术病例是在育龄妇女身上进行的。接受减肥手术的孕妇是独特的,有特定的护理需求,通常需要多学科方法。在这里,我们将回顾减肥手术的基本原理和当代手术方式。然后,我们将考虑这些手术后对产科和新生儿的影响,并讨论减肥手术后患者的孕期护理原则。