González Irene, Lecube Albert, Rubio Miguel Ángel, García-Luna Pedro Pablo
Endocrinology and Nutrition Department, Complejo Hospitalario Universitario de Huelva, Huelva, Spain.
Endocrinology and Nutrition Department, Arnau de Vilanova University Hospital, Lleida Biomedicine Research Institute (IRB-Lleida), CIBER in Diabetes and Associated Metabolic Disorders (CIBERDEM), Lleida University, Lleida, Spain.
Int J Womens Health. 2016 Dec 14;8:721-729. doi: 10.2147/IJWH.S99970. eCollection 2016.
The significant increase in the prevalence of obesity has led to an increase in the number of obese women who become pregnant. In this setting, in recent years, there has been an exponential rise in the number of bariatric procedures, with approximately half of them performed in women of childbearing age, and a remarkable surge in the number of women who become pregnant after having undergone bariatric surgery (BS). These procedures entail the risk of nutritional deficiencies, and nutrition is a crucial aspect during pregnancy. Therefore, knowledge and awareness of the consequences of these techniques on maternal and fetal outcomes is essential. Current evidence suggests a better overall obstetric outcome after BS, in comparison to morbid obese women managed conservatively, with a reduction in the prevalence of gestational diabetes mellitus, pregnancy-associated hypertensive disorders, macrosomia, and congenital defects. However, the risk of potential maternal nutritional deficiencies and newborns small for gestational age cannot be overlooked. Results concerning the incidence of preterm delivery and the number of C-sections are less consistent. In this paper, we review the updated evidence regarding the impact of BS on pregnancy.
肥胖患病率的显著上升导致肥胖孕妇数量增加。在这种情况下，近年来，减肥手术的数量呈指数级增长，其中约一半是在育龄妇女中进行的，并且接受减肥手术后怀孕的妇女数量显著激增。这些手术存在营养缺乏的风险，而营养是孕期的一个关键方面。因此，了解这些技术对母婴结局的影响至关重要。目前的证据表明，与保守治疗的病态肥胖女性相比，减肥手术后总体产科结局更好，妊娠期糖尿病、妊娠相关高血压疾病、巨大儿和先天性缺陷的患病率有所降低。然而，潜在的母体营养缺乏和小于胎龄儿的风险也不能忽视。关于早产发生率和剖宫产数量的结果不太一致。在本文中，我们综述了关于减肥手术对妊娠影响的最新证据。
