Division of Endocrinology, Department of Medicine, Université de Sherbrooke, Québec, Canada; Centre de Recherche de l'Institut Universitaire de Cardiologie et Pneumologie de Québec, Québec, Canada.
Centre de Recherche de l'Institut Universitaire de Cardiologie et Pneumologie de Québec, Québec, Canada.
Can J Diabetes. 2017 Aug;41(4):432-438. doi: 10.1016/j.jcjd.2016.09.005. Epub 2017 Mar 29.
The majority of bariatric surgeries in Canada are performed in women of reproductive age. Clinicians encounter more and more often pregnancies that occur after bariatric surgeries. The appropriate management and education of women who want to conceive after bariatric surgery is still unclear due to the lack of consistent data about maternal and neonatal outcomes following bariatric surgery. Maternal obesity during pregnancy confers a higher risk for gestational diabetes, hypertensive disorders, congenital malformations, prematurity and perinatal mortality. Generally, pregnancies in severely obese women who have undergone bariatric surgery are safe, and the women are at significantly lower risk for gestational diabetes, hypertensive disorders and large-for-gestational-age neonates, but the surgery confers a higher risk for small-for-gestational-age infants and prematurity. This review aims to provide evidence from recent publications about the risks and benefits of bariatric surgeries in the context of future pregnancies.
加拿大的大多数减肥手术都是在育龄妇女中进行的。临床医生越来越多地遇到减肥手术后发生的妊娠。由于缺乏减肥手术后母婴结局的一致数据，对于想要在减肥手术后怀孕的妇女，其适当的管理和教育仍然不清楚。怀孕期间的母体肥胖会增加妊娠糖尿病、高血压疾病、先天性畸形、早产和围产期死亡率的风险。一般来说，接受过减肥手术的严重肥胖妇女的妊娠是安全的，并且这些妇女患妊娠糖尿病、高血压疾病和巨大儿的风险显著降低，但手术会增加小于胎龄儿和早产的风险。这篇综述旨在根据最近的出版物提供关于减肥手术在未来妊娠中的风险和益处的证据。
