Stopp Tina, Falcone Veronica, Feichtinger Michael, Göbl Christian
Universitätsklinik für Frauenheilkunde, Klinische Abteilung für Geburtshilfe und feto-maternale Medizin, Medizinische Universität, Wien, Austria.
Wunschbaby Institut Feichtinger, Wien, Austria.
Geburtshilfe Frauenheilkd. 2018 Dec;78(12):1207-1211. doi: 10.1055/a-0706-7578. Epub 2018 Dec 14.
Bariatric surgery is recommended when other weight loss interventions, such as lifestyle modification or medications, have failed. A considerable number of women undergoing bariatric surgery are of childbearing age; hence, it is necessary to be aware of the effects of bariatric surgery on pregnancy for managing these patients. Although bariatric surgery is associated with positive effects on cardiovascular and metabolic parameters, side effects such as anaemia, the risk of developing internal hernia, altered glucose metabolism and the risk of small for gestational age offspring have to be considered. Pregnant women with a history of gastric bypass should not undergo the oral glucose tolerance test (OGTT) due to the high risk of hypoglycaemia. There are no contraindications for vaginal delivery and breastfeeding. This paper has been published as a consensus statement by the Austrian Society of Gynaecology and Obstetrics (OEGGG).
当其他减肥干预措施，如生活方式改变或药物治疗失败时，推荐进行减肥手术。相当数量接受减肥手术的女性处于育龄期；因此，为了管理这些患者，有必要了解减肥手术对妊娠的影响。尽管减肥手术对心血管和代谢参数有积极影响，但必须考虑其副作用，如贫血、发生内疝的风险、葡萄糖代谢改变以及小于胎龄儿的风险。有胃旁路手术史的孕妇由于低血糖风险高，不应进行口服葡萄糖耐量试验（OGTT）。阴道分娩和母乳喂养没有禁忌证。本文已作为奥地利妇产科学会（OEGGG）的共识声明发表。
