Department of Plastic and General Surgery, Turku University Hospital, Turku, Finland; Department of Plastic Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Finnish Institute for Health and Welfare, Helsinki, Finland; Karolinska Institute, Department of Neurobiology, Care Sciences and Society, Stockholm, Sweden.
J Plast Reconstr Aesthet Surg. 2021 Jan;74(1):143-151. doi: 10.1016/j.bjps.2020.08.008. Epub 2020 Aug 13.
Obesity in fertile age women has increased worldwide leading to increased bariatric procedures. Lower body contouring surgery (LBCS) is one of the most commonly performed esthetic operations, mainly owing to massive weight loss. However, there is a paucity of data regarding pregnancy and delivery after LBCS. In this study, we examined whether LBCS influences pregnancy or delivery and mother and baby outcome.
In this national registry-based study, we used data from the Finnish Institute of Health and Welfare and the Causes of Death registry. We included fertile age women, from 18 to 54 years who had LBCS with or without a bariatric procedure and who experienced pregnancy and delivery were compared to all deliveries in Finland during 1999- 2016.
We identified 92 women who had LBCS before delivery. These 92 women had planned cesarean sections more often (P < .001) and preterm delivery was more common (P < .001). None of the mothers or babies died. Of the 92 women, 26 had a preceding bariatric procedure. The preceding bariatric procedures did not increase the risk for preterm delivery or low birth weight. The need for urgent or emergency sections was not increased. The heightened number of planned cesareans is caused by the different demographics of the study group, indicating that previous LBCS is not a contraindication for vaginal delivery.
Pregnancy and delivery are safe for the mother and the baby after LBCS. The possible deviations from normal pregnancy and delivery should be discussed with fertile age women seeking LBCS.
全球范围内，育龄妇女肥胖率上升，导致减重手术数量增加。下半身塑形术（LBCS）是最常进行的美容手术之一，主要是由于体重的大量减轻。然而，关于 LBCS 后妊娠和分娩的数据很少。在这项研究中，我们研究了 LBCS 是否会影响妊娠和分娩以及母婴结局。
在这项基于全国注册的研究中，我们使用了芬兰健康与福利研究所和死因登记处的数据。我们纳入了 18 至 54 岁接受过 LBCS 且有妊娠和分娩经历的育龄妇女，并与 1999 年至 2016 年芬兰的所有分娩进行了比较。
我们共确定了 92 名在分娩前接受过 LBCS 的女性。这些女性更常计划行剖宫产（P <.001），且早产更为常见（P <.001）。没有母亲或婴儿死亡。92 名女性中有 26 名在接受 LBCS 之前曾接受过减重手术。先前的减重手术并没有增加早产或低出生体重的风险。也没有增加紧急剖宫产的需求。增加的计划性剖宫产数量是由研究组的不同人口统计学特征引起的，这表明先前的 LBCS 并不是阴道分娩的禁忌症。
LBCS 后妊娠和分娩对母婴是安全的。对于寻求 LBCS 的育龄妇女，应讨论可能与正常妊娠和分娩存在的差异。
