Maternal and neonatal outcomes after bariatric surgery; a systematic review and meta‐analysis: do the benefits outweigh the risks?

@article{Kwong2018MaternalAN,
  title={Maternal and neonatal outcomes after bariatric surgery; a systematic review and meta‐analysis: do the benefits outweigh the risks?},
  author={Wilson Tak-Yu Kwong and George Tomlinson and Denice S. Feig},
  journal={American Journal of Obstetrics and Gynecology},
  year={2018},
  volume={218},
  pages={573–580}
}

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References

SHOWING 1-10 OF 49 REFERENCES

Bariatric surgery and associated adverse pregnancy outcomes among obese women*

  • Meiling Hua ParkerV. BerghellaJ. B. Nijjar
  • Medicine
    The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
  • 2016
TLDR
Singleton gestations in obese women with a prior bariatric surgery have an increased risk of intrauterine growth restriction, and it may be reasonable screen these pregnancies for the development of growth restriction.

Pregnancy outcome of patients following bariatric surgery as compared with obese women: a population-based study

TLDR
Women following bariatric surgery have lower risk for gestational diabetes mellitus and fetal macrosomia as compared with obese parturients and bariatric Surgery is a risk factor for anemia, according to a retrospective population-based study.

Pregnancy and fertility following bariatric surgery: a systematic review.

TLDR
Rates of many adverse maternal and neonatal outcomes may be lower in women who become pregnant after having had bariatric surgery compared with rates in pregnant women who are obese; however, further data are needed from rigorously designed studies.

Downsizing pregnancy complications: a study of paired pregnancy outcomes before and after bariatric surgery.

Impact of prior bariatric surgery on maternal and fetal outcomes among obese and non-obese mothers

TLDR
The findings support the need for preconception/interconception services tailored for former bariatric surgery patients to improve maternal and feto-infant health outcomes.

Pregnancy Outcomes in Women After Bariatric Surgery Compared With Obese and Morbidly Obese Controls

TLDR
Bariatric surgery is associated with reduction in gestational diabetes in a subsequent pregnancy, but possibly at the expense of an increase in SGA neonates.

Reduced incidence of gestational diabetes with bariatric surgery.