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Bariatric surgery and associated adverse pregnancy outcomes among obese women

Content Provider	Scilit
Author	Parker, Meiling Hua Berghella, Vincenzo Nijjar, Jugnu Biba
Copyright Year	2015
Description	Journal: The Journal of Maternal-Fetal & Neonatal Medicine Objective: To evaluate whether bariatric surgery is associated with intrauterine growth restriction (IUGR). Methods: We performed a population-based retrospective cohort study to estimate the relationship between prior bariatric surgery and adverse pregnancy outcomes. The data were collected from the 2012 Healthcare Cost and Utilization Project Nationwide Inpatient Sample (HCUP-NIS). Pregnancies in obese women with a prior bariatric surgery were compared to those of obese women without. Outcomes of interest were pre-eclampsia, IUGR, intrauterine fetal demise, large for gestational age, postpartum hemorrhage, failed induction of labor, cesarean delivery and operative vaginal delivery. Multivariable logistic regression analysis was used to adjust for potential confounders. Results: 186 605 obese women with singleton gestations were identified. Among these, 1585 (0.8%) women had a prior bariatric surgery. Prior bariatric surgery was associated with an increased risk of IUGR (5.7% versus 2.2%, adjusted odds ratio 2.89, 99% CI 1.55–5.39, p < 0.0001) even after adjusting for confounding factors. No differences were seen in our other outcomes of interest. Conclusion: Singleton gestations in obese women with a prior bariatric surgery have an increased risk of IUGR. It may be reasonable screen these pregnancies for the development of growth restriction.
Related Links	https://www.tandfonline.com/doi/pdf/10.3109/14767058.2015.1060214
Ending Page	1750
Page Count	4
Starting Page	1747
ISSN	14767058
e-ISSN	14764954
DOI	10.3109/14767058.2015.1060214
Journal	The Journal of Maternal-Fetal & Neonatal Medicine
Issue Number	11
Volume Number	29
Language	English
Publisher	Informa UK Limited
Publisher Date	2015-07-28
Access Restriction	Open
Subject Keyword	Journal: The Journal of Maternal-Fetal & Neonatal Medicine Obstetrics and Gynecology Bariatric Surgery Gastric Bypass Intrauterine Growth Restriction Small for Gestational Age
Content Type	Text
Subject	Pediatrics, Perinatology and Child Health Obstetrics and Gynecology

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