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Pregnancy after Bariatric Surgery: 39 Pregnancies Follow-up in a Multidisciplinary Team

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Abstract

Background

We investigate the outcomes of pregnancy in women who undergone restrictive–malabsorptive procedure at Centro da Obesidade Mórbida–Hospital São Lucas (COM HSL-PUCRS), Porto Alegre, Brazil.

Methods

All pregnancies started after the bariatric surgery and with estimated due date until June 2008 were eligible for the study. Only the first pregnancy of each patient was included in the data analysis. Data was collected from medical records.

Results

Forty seven pregnancies were identified in 41 women. Eight of them were ineligible. There were 30 complete pregnancies and nine miscarriages (23%). Cesarean delivery was performed in 69% of the complete pregnancies. Mature infants occurred in 93.1%. Twelve pregnancies (30.8%) occurred in the first year after surgery. Vitamin B12 was low in 53.4% patients; folic acid in 16.1%, iron in 6.7%, ferritin in 41.7%, calcium in 16.7%, and albumin in 10.3% of the patients. Nineteen women (79.2%) had no complication during the pregnancy and two (8.3%) presented with internal hernia. The average of newborns weight and length on delivery were 3,037 g and 48.07 cm, respectively. Children from pregnancies started in the first year of post operatory had similar outcomes of children from pregnancies started after 1 year of surgery.

Conclusions

Pregnancy after bariatric surgery is safe and has fewer complications than pregnancy in morbidly obese women. However, the recommendation to delay the pregnancy for at least 12–18 months post-operatively should be kept.

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Conflict of interest disclosure

Drs. Bebber, Rodrigues, Padoin, and Repetto and Nut Casagrande have no conflict of interest which would include funding for the research. Dr. Rizzolli has contracted research from Takeda Pharmaceutical Co. and Dr. Mottim is the principal investigator of Brazilian Health Ministry and Brazilian Science and Technology Ministry and principal and co-investigator of Johnson & Johnson.

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Authors and Affiliations

  1. Centro da Obesidade e Síndrome Metabólica do Hospital São Lucas da Pontifíca Universidade Católica do Rio Grande do Sul (COM HSL-PUCRS), Porto Alegre, Rio Grande do Sul, Brazil

    Flavia Emilia Bebber, Jacqueline Rizzolli, Daniela Schaan Casagrande, Marcelo Tadday Rodrigues, Alexandre Vontobel Padoin & Claudio Corá Mottin

  2. Serviço de Endocrinologia do Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil

    Flavia Emilia Bebber, Jacqueline Rizzolli, Daniela Schaan Casagrande & Giuseppe Repetto

  3. Programa de Pós-graduação em Ciências Médicas: Endocrinologia e Metabologia, Universidade Federal do Rio Grande do Sul, Serviço de Endocrinologia do Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil

    Daniela Schaan Casagrande

  4. Faculdade de Medicina da Pontifícia Universidade Católica do Rio Grande do Sul, Rio Grande do Sul, Brazil

    Claudio Corá Mottin & Giuseppe Repetto

Authors
  1. Flavia Emilia Bebber
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  2. Jacqueline Rizzolli
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  3. Daniela Schaan Casagrande
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  4. Marcelo Tadday Rodrigues
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  5. Alexandre Vontobel Padoin
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  6. Claudio Corá Mottin
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  7. Giuseppe Repetto
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Corresponding author

Correspondence to Flavia Emilia Bebber.

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Bebber, F.E., Rizzolli, J., Casagrande, D.S. et al. Pregnancy after Bariatric Surgery: 39 Pregnancies Follow-up in a Multidisciplinary Team. OBES SURG 21, 1546–1551 (2011). https://doi.org/10.1007/s11695-010-0263-3

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  • DOI: https://doi.org/10.1007/s11695-010-0263-3

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