Bariatric surgery and its impact on fertility, pregnancy and its outcome: a narrative review

Dg Marshita Pg Baharuddin and Alvin Oliver Payus and Ehab Helmy Abdel Malek Fahmy and Waidah Sawatan and Win Win Than and Abdel Mohsen Mohamed Ahmed Abdel Hafez and Nang Kham Oo Leik and D. Maryama Ag Daud and Mohd Nazri Mohd Daud and Zulkhairul Naim Sidek Ahmad (2021) Bariatric surgery and its impact on fertility, pregnancy and its outcome: a narrative review. Annals of Medicine and Surgery, 72. pp. 1-5. ISSN 2049-0801

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Abstract

Bariatric procedures are on the rise as a surgical treatment for morbid obesity. In reproductive age of women, bariatric surgeries will improve factors related to anovulation and lead to spontaneous fertility. Spontaneous pregnancy can happen within a year after bariatric surgery due to higher level of sex hormone binding globulin and follicular stimulating hormone and reduction in androgens level. Reduction of length of follicular phase of menstrual cycle was reported and contribute to improved ovulatory status. The major impact to pregnant women is development of small for gestational age babies due to persistent weight loss but this can be minimized by avoiding pregnancies too soon after bariatric surgery and good nutrition supplement. Risk of developing gestational diabetes mellitus and preeclampsia reduced among post bariatric surgery compared to no surgery. Another benefit observed are reduction in the risk of caesarean section and admission to neonatal intensive care unit. There are no significant changes in composition of breast milk in postpartum women without bariatric surgery and with women whom undergone surgery although more study needed to evaluate this effect. Good prenatal care, micronutrient supplement during antenatal follow up and close supervision from expert managing this pregnancy are essential component to ensure good outcome to mothers and their newborn.

Item Type:	Article
Keyword:	Bariatric surgery , Pregnancy , Obstetrics outcome , Perinatal outcome
Subjects:	H Social Sciences > HQ The family. Marriage. Woman > HQ1-2044 The Family. Marriage. Women > HQ503-1064 The family. Marriage. Home R Medicine > RD Surgery > RD1-811 Surgery > RD520-599.5 Surgery by region, system, or organ R Medicine > RG Gynecology and obstetrics > RG1-991 Gynecology and obstetrics
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	SAFRUDIN BIN DARUN -
Date Deposited:	21 Mar 2022 14:18
Last Modified:	21 Mar 2022 14:18
URI:	https://eprints.ums.edu.my/id/eprint/31981

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