Evidence map›Paper›PMID 31419378›Full record

ReviewObesity reviews : an official journal of the International Association for the Study of Obesity2019

Pregnancy after bariatric surgery: Consensus recommendations for periconception, antenatal and postnatal care.

Jill Shawe, Dries Ceulemans, Zainab Akhter, Karl Neff, Kathryn Hart, Nicola Heslehurst, Iztok Štotl, Sanjay Agrawal, Regine Steegers-Theunissen, Shahrad Taheri and 10 more

Abstract readReviewConsensus Statement
In one paragraph

Review in Obesity reviews : an official journal of the International Association for the Study of Obesity, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 108 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
108citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

108 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Review: Sex-Specific Aspects in the Bariatric Treatment of Severely Obese Women.International journal of environmental research and public health · 2020
    Pooled it
  8. Trial
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  18. Pregnancy after bariatric surgery: persistent obesity and longer time to conception influences peripartum outcomes more than the type of operation.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2026
    Article
  19. Review
  20. Review

48 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Jill ShaweFaculty of Health & Human Sciences, University of Plymouth, Devon, UK.ORCID 0000-0002-2766-7302
Dries CeulemansDepartment of Development and Regeneration, KU Leuven, Leuven, Belgium.ORCID 0000-0002-7392-2773
Zainab AkhterInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
Karl NeffKing's College Hospital NHS Foundation Trust, London, UK.
Kathryn HartDepartment of Nutritional Science, Faculty of Health and Medicine, University of Surrey, Guildford, UK.
Nicola HeslehurstInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
Iztok ŠtotlDepartment of Endocrinology, Diabetes and Metabolic Diseases, University Medical Centre, Ljubljana, Slovenia.
Sanjay AgrawalDepartment of Upper Gastrointestinal and Bariatric Surgery, Homerton University Hospital, London, UK.
Regine Steegers-TheunissenDepartment of Obstetrics and Gynaecology, Division of Obstetrics and Prenatal Medicine, Erasmus MC, Rotterdam, the Netherlands.
Shahrad TaheriWeill Cornell Medicine in Qatar, Qatar Foundation, Education City, Doha, Qatar.
Beth GreensladeMusgrove Park Hospital, Taunton, UK.
Judith RankinInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
Bobby HudaDepartment of Diabetes and Metabolism, St. Bartholomew's Hospital and The Royal London Hospital, Barts Health NHS Trust, London, UK.
Isy DouekMusgrove Park Hospital, Taunton, UK.
Sander GaljaardDepartment of Obstetrics and Gynaecology, Division of Obstetrics and Prenatal Medicine, Erasmus MC, Rotterdam, the Netherlands.
Orit BlumenfeldIsrael Centre for Disease Control, Ministry of Health, Jerusalem, Israel.
Ann RobinsonFaculty of Health and Medical Sciences, University of Surrey, Guildford, UK.
Martin WhyteDepartment of Clinical and Experimental Medicine, University of Surrey, Guildford, UK.
Elaine MathewsSt. Richard's Hospital Bariatric Surgery Service, Chichester, Western Sussex NHS Foundation Trust, Chichester, UK.
Roland DevliegerDepartment of Development and Regeneration, KU Leuven, Leuven, Belgium.ORCID 0000-0001-7837-4684

Funding

Department of Health PDF-2011-04-034Medical Research Council MR/K02325X/1
6 · The paper itself

Abstract

The objective of the study is to provide evidence-based guidance on nutritional management and optimal care for pregnancy after bariatric surgery. A consensus meeting of international and multidisciplinary experts was held to identify relevant research questions in relation to pregnancy after bariatric surgery. A systematic search of available literature was performed, and the ADAPTE protocol for guideline development followed. All available evidence was graded and further discussed during group meetings to formulate recommendations. Where evidence of sufficient quality was lacking, the group made consensus recommendations based on expert clinical experience. The main outcome measures are timing of pregnancy, contraceptive choice, nutritional advice and supplementation, clinical follow-up of pregnancy, and breastfeeding. We provide recommendations for periconception, antenatal, and postnatal care for women following surgery. These recommendations are summarized in a table and print-friendly format. Women of reproductive age with a history of bariatric surgery should receive specialized care regarding their reproductive health. Many recommendations are not supported by high-quality evidence and warrant further research. These areas are highlighted in the paper.

Indexed as

Bariatric SurgeryPreconception CareFemaleGuidelines as TopicHumansObesity, MorbidPostnatal CarePregnancyPregnancy ComplicationsPregnancy Outcomebariatric surgerygynaecologymetabolic surgeryobesityobstetricspregnancy

Identifiers

PMID31419378
PMCPMC6852078

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.