Evidence map›Paper›PMID 33432482›Full record

ArticleObesity surgery2021

A Matter of Timing-Pregnancy After Bariatric Surgery.

Laura Heusschen, Ineke Krabbendam, Jessika M van der Velde, Laura N Deden, Edo O Aarts, Ashley E R Merién, Marloes Emous, Gysèle S Bleumink, Helen L Lutgers, Eric J Hazebroek

Abstract readMulticenter Study
In one paragraph

Article in Obesity surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. 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
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  10. Impact of Bariatric Surgery on Newborn Growth Parameters.International journal of pediatrics · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Laura HeusschenDepartment of Bariatric Surgery, Vitalys, part of Rijnstate hospital, Postal number 1191, PO box 9555, 6800TA, Arnhem, The Netherlands. LHeusschen@Rijnstate.nl.ORCID http://orcid.org/0000-0002-8096-0188
Ineke KrabbendamDepartment of Obstetrics and Gynecology, Hospital Gelderse Vallei, Ede, The Netherlands.
Jessika M van der VeldeDepartment of Obstetrics and Gynecology, Hospital Gelderse Vallei, Ede, The Netherlands.
Laura N DedenDepartment of Bariatric Surgery, Vitalys, part of Rijnstate hospital, Postal number 1191, PO box 9555, 6800TA, Arnhem, The Netherlands.
Edo O AartsDepartment of Bariatric Surgery, Vitalys, part of Rijnstate hospital, Postal number 1191, PO box 9555, 6800TA, Arnhem, The Netherlands.
Ashley E R MeriénDepartment of Obstetrics and Gynecology, Rijnstate hospital, Arnhem, The Netherlands.
Marloes EmousCenter of Obesity the Northern Netherlands, Medical Centre Leeuwarden, Leeuwarden, The Netherlands.
Gysèle S BleuminkDepartment of Internal Medicine, Rijnstate hospital, Arnhem, The Netherlands.
Helen L LutgersDepartment of Internal Medicine, Medical Centre Leeuwarden, Leeuwarden, The Netherlands.
Eric J HazebroekDepartment of Bariatric Surgery, Vitalys, part of Rijnstate hospital, Postal number 1191, PO box 9555, 6800TA, Arnhem, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCurrent guidelines recommend to avoid pregnancy for 12-24 months after bariatric surgery because of active weight loss and an increased risk of nutritional deficiencies. However, high-quality evidence is lacking, and only a few studies included data on gestational weight gain. We therefore evaluated pregnancy and neonatal outcomes by both surgery-to-conception interval and gestational weight gain. MATERIALS AND

methodsA multicenter retrospective analysis of 196 singleton pregnancies following Roux-en-Y gastric bypass, sleeve gastrectomy, and one anastomosis gastric bypass was conducted. Pregnancies were divided into the early group (≤ 12 months), the middle group (12-24 months), and the late group (> 24 months) according to the surgery-to-conception interval. Gestational weight gain was classified as inadequate, adequate, or excessive according to the National Academy of Medicine recommendations.

resultsPregnancy in the early group (23.5%) was associated with lower gestational age at delivery (267.1 ± 19.9 days vs 272.7 ± 9.2 and 273.1 ± 13.5 days, P = 0.029), lower gestational weight gain (- 0.9 ± 11.0 kg vs + 10.2 ± 5.6 and + 10.0 ± 6.4 kg, P < 0.001), and lower neonatal birth weight (2979 ± 470 g vs 3161 ± 481 and 3211 ± 465 g, P = 0.008) than pregnancy in the middle and late group. Inadequate gestational weight gain (40.6%) was associated with lower gestational age at delivery (266.5 ± 20.2 days vs 273.8 ± 8.4 days, P = 0.002) and lower neonatal birth weight (3061 ± 511 g vs 3217 ± 479 g, P = 0.053) compared to adequate weight gain. Preterm births were also more frequently observed in this group (15.9% vs 6.0%, P = 0.037).

conclusionOur findings support the recommendation to avoid pregnancy for 12 months after bariatric surgery. Specific attention is needed on achieving adequate gestational weight gain.

Indexed as

Bariatric SurgeryGastric BypassObesity, MorbidFemaleHumansInfant, NewbornPregnancyPregnancy OutcomeRetrospective StudiesGestational weight gainIOMNAMNeonatal outcomesOne anastomosis gastric bypassRoux-en-Y gastric bypassSleeve gastrectomySurgery-to-conception time interval

Identifiers

PMID33432482
PMCPMC8041698

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Registered trials

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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.