ArticleObesity surgery2021
Adverse Neonatal and Obstetric Outcomes in a 20-year Brazilian Retrospective Cohort of Pregnancies after Bariatric Surgery.
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 11 papers, 3 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 18 citations in OpenAlex.
- Mental Health in Pregnant Women with a History of Metabolic and Bariatric Surgery: A Systematic Review of Depression, Anxiety, Eating Disorders, and Substance Use.Obesity surgery · 2025Pooled it
- A Systematic Review Investigating Maternal Nutrition During Pregnancy After Bariatric Surgery.Obesity surgery · 2023Pooled it
- Pooled it
- Mental health during pregnancy and postpartum in women with a history of bariatric surgery: A scoping review.Archives of women's mental health · 2026Article
- Levels of stress, anxiety, and depression during pregnancy after bariatric surgery: A comparative study with women with obesity.Journal of education and health promotion · 2026Article
- Maternal and neonatal outcomes following metabolic bariatric surgery in the United Arab Emirates.BMC pregnancy and childbirth · 2025Article
- The Korean Society for Metabolic and Bariatric Surgery (KSMBS) Position Statement on Female Candidates of Reproductive Age for Metabolic Bariatric Surgery.Journal of metabolic and bariatric surgery · 2025Review
- Mental Health After Childbirth in Women with Previous Bariatric Surgery: The SPOtMom Pilot Study.Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association · 2025Observational
- Depression and Anxiety Incidence During Pregnancy Between Bariatric Surgery Patients and Matched Control Subjects.Obesity surgery · 2022Article
- Early Pregnancy (≤ 12 Months) After Bariatric Surgery: Does It Really Influence Maternal and Perinatal Outcomes?Obesity surgery · 2022Article
- Iron Deficiency and Anemia 10 Years After Roux-en-Y Gastric Bypass for Severe Obesity.Frontiers in endocrinology · 2021Observational
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeEvaluation of obstetric and neonatal outcomes in a Brazilian retrospective cohort of pregnancies after Roux-en-Y gastric bypass (RYGB), regarding the 2009 Institute of Medicine (IOM) recommendations about gestational weight gain (GWG) and RYGB-conception interval. Additionally, search for intrapopulation risk factors for small gestational age (SGA) offspring and mental health assessments. MATERIAL AND
methodsRetrospective analysis of 132 singleton pregnancies after RYGB. Obstetric and neonatal outcomes were analyzed with stratification in above, below, or meeting the target regarding GWG guidance, and 0-12, 12-47, and ≥48 months for RYGB-conception interval. SGA risk factors were identified through Poisson regression analysis.
resultsGWG below the recommendations was associated with prematurity (p 0.003). Late conceptions (≥48 months) were associated with iron deficiency (p 0.025). Parenteral iron prescription was a protective factor for SGA, with a relative risk of 0.41 (95% CI, 0.20-0.85; p 0.017), and GWG below target was a SGA risk factor, with a relative risk of 4.68 (95% CI, 1.48-14.8; p 0.008). In all, 15.2% of patients had psychopharmacological treatment during pregnancy, and 7.6% received a diagnosis of postpartum depression. Any alcohol and tobacco consumption were reported in 3.8 and 6.8% of patients, respectively.
conclusionThe recommendations regarding GWG apply to the RYGB population, and surgery-conception intervals should be individualized. The parenteral iron prescription was a protective factor for SGA, and GWG below the recommendations of the IOM was a risk factor for SGA. Psychological and psychiatric care should be offered to every possible pregnancy after RYGB.
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