Evidence map›Paper›PMID 41087809›Full record

ArticleObesity surgery2025

Evaluating the Care Needs and Clinical and Nutritional Outcomes in Pregnant Women After Metabolic and Bariatric Surgery-A Tertiary Centre Experience.

Brian Tran, Yi Wei Chen, Minoli Vinoda Abeysekera, Gillian Rosic, Chong Liang, Nardeen Habashy, Paik Yee Liew, Michael Devadas, Supreet Saluja, Natassia Rodrigo and 1 more

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Article in Obesity surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Brian TranCharles Perkins Centre-Nepean and Sydney Medical School, The University of Sydney, Sydney, Australia. brian.tran@sydney.edu.au.
Yi Wei ChenCharles Perkins Centre-Nepean and Sydney Medical School, The University of Sydney, Sydney, Australia. YiWeiJudy.Chen@health.nsw.gov.au.
Minoli Vinoda AbeysekeraNepean Blue Mountains Family Metabolic Health Service, Department of Endocrinology, Nepean Hospital, Kingswood, Australia.
Gillian RosicCharles Perkins Centre-Nepean and Sydney Medical School, The University of Sydney, Sydney, Australia.
Chong LiangNepean Blue Mountains Family Metabolic Health Service, Department of Endocrinology, Nepean Hospital, Kingswood, Australia.
Nardeen HabashyNepean Blue Mountains Family Metabolic Health Service, Department of Endocrinology, Nepean Hospital, Kingswood, Australia.
Paik Yee LiewNepean Blue Mountains Family Metabolic Health Service, Department of Endocrinology, Nepean Hospital, Kingswood, Australia.
Michael DevadasNepean Blue Mountains Family Metabolic Health Service, Department of Endocrinology, Nepean Hospital, Kingswood, Australia.
Supreet SalujaCharles Perkins Centre-Nepean and Sydney Medical School, The University of Sydney, Sydney, Australia.
Natassia RodrigoCharles Perkins Centre-Nepean and Sydney Medical School, The University of Sydney, Sydney, Australia.
Kathryn Helen WilliamsCharles Perkins Centre-Nepean and Sydney Medical School, The University of Sydney, Sydney, Australia. kath.williams@sydney.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMetabolic and bariatric surgery (MBS) is used to achieve significant and sustained weight loss. Considerable MBS are performed on women of reproductive age, with limited data regarding risks and management pre-conception and peripartum.

methodsOur retrospective audit assessed adult women in pregnancy with prior MBS, attending a specialised, multidisciplinary obesity service between January 2018 and July 2022. Baseline clinical and demographic characteristics, including surgical data, anthropometry, nutritional status, and pregnancy outcomes were collected for each pregnancy and evaluated.

resultsAcross 189 women and 210 pregnancies, pre-pregnancy obesity (BMI ≥ 30) prevalence was 55.9%, with polycystic ovarian syndrome and type 2 diabetes and depression and anxiety the most common associated medical and mental health problems, respectively. One-sixth of pregnancies were conceived within 12 months of MBS. Of those with available data (n = 174), only 43.1% (n = 75) had preconception dietitian reviews. Second trimester iron deficiency was noted in 64.1% (107/167) (parenteral supplementation required in 23.8% (50/210)) and vitamin B12 deficiency in 46.2% (61/132) (parenteral supplementation administered in 32.9% (69/210)). Maternal and neonatal complications occurred in 43.8% and 45.7% of pregnancies. Special care nursery (SCN) or neonatal intensive care unit (NICU) admissions were higher than background population rates.

conclusionsWomen in pregnancy following MBS have complex medical and mental health backgrounds, limited pre-conception counselling and significant nutritional deficiencies, with higher rates of SCN/NICU admissions. Our study highlights the role of specialised pre-conception and perinatal services for these women.

Indexed as

Bariatric SurgeryObesity, MorbidPregnancy ComplicationsAdultFemaleHumansNutritional StatusPregnancyPregnancy OutcomeRetrospective StudiesTertiary Care CentersMetabolic and bariatric surgeryObesityPeri-natal carePregnancy

Identifiers

PMID41087809
PMCPMC12722479

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