ArticleSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery2026
Pregnancy after bariatric surgery: persistent obesity and longer time to conception influences peripartum outcomes more than the type of operation.
Article in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2026. 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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Abstract
backgroundWhile women may seek metabolic and bariatric surgery (MBS) to achieve pregnancy, conflicting data exist on how MBS affects pregnancy and fetal outcomes. Additionally, despite existing consensus recommendations for micronutrient monitoring, adherence to recommended screening is unknown.
objectivesEvaluate post-MBS pregnancy outcomes and clinical adherence to micronutrient monitoring recommendations.
settingUniversity Hospital, United States.
methodsA retrospective cohort study of singleton, live-birth pregnancies in post-MBS patients from 2008 to 2023 was performed. Mother and neonate weight, pregnancy comorbidities, peripartum outcomes, and micronutrient results were analyzed using descriptive statistics and Chi-square tests.
resultsIn 139 patients (99 Roux-en-Y gastric bypass (RYGB)/duodenal switch (DS) and 40 sleeve gastrectomy (SG)/adjustable gastric band (AGB)), we evaluated 169 singleton, live birth pregnancies. Mean body mass index (BMI) at MBS and preconception were 46.5 ± 8.7 and 34.0 ± 7.7 kg/m
conclusionsWe found that longer TTC and persistent obesity increased patient risk for peripartum complications. Support to help patients achieve lower preconception weight may reduce peripartum complications.
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