Outcome of Pregnancy after Bariatric Surgery at Latifa Hospital, DHA, Dubai, UAE

• 作者: Amal AlQedrah Atif Bashir Fazari Eiman S. M. O. Al Zahmi Farida Adam Laila Yahya A. Alhubaishi Muna Tahlak Zahra S. M. Husain Zeinabsadat T. Hakim
• 来源期刊: 妇产科期刊(英文)
• 学科: 医学
• 关键词: OBESITY BARIATRIC Surgery PREGNANCY COMORBIDITY
• 年，卷（期）: 2019,（4）
• 页码范围: 442-448
• 页数: 7页
• 分类号: R73

摘要

Background: Obesity is becoming increasingly prevalent in many populations and has become one of the most commonly occurring risk factors in obstetric practice. In nations of the Gulf Cooperation Council (GCC), the prevalence of overweight adults has been reported to be 35% amongst females, while the prevalence of obesity has been reported to be 40% amongst females. The study aimed to identify the rate and outcome of Pregnancy After Bariatric Surgery at Latifa Hospital (PABS). Method: This is a hospital based cross-sectional study including all patients seen at Latifa hospital at Dubai Health Authority (DHA), Dubai, UAE between January 2018 and December 2018. The data included demographic details, gestational age, the mode of delivery, medical history, clinical findings, weight before surgery, weight after at antenatal booking, type of performed surgery, type of pregnancy (spontaneous or after assisted reproductive techniques), pregnancy complications, mode of delivery, and neonatal weight. Results: The reported cases of pregnancy after Bariatric surgery are 18 cases that makes rate 0.45%. Half of the performed surgery among the study group is sleeve surgery. Most of them (83.3%) are multiparous women with spontaneous pregnancy. The mean interval of surgery to pregnancy is 5.3 months. The highest weight before surgery is 155 kg and the mean weight of the study cases is 114.5 kg before surgery. After surgery at booking visit the mean weight is 83.9 kg. The mean weight reduction for this group is 30.6 kg. Anemia is the most common antenatal complication among the study group. Lower segment Caesarean section (LSCS) and vaginal delivery (VD) distributed equally between the women. The study showed good expect neonatal outcome. Conclusion: Pregnancy After Bariatric Surgery (PABS) is high-risk pregnancy with many potential complications. Care of pregnancy after bariatric surgery should be organized in multilateral cooperation of various medical disciplines in specialized center.