Pregnancy Following Gastric Bypass Surgery for Morbid Obesity: Maternal and Neonatal Outcomes |
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Authors: | Joseph R. Wax Angelina Cartin Renee Wolff Sharon Lepich Michael G. Pinette Jacquelyn Blackstone |
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Affiliation: | (1) Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Maine Medical Center, Portland, ME, USA;(2) Maine Bariatric Surgical Program, Department of Surgery, Maine Medical Center, Portland, ME, USA;(3) MMC Ob/Gyn Associates, 887 Congress Street, Suite 200, Portland, ME 04102, USA |
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Abstract: | Background The purpose of this study was to compare obstetric and neonatal outcomes after Roux-en-Y gastric bypass (RYGB) to those in women without such surgery. Methods Women with RYGB (cases) were matched for maternal age and prior cesarean to the next two consecutive women delivering without prior bariatric surgery (controls). Pregnancy and newborn outcomes were compared by univariate analysis. Outcomes approaching or reaching statistical significance were evaluated by conditional logistic regression controlling for maternal body mass index (BMI). Results Despite gastric bypass, the 38 cases were heavier (BMI 33.4 ± 7.3 vs. 28.1 ± 6.7 kg/m2, p < 0.001) and more often obese (BMI ≥ 30 kg/m2, 26/38 (68.4%) vs. 20/76 (26.3%), p < 0.001) than controls. Variables evaluated by logistic regression adjusted for BMI did not differ in cases versus controls, including hypertension (odds ratio [OR] 2.62, 95% confidence interval [CI] 0.66–10.50), preterm premature rupture of membranes (OR 0.24, 95% CI 0.02–3.38), oligohydramnios (OR 2.39, 95% CI 0.66–8.61), and delivery ≥41 weeks (OR 0.57, 95% CI 0.11–2.97). Discussion Obstetric and neonatal outcomes after RYGB are similar to those of our general obstetric population. Reprints unavailable. |
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Keywords: | Bariatric surgery Roux-en-Y gastric bypass Pregnancy Morbid obesity |
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