Impact of bariatric surgery on breastfeeding: a systematic review |
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| Affiliation: | 1. Oesophago-Gastric Bariatric Surgical Unit, The Alfred Hospital, Melbourne, Victoria, Australia;2. Department of Surgery, Monash University, and Centre for Obesity Research and Education, Alfred Hospital, Melbourne, Victoria, Australia;3. Department of Radiology, The Alfred Hospital, Melbourne, Victoria, Australia;1. Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada;2. ICES, London, Ontario, Canada;3. Department of Surgery, McMaster University, Hamilton, Ontario, Canada;4. Department of Surgery, University of Toronto, Toronto, Ontario, Canada;1. Department of Anesthesiology, Chi Mei Medical Center, Tainan City, Taiwan;2. General Education Center, Chia Nan University of Pharmacy and Science, Tainan City, Taiwan;3. Department of Recreation and Health-Care Management, College of Recreation and Health Management, Chia Nan University of Pharmacy and Science, Tainan city, Taiwan;4. Department of Neurology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan;5. Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan;6. Department of Oral and Maxillofacial Surgery, Chi Mei Hospital, Liouying, Tainan City, Taiwan;7. Department of Emergency Medicine, E-Da Hospital, Kaohsiung City, Taiwan;8. College of Medicine, I-Shou University, Kaohsiung City, Taiwan |
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| Abstract: | Metabolic and bariatric surgery helps women achieve a healthier weight, reduce co-morbid conditions, increase fertility rates, and improve pregnancy outcomes compared with counterparts who are obese. Breastfeeding is known to provide both infant and maternal health benefits as well. Less is known about the impact of bariatric surgery on breastfeeding. The objective of this study was to review the impact of bariatric surgery on breastfeeding following the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines. PubMed and Medline databases were searched using terms such as “bariatric surgery,” “postnatal care,” “lactation,” and “breastfeeding.” Reference lists were also used to find relevant articles. A total of 49 records were identified. Abstracts were screened, and 11 observational studies were identified after meeting inclusion criteria, which included the use of original research on breastfeeding and women who have had bariatric surgery. The available research shows that breast milk after bariatric surgery is adequate in nutrients and that no long-term effects were reported in cases studies when nutrient deficiencies were corrected. Limitations include observational study design and small sample sizes. This systematic review suggests that breastfeeding after bariatric surgery should be recommended along with monitoring and micronutrient supplementation. However, additional research and increased sample sizes are needed to further examine the relationship, and such studies should be conducted to strengthen the evidence and explore ways to improve breastfeeding rates in this population. |
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| Keywords: | Bariatric surgery Gastric bypass Breastfeeding Lactation Breast milk Postnatal care |
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