Influence of Time Interval from Bariatric Surgery to Conception on Pregnancy and Perinatal Outcomes
Abstract
Introduction Pregnancy in women submitted to bariatric surgery is increasing. Recommendations for surveillance of these pregnancies have been suggested, but an adequate time interval from surgery to conception, to avoid perinatal negative outcomes, is still controversial.Material and methods Medical records of pregnancies in women with previous bariatric surgery were retrieved and outcomes were assessed according to three different time thresholds (12, 18 and 24 months). The association between time from surgery to conception and the presence of adverse outcomes was analysed.Results Eighty-six pregnancies were assessed. Weight gain was higher (p = 0.014) and more adequate (p = 0.041) when pregnancy occurred more than 12 months after surgery. Foetal growth percentile was lower when pregnancy was achieved before 24 months following surgery (p = 0.021). No differences among groups were found in other assessed outcomes (BMI, gestational age at delivery, type of delivery, gestational diabetes, pregnancy hypertensive disease, anaemia, preterm delivery, foetal weight, foetal growth restriction, Apgar score, admission to neonatal intensive unit) in all considered thresholds. No association between time from surgery to conception and the presence of adverse outcomes was found.Conclusion Despite differences found in maternal weight gain and foetal growth percentile, our study does not support the recommendation to delay pregnancy based on a fixed deadline. Other factors, including a more individualised approach, need to be considered.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Delaying pregnancy after bariatric surgery was associated with a trend towards lower odds for admission in the neonatal intensive care unit (OR 0.73, 95% CI 0.45 to 1.18).
“Delaying pregnancy was associated with a trend towards lower odds for admission in the neonatal intensive care unit (OR 0.73, 95% 0.45 to 1.18).”
From Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP (2020) · cites this paper as [135]
Cites
Bariatric Surgery Worldwide 2013
Angrisani, L., Santonicola, A., Iovino, P., Formisano, G., Buchwald, H., & Scopinaro, N. (2015) · Obesity Surgery · doi:10.1007/s11695-015-1657-z · Cited by 1,492 · see citing works
Outcomes of Pregnancy after Bariatric Surgery
Johansson, K., Cnattingius, S., Näslund, I., Roos, N., Lagerros, Y. T., Granath, F. N., Stephansson, O., & Neovius, M. (2015) · New England Journal of Medicine · doi:10.1056/nejmoa1405789 · Cited by 551 · see citing works
ACOG Practice Bulletin No. 105: Bariatric Surgery and Pregnancy
(2009) · Obstetrics and Gynecology · doi:10.1097/aog.0b013e3181ac0544 · Cited by 346 · see citing works
Kwong, W., TOMLINSON, G. A., & Feig, D. S. (2018) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2018.02.003 · Cited by 263 · see citing works
Overweight and obesity in Portugal: national prevalence in 2003–2005
do Carmo, I., Santos, O. D., Camolas, J., Vieira, J., Carreira, M., Medina, L. M. H., Reis, L., Myatt, J., & Galvão-Teles, A. (2007) · Obesity Reviews · doi:10.1111/j.1467-789x.2007.00422.x · Cited by 208 · see citing works
Drug-Free Interventions to Reduce Pain or Opioid Consumption After Total Knee Arthroplasty
Tedesco, D., Gori, D., Desai, K. R., Asch, S. M., Carroll, I. R., Curtin, C. M., McDonald, K. M., Fantini, M. P., & Hernandez‐Boussard, T. (2017) · JAMA Surgery · doi:10.1001/jamasurg.2017.2872 · Cited by 195 · see citing works
Menard, M. K., Kilpatrick, S. J., Saade, G. R., Hollier, L. M., Joseph, G. F., Barfield, W. D., Callaghan, W. M., Jennings, J. C., & Conry, J. A. (2015) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2014.12.030 · Cited by 170 · see citing works
Best Practice Guidelines in Pediatric/Adolescent Weight Loss Surgery
Apovian, C. M., Baker, C. L., Ludwig, D. S., Hoppin, A. G., Hsu, G. L. K., Lenders, C. M., Pratt, J. S. A., Forse, R. A., O’Brien, A., & Tarnoff, M. E. (2005) · Obesity Research · doi:10.1038/oby.2005.37 · Cited by 155 · see citing works
Parent, B., Martopullo, I., Weiss, N. S., Khandelwal, S., Fay, E., & Rowhani‐Rahbar, A. (2016) · JAMA Surgery · doi:10.1001/jamasurg.2016.3621 · Cited by 146 · see citing works
Pregnancy outcomes after gastric-bypass surgery
Dao, T., Kuhn, J. A., Ehmer, D. R., Fisher, T. L., & McCarty, T. M. (2006) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2006.08.041 · Cited by 135 · see citing works
Pregnancy Risks Associated with Obesity
Mission, J. F., Marshall, N., & Caughey, A. B. (2015) · Obstetrics and Gynecology Clinics of North America · doi:10.1016/j.ogc.2015.01.008 · Cited by 127 · see citing works
Maternal and Fetal Deaths after Gastric Bypass Surgery for Morbid Obesity
Moore, K. A., Ouyang, D. W., & Whang, E. E. (2004) · New England Journal of Medicine · doi:10.1056/nejm200408123510722 · Cited by 124 · see citing works
Sardinha, L. B., Santos, D. A., Silva, A. M., Coelho-e-Silva, M. J., Raimundo, A. M. D. M., Moreira, H., Santos, R., Vale, S. M. C. G., Baptista, F., & Mota, J. A. P. S. (2012) · PLoS ONE · doi:10.1371/journal.pone.0047883 · Cited by 104 · see citing works
Chevrot, A., Kayem, G., Coupaye, M., et al. (2015) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2015.11.017 · Cited by 98 · see citing works
Wax, J. R., Cartin, A., Wolff, R. S., Lepich, S., Pinette, M. G., & Blackstone, J. A. (2008) · Obesity Surgery · doi:10.1007/s11695-008-9647-z · Cited by 94 · see citing works
Nutrient Deficiencies Are Common Prior to Bariatric Surgery
Frame, L. A., Megill, R. D., Carobrese, S., & Schweitzer, M. (2017) · Nutrition in Clinical Practice · doi:10.1177/0884533617712701 · Cited by 89 · see citing works
Hue, O. A., Marcotte, J., Berrigan, F., Simoneau, M., Doré, J., Marceau, P., Marceau, S., Tremblay, A., & Teasdale, N. (2006) · Obesity Surgery · doi:10.1381/096089206778392356 · Cited by 79 · see citing works
Maternal and Perinatal Outcomes After Bariatric Surgery: a Spanish Multicenter Study
González, I., Rubio, M. Á., Cordido, F., Lesmes, I. B., Morales, M. J., Vilarrasa, N., Monereo, S., Lecube, A., Caixàs, A., Vinagre, I., et al. (2014) · Obesity Surgery · doi:10.1007/s11695-014-1387-7 · Cited by 72 · see citing works
Jansen, A., Lyche, J. L., Polder, A., Aaseth, J., & Skaug, M. A. (2017) · Journal of Toxicology and Environmental Health Part B · doi:10.1080/10937404.2016.1246391 · Cited by 72 · see citing works
Pregnancy after Bariatric Surgery: Balancing Risks and Benefits
Carreau, A., Nadeau, M., Marceau, S., Marceau, P., & Weisnagel, S. J. (2017) · Canadian Journal of Diabetes · doi:10.1016/j.jcjd.2016.09.005 · Cited by 63 · see citing works
Timing of Pregnancy After Gastric Bypass—a National Register-Based Cohort Study
Kjær, M. M., & Nilas, L. (2013) · Obesity Surgery · doi:10.1007/s11695-013-0903-5 · Cited by 61 · see citing works
Stentebjerg, L. L., Andersen, L. L. T., Renault, K., Støving, R. K., & Jensen, D. M. (2017) · The Journal of Maternal-Fetal & Neonatal Medicine · doi:10.1080/14767058.2016.1208746 · Cited by 60 · see citing works
Gesquiere, I., Foulon, V., Augustijns, P., Gils, A., Lannoo, M., der Schueren, B. V., & Matthys, C. (2016) · Clinical Nutrition · doi:10.1016/j.clnu.2016.08.009 · Cited by 58 · see citing works
Pregnancy and foetal outcome after bariatric surgery: a review of recent studies
Dalfrà, M. G., Busetto, L., Chilelli, N. C., & Lapolla, A. (2012) · The Journal of Maternal-Fetal & Neonatal Medicine · doi:10.3109/14767058.2012.663829 · Cited by 57 · see citing works
Pregnancy after bariatric surgery: the effect of time-to-conception on pregnancy outcomes
Yau, P. O., Parikh, M., Saunders, J. K., Chui, P., Zablocki, T., & Welcome, A. U. (2017) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2017.07.015 · Cited by 55 · see citing works
Ducarme, G., Parisio, L., Santulli, P., et al. (2012) · The Journal of Maternal-Fetal & Neonatal Medicine · doi:10.3109/14767058.2012.735723 · Cited by 46 · see citing works
Bariatric surgery in women of childbearing age
Alatishe, A., Ammori, B. J., New, J. P., & Syed, A. A. (2013) · QJM · doi:10.1093/qjmed/hct081 · Cited by 37 · see citing works
Nørgaard, L. N., Gjerris, A. C., Kirkegaard, I., et al. (2014) · PLoS ONE · doi:10.1371/journal.pone.0090317 · Cited by 35 · see citing works
Optimum time for pregnancy after bariatric surgery
Mahawar, K. K., Graham, Y. N. H., & Small, P. K. (2016) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2016.05.005 · Cited by 25 · see citing works
Pregnancy and Fertility Following Bariatric Surgery
Maggard, M. A., Yermilov, I., Li, Z., Maglione, M., Newberry, S., Suttorp, M. J., Hilton, L., Santry, H. P., Morton, J. M., Livingston, E. H., et al. (2008) · JAMA · doi:10.1001/jama.2008.641 · Cited by 17 · see citing works
Bariatric surgery and pregnancy: What outcomes?
Kassir, R., Goiset, M.-P., Williet, N., et al. (2016) · International Journal of Surgery · doi:10.1016/j.ijsu.2016.10.029 · Cited by 3 · see citing works
Monteiro, M. P. (2017) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2017.08.018 · Cited by 2 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Di Lorenzo, N., Antoniou, S. A., Batterham, R. L., Busetto, L., Godoroja, D., Iossa, A., Carrano, F. M., Agresta, F., Alarçon, I., Azran, C., et al. (2020) · Surgical Endoscopy · doi:10.1007/s00464-020-07555-y · Cited by 465 · see citing works
Dietary supplements and bariatric surgery
Gasmi, A., Bjørklund, G., Mujawdiya, P. K., Semenova, Y., Dosa, A., Piscopo, S., Pen, J. J., Gasmi Benahmed, A., & Costea, D. O. (2023) · Critical Reviews in Food Science and Nutrition · doi:10.1080/10408398.2022.2046542 · Cited by 26 · see citing works
- Authors
- Rasteiro, C., Araújo, C., Cunha, S., Caldas, R., Mesquita, J., Seixas, A., Augusto, N., & Ramalho, C.
- Affiliations
- University of Beira Interior (PT)
- Unidade Local de Saúde de Entre Douro e Vouga (PT)
- Fernando Pessoa University (PT)
- Iscte – Instituto Universitário de Lisboa (PT)
- Universidade do Porto (PT)
- Corresponding author
- Rasteiro, Cátia
- ORCID
- Venue
- Obesity Surgery
- Published
- 2018-07-19
- Volume
- 28
- Issue
- 11
- Pages
- 3559-3566
- ISSN
- 0960-8923 (ISSN-L)
- 1708-0428
- OpenAlex
- W2884788270
- Cited by
- 31
- References
- 32
- Citations by year
- 2025: 3 · 2023: 5 · 2022: 7 · 2021: 4 · 2020: 2 · 2019: 9 · 2018: 1
- FWCI
- 4.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Obesity Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy and Medication Impact
- Health Sciences › Medicine › Surgery › Body Contouring and Surgery
- Keywords
- bariatric surgery, pregnancy after bariatric surgery
- MeSH terms
- Female, Gestational Age, Humans, Infant, Newborn, Obesity, Morbid, Pregnancy, Pregnancy Outcome, Time Factors, Weight Gain, Bariatric Surgery
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
