Abstract
The obesity epidemic continues to escalate worldwide, making bariatric surgery an increasingly more attractive intervention. Obese women are at increased risk for several serious pregnancy complications, and as more reproductive-age obese women undergo bariatric surgery, new concerns arise regarding the ability of these women to conceive, support and deliver future pregnancies. The purpose of this article is to evaluate the current literature on the impact of surgical weight loss on the maternal and fetal outcomes in future pregnancies. Bariatric surgery seems to improve the altered reproductive hormone profile associated with morbid obesity, and ultimately enhances fertility status. It appears that surgical weight loss helps prevent the development of gestational diabetes and lowers the risk of chronic hypertension, gestational hypertension and preeclampsia in subsequent pregnancies. The effect of bariatric surgery on the mode of delivery and the need for cesarean section is unclear. Although surgical we...
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