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CC BY-NC-ND 4.0 · Geburtshilfe Frauenheilkd 2018; 78(12): 1207-1211
DOI: 10.1055/a-0706-7578
GebFra Science
Statement/Stellungnahme
Georg Thieme Verlag KG Stuttgart · New York

Fertility, Pregnancy and Lactation After Bariatric Surgery – a Consensus Statement from the OEGGG

Article in several languages: English | deutsch
Tina Stopp   *
1   Universitätsklinik für Frauenheilkunde, Klinische Abteilung für Geburtshilfe und feto-maternale Medizin, Medizinische Universität, Wien, Austria
,
Veronica Falcone   *
1   Universitätsklinik für Frauenheilkunde, Klinische Abteilung für Geburtshilfe und feto-maternale Medizin, Medizinische Universität, Wien, Austria
,
Michael Feichtinger
2   Wunschbaby Institut Feichtinger, Wien, Austria
,
Christian Göbl
1   Universitätsklinik für Frauenheilkunde, Klinische Abteilung für Geburtshilfe und feto-maternale Medizin, Medizinische Universität, Wien, Austria
› Author Affiliations
Further Information

Publication History

received 12 July 2018
revised 20 August 2018

accepted 20 August 2018

Publication Date:
14 December 2018 (online)

Also available at
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Abstract

Bariatric surgery is recommended when other weight loss interventions, such as lifestyle modification or medications, have failed. A considerable number of women undergoing bariatric surgery are of childbearing age; hence, it is necessary to be aware of the effects of bariatric surgery on pregnancy for managing these patients. Although bariatric surgery is associated with positive effects on cardiovascular and metabolic parameters, side effects such as anaemia, the risk of developing internal hernia, altered glucose metabolism and the risk of small for gestational age offspring have to be considered. Pregnant women with a history of gastric bypass should not undergo the oral glucose tolerance test (OGTT) due to the high risk of hypoglycaemia. There are no contraindications for vaginal delivery and breastfeeding. This paper has been published as a consensus statement by the Austrian Society of Gynaecology and Obstetrics (OEGGG).

Key words

bariatric surgery - pregnancy - dumping syndrome - foetal growth restriction - glucose metabolism

* contributed equally


 

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