Bariatric Surgical Procedures Clinical Outcomes at Maternal and Fetal levels

Abstract

Nancy Mohamed Ali Rund, Samy Saad Mohamed Ali, Mohamed S ElSerafy

Background: Maternal obesity a cornerstone challenging issue that raised concerns all over the world, improvements in bariatric surgery procedures made pregnancy after bariatric surgery a common clinical case scenario. However, researchers have increased concerns about clinical outcomes around the impact of bariatric surgery management interventions on maternal and fetal outcomes.

Aim: To assess and evaluate the clinical outcomes of bariatric surgical procedure on maternal and fetal levels

Methodology: A prospective research study conducted fromApril 2013 till December 2018 on 180 study subjects that were recruited and categorized in two research study groups group I involved 45 cases that have undergone bariatric surgery and research group II involved 135 cases that are obese and didn’t undergo bariatric surgeries.

Results: There was a statistically significantly lower frequency of Gestational diabetes (GDM) and Large for gestational age (LGA) in women of research group I (post bariatric surgery) (p value=0.028, 0.025, consecutively). The rates of macrosomia was lower in research group I, but not to a statistically significant level (p value=0.208). The rates of Small for gestational age (SGA) and Low birth weight (LBW) were statistically significantly higher among women of research group I (Pvalues =0.027, and 0.048,consecutively). The rates of preterm labor were higher, but not to a statistical significant level, among women of research group I(p value=0.762. The rates of Still birth (SB) and neonatal mortality were comparable in both researchgroups (Pvalues=0.999).

Conclusions: There is positive impact of bariatric surgery on Gestational DM and Large for gestational age rates in obese cases, however preterm labor concerns in the current research requires future research efforts on multicentric fashion and larger sample sizes.

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