Pregnant After Bariatric Surgery – a Risk Factor for Abdominal Surgery?
This study by Stuart and Källen (Obstetrics and Gynecology, 2017) compares rates of abdominal surgery during pregnancy between women who had bariatric surgery and women with a first-trimester body mass index (BMI) >35 and no previous bariatric surgery.
Retrospective Cohort Study
Women who had bariatric surgery before pregnancy (case group) were compared to women with a first-trimester BMI >35 who had not had bariatric surgery (control group). The study examined rates of abdominal surgery between the two groups, including intestinal obstruction, gallbladder disease, appendicitis, hernia, and diagnostic laparoscopy or laparotomy. Among the case group, rate of intestinal surgery during first pregnancy following bariatric surgery was 1.5% (95% CI 1.1-2.0%) and 0.02% (95% CI 0.0-0.04%) in the control group. The rate of diagnostic laparoscopy or laparotomy was 1.5% (95% CI 1.0-1.9%) in the case group and 0.1% (95% CI 0.0-0.1%) in the control group. The authors conclude that previous bariatric surgery should be considered a risk factor for abdominal surgery in subsequent pregnancies.
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