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Pregnancy after bariatric surgery: Consensus recommendations for periconception, antenatal and postnatal care

Shawe, Jill, Ceulemans, Dries, Akhter, Zainab, Neff, Karl, Hart, Kathryn, Heslehurst, Nicola, Štotl, Iztok, Agrawal, Sanjay, Steegers‐Theunissen, Regine, Taheri, Shahrad , Greenslade, Beth, Rankin, Judith, Huda, Bobby, Douek, Isy, Galjaard, Sander, Blumenfeld, Orit, Robinson, Ann, Whyte, Martin, Mathews, Elaine and Devlieger, Roland (2019) Pregnancy after bariatric surgery: Consensus recommendations for periconception, antenatal and postnatal care Obesity Reviews.

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Abstract

The objective of the study is to provide evidence‐based guidance on nutritional management and optimal care for pregnancy after bariatric surgery. A consensus meeting of international and multidisciplinary experts was held to identify relevant research questions in relation to pregnancy after bariatric surgery. A systematic search of available literature was performed, and the ADAPTE protocol for guideline development followed. All available evidence was graded and further discussed during group meetings to formulate recommendations. Where evidence of sufficient quality was lacking, the group made consensus recommendations based on expert clinical experience. The main outcome measures are timing of pregnancy, contraceptive choice, nutritional advice and supplementation, clinical follow‐up of pregnancy, and breastfeeding. We provide recommendations for periconception, antenatal, and postnatal care for women following surgery. These recommendations are summarized in a table and print‐friendly format. Women of reproductive age with a history of bariatric surgery should receive specialized care regarding their reproductive health. Many recommendations are not supported by high‐quality evidence and warrant further research. These areas are highlighted in the paper.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
NameEmailORCID
Shawe, JillJ.Shawe@surrey.ac.uk
Ceulemans, Dries
Akhter, Zainab
Neff, Karl
Hart, Kathryn
Heslehurst, Nicola
Štotl, Iztok
Agrawal, Sanjay
Steegers‐Theunissen, Regine
Taheri, Shahrad
Greenslade, Beth
Rankin, Judith
Huda, Bobby
Douek, Isy
Galjaard, Sander
Blumenfeld, Orit
Robinson, AnnA.Robinson@surrey.ac.uk
Whyte, Martinm.b.whyte@surrey.ac.uk
Mathews, Elaine
Devlieger, Roland
Date : 2019
DOI : 10.1111/obr.12927
Copyright Disclaimer : This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. © 2019 The Authors. Obesity Reviews published by John Wiley & Sons Ltd on behalf of World Obesity Federation
Uncontrolled Keywords : Bariatric surgery; Metabolic surgery; Obesity; Pregnancy; Obstetrics; Gynaecology
Depositing User : Clive Harris
Date Deposited : 29 Aug 2019 13:37
Last Modified : 29 Aug 2019 13:37
URI: http://epubs.surrey.ac.uk/id/eprint/852505

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