Original ResearchObstetricsImpact of bariatric surgery on fetal growth restriction: experience of a perinatal and bariatric surgery center
Section snippets
Materials and Methods
This is a single-center retrospective case-control study. It was performed at Louis Mourier Hospital, in Colombes, France, a university center that includes both a level 3 maternity and a reference center for the treatment of obesity. We included all deliveries in women who had a history of bariatric surgery, whether they had been operated in the same center or elsewhere, between Jan 1, 2004 and Dec 31, 2013. Thirty-six patients were included in previous publications.17, 18, 19 In order to
Results
Between January 2004 and December 2013, 139 patients who underwent bariatric surgery were included in the study. Among them, 58 had a malabsorptive surgery (gastric bypass) and 81 a restrictive one (72 a gastric banding and 9 a sleeve gastrectomy). The mean interval between surgery and delivery was 38 months.
Principal findings
The most important finding in our study was a 2-fold increase in SGA associated with bariatric surgery, with a clear association between the type of procedure and SGA. Gastric bypass was an independent risk factor for fetal growth restriction, which persisted when adjusting for other risk factors in a multivariable analysis.
Bariatric surgery was also associated with a reduction in gestational diabetes and LGA, as reported in previous studies.9, 10, 14, 15, 16, 21 The rate of cesarean section
Acknowledgments
We thank Chloé Dussaux and Pietro Santulli for their participation in the conception of the study and data collection and thank the women who accepted that their data be used for the study.
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Cited by (0)
The authors report no conflict of interest and no funding.
Cite this article as: Chevrot A, Kayem G, Coupaye M, et al. Impact of bariatric surgery on fetal growth restriction: experience of a perinatal and bariatric surgery center. Am J Obstet Gynecol 2016;214:655.e1-7.