TITLE:
Outcome of Pregnancy after Bariatric Surgery at Latifa Hospital, DHA, Dubai, UAE
AUTHORS:
Laila Yahya A. Alhubaishi, Zeinabsadat T. Hakim, Farida Adam, Zahra S. M. Husain, Eiman S. M. O. Al Zahmi, Muna Tahlak, Amal AlQedrah, Atif Bashir Fazari
KEYWORDS:
Obesity, Bariatric Surgery, Pregnancy, Comorbidity
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.9 No.4,
April
8,
2019
ABSTRACT: Background: Obesity is becoming increasingly prevalent in many populations and has
become one of the most commonly occurring risk factors in obstetric practice.
In nations of the Gulf Cooperation Council (GCC), the prevalence of overweight
adults has been reported to be 35% amongst females, while the prevalence of
obesity has been reported to be 40% amongst females. The study aimed to
identify the rate and outcome of Pregnancy After Bariatric Surgery at Latifa
Hospital (PABS). Method: This is a hospital based cross-sectional study including all patients seen at Latifa hospital at Dubai Health Authority (DHA),
Dubai, UAE between January 2018 and December 2018. The data included
demographic details, gestational age, the mode of delivery, medical history,
clinical findings, weight before surgery, weight after at antenatal booking,
type of performed surgery, type of pregnancy (spontaneous or after assisted
reproductive techniques), pregnancy complications, mode of delivery, and neonatal weight. Results: The reported cases of pregnancy after Bariatric
surgery are 18 cases that makes rate 0.45%.
Half of the performed surgery among the
study group is sleeve surgery. Most of them (83.3%) are multiparous
women with spontaneous pregnancy. The mean interval of surgery to pregnancy is
5.3 months. The highest weight before surgery is 155 kg and
the mean weight of the study cases is 114.5 kg before surgery. After surgery at
booking visit the mean weight is 83.9 kg. The mean weight reduction for this
group is 30.6 kg. Anemia is the most common antenatal complication among the study
group. Lower segment Caesarean section (LSCS) and vaginal delivery (VD)
distributed equally between the women. The study showed good expect neonatal
outcome. Conclusion: Pregnancy After Bariatric Surgery (PABS) is
high-risk pregnancy with many potential complications. Care of pregnancy after
bariatric surgery should be organized in multilateral cooperation
of various medical disciplines in specialized center.