PREGNANCY AFTER BARIATRIC SURGERY

Archana Mishra*, Sana Tiwari and Renu Arora

ABSTRACT

Obesity is the upcoming health problem in developed and developing countries. Women in reproductive age group who have BMI ≥ 30 kg/m2 are considered as obese. There are various complications owing to obesity of which most important is infertility and others are during pregnancy. The low fertility rate is increased because of increased incidence of PCOS, menstrual irregularity leading to anovulation. During pregnancy there is increased risk of miscarriage, foetal abnormality, prematurity, macrosomia, dystocia, birth injury, still birth and neonatal death, pregnancy-induced hypertension, gestational diabetes, thrombosis, difficulty in delivery leading to higher caesarean rates, anaesthetic complications, infection, postpartum haemorrhage and maternal mortality. Bariatric surgery has been considered as a boon in reducing weight loss and thereby improving fertility rates and decreasing associated morbidities.[1] Though the data regarding increase in fertility rate is limited.[2] According to International Diabetes Federation (IDF) 2011, ―Bariatric surgery is treatment for people with type 2 diabetes and obesity with a BMI of 35 or more or as option in patients with a BMI between 30 and 35 when diabetes cannot be adequately controlled by optimal medical regimen, especially in the presence of other major cardiovascular disease risk factors.‖ [3]

Keywords: .