Maternal and neonatal outcomes in women undergoing bariatric surgery: a systematic review and meta-analysis.

摘要: Abstract Background Obese women are at increased risk for many pregnancy complications, and bariatric surgery (BS) before has shown to improve some of these. Objectives To review the current literature quantitatively assess obstetric neonatal outcomes in pregnant who have undergone BS. Search strategy MEDLINE, EMBASE Cochrane databases were searched using relevant keywords identify studies that reported on after Selection criteria Pregnancy outcome firstly, BS compared obese or BMI-matched with no secondly, same different Only observational included. Data collection analysis Two investigators independently collected data study characteristics measures interest. These analysed random effects model. Heterogeneity was assessed sensitivity performed account publication bias. Main results The entry fulfilled by 17 non-randomised cohort case-control studies, including seven high methodological quality scores. In group, controls, there a lower incidence preeclampsia (OR 0.45, 95% CI 0.25–0.80; P =0.007), GDM 0.47, 0.40–0.56; =0.006), admission intensive care 1.33, 1.02–1.72; =0.03) maternal anaemia 3.41, 1.56–7.44, =0.002). Conclusions as whole improves outcomes. Laparoscopic adjustable gastric banding does not appear increase rate small neonates seen other procedures. childbearing age undergoing need be aware these