Abstract | BACKGROUND: STUDY DESIGN: We performed a retrospective study comparing rates of GDM and related outcomes (including cesarean section, large-for-gestational-age infant, shoulder dystocia, and infection) between a group of women with a delivery before bariatric surgery and a group with a delivery after bariatric surgery. We used a private insurance claims database with information on 23,594 women who had bariatric surgery between 2002 and 2006. The dataset was searched to identify women with codes for bariatric surgery and a pregnancy resulting in a delivery at greater than 22 weeks gestation. Incidences of GDM and selected delivery complications for delivery before versus after bariatric surgery were compared using Fisher exact test and logistic regression. RESULTS: CONCLUSIONS:
Bariatric surgery is associated with a decreased incidence of GDM and cesarean section in subsequent pregnancies. This potential effect of bariatric surgery should be considered in the management of obese women of childbearing age. Prospective studies are needed to confirm these findings.
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Authors | Anne E Burke, Wendy L Bennett, Roxanne M Jamshidi, Marta M Gilson, Jeanne M Clark, Jodi B Segal, Andrew D Shore, Thomas H Magnuson, Francesca Dominici, Albert W Wu, Martin A Makary |
Journal | Journal of the American College of Surgeons
(J Am Coll Surg)
Vol. 211
Issue 2
Pg. 169-75
(Aug 2010)
ISSN: 1879-1190 [Electronic] United States |
PMID | 20670854
(Publication Type: Comparative Study, Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
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Copyright | Copyright 2010 American College of Surgeons. Published by Elsevier Inc. All rights reserved. |
Topics |
- Adolescent
- Adult
- Bariatric Surgery
- Body Mass Index
- Diabetes, Gestational
(epidemiology, etiology)
- Female
- Humans
- Incidence
- Obesity
(complications, surgery)
- Odds Ratio
- Postoperative Period
- Pregnancy
- Pregnancy Complications
- Pregnancy Outcome
- Prognosis
- Retrospective Studies
- Risk Assessment
(methods)
- Risk Factors
- United States
(epidemiology)
- Young Adult
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