scholarly journals A Review of Obstetrical Outcomes and Complications in Pregnant Women after Bariatric Surgery

2019 ◽  
Vol 19 (4) ◽  
pp. 284 ◽  
Author(s):  
Yasmeen A. Haseeb
Keyword(s):  
Bariatric Surgery ◽  
Intrauterine Growth Restriction ◽  
Nutritional Deficiencies ◽  
Premature Rupture Of Membranes ◽  
National Library ◽  
Premature Rupture ◽  
Intrauterine Growth ◽  
Novel Treatment ◽  
Hypertensive Disorders In Pregnancy ◽  
Surgical Injuries

Bariatric surgery (BS) is a novel treatment for weight reduction with longer lasting health benefits. This review aimed to summarise the available evidence regarding the fetomaternal outcomes and the most common challenges and complications in pregnancies following BS. Google Scholar (Google LLC, Mountain View, California, USA) and PubMed<sup>®</sup> (National Library of Medicine, Bethesda, Maryland, USA) databases were searched for articles published until December 2018. A total of 64 articles were included in this review and results showed that BS mitigates the risk of gestational diabetes mellitus, hypertensive disorders in pregnancy and fetal macrosomia. However, it can also have detrimental effects on fetomaternal health. There is paucity of data regarding small for gestational age intrauterine growth restriction, premature rupture of membranes and longterm effects on the children born to women who underwent BS.Keywords: Bariatric Surgery; Nutritional Deficiencies; Obesity; Pregnancy; Surgical Injuries.

scholarly journals Pregnancy after Bariatric Surgery: A Review

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
N. L. Hezelgrave ◽  
Eugene Oteng-Ntim
Keyword(s):  
Bariatric Surgery ◽  
Maternal Obesity ◽  
Case Reports ◽  
Current Evidence ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Intrauterine Growth ◽  
Positive Effects ◽  
Obstetric Morbidity ◽  
Group A

Maternal obesity is a major cause of obstetric morbidity and mortality. With surgical procedures to facilitate weight loss becoming more widely available and demanded and increasing number of women becoming pregnant after undergoing bariatric surgery, it is important and timely to consider the outcome of pregnancy following bariatric surgery. This paper aims to synthesize the current evidence regarding pregnancy outcomes after bariatric surgery. It concludes that bariatric surgery appears to have positive effects on fertility and reduces the risk of gestational diabetes and preeclampsia. Moreover, there appears to be a reduced incidence of fetal macrosomia post-bariatric procedure, although there remains uncertainty about the increased rates of small-for-gestational age and intrauterine growth restricted infants, as well as premature rupture of membranes in this group. A number of case reports highlight that pregnancy following bariatric surgery is not without complications and it must be managed as high risk by the multidisciplinary team.

scholarly journals Association Between Maternal Human Papillomavirus Infection and Adverse Pregnancy Outcomes: Systematic Review and Meta-Analysis

2020 ◽  
Vol 221 (12) ◽  
pp. 1925-1937 ◽  
Author(s):  
Joseph Niyibizi ◽  
Nadège Zanré ◽  
Marie-Hélène Mayrand ◽  
Helen Trottier
Keyword(s):  
Human Papillomavirus ◽  
Pregnancy Outcomes ◽  
Intrauterine Growth Restriction ◽  
Meta Analysis ◽  
Adverse Pregnancy Outcomes ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Intrauterine Growth ◽  
Preterm Premature Rupture ◽  
Adverse Pregnancy

Abstract Background Experimental studies provide evidence of the harmful effect of human papillomavirus (HPV) infection on pregnancy, but observational studies are inconclusive. We systematically assessed the association between HPV and adverse pregnancy outcomes. Methods We searched electronic databases up to December 1, 2019. We included observational studies on the association between HPV and adverse pregnancy outcomes. We conducted a random-effect meta-analysis for each outcome and assessed heterogeneity between studies. Results From 3034 citations, we included 38 studies and quantitatively synthesized 36 studies. Human papillomavirus was significantly associated with preterm birth (age-adjusted odds ratio [aOR], 1.50; 95% confidence interval [CI], 1.19–1.88), preterm premature rupture of membranes (aOR, 1.96; 95% CI, 1.11–3.45), premature rupture of membranes (aOR, 1.42; 95% CI, 1.08–1.86), intrauterine growth restriction (aOR, 1.17; 95% CI, 1.01–1.37), low birth weight (aOR, 1.91; 95% CI, 1.33–2.76), and fetal death (aOR, 2.23; 95% CI, 1.14–4.37). No significant association was found for spontaneous abortion (aOR, 1.14; 95% CI, 0.40–3.22) and pregnancy-induced hypertensive disorders (aOR, 1.24; 95% CI, 0.80–1.92). Most of the studies were of moderate or low quality, and substantial between-studies heterogeneity remained unexplained. Conclusions We found a consistent and significant association between HPV and preterm birth and preterm premature rupture of membranes. Human papillomavirus may also be associated with intrauterine growth restriction, low birth weight, and fetal death, but findings are limited by suboptimal control of biases.

scholarly journals Pregnancy Outcome in Uterine Anomalies

2017 ◽  
Vol 3 (1) ◽  
pp. 31-33
Author(s):  
Nagendra Prasad ◽  
James Thingujam
Keyword(s):  
Retrospective Study ◽  
Pregnancy Outcome ◽  
Pregnancy Outcomes ◽  
Intrauterine Growth Restriction ◽  
Preterm Labor ◽  
Premature Rupture ◽  
Intrauterine Growth ◽  
Preterm Premature Rupture ◽  
Uterine Anomalies ◽  
Uterine Anomaly

ABSTRACT Maternal with congenitial anomalies are known to have higher incidence of infertility, intrauterine growth restriction, fetal malposition, preterm labor, preterm premature rupture of membrane and increased cesaerean section rate. Study Design This is retrospective study, the pregnancies with uterine anomaly confirmed by ultrasound between Jan 2016 to jan 2017 at our hospital was taken and its outcome is observed. Reults The majority of preterm delivery in our study are mainly associated with septate and bicornuate uterus. Cesaerean section comprised of 80% and its major indication is due to fetal malpresentation (breech). Thus Pregnancy outcomes of individual depending on the type of uterine anomalies. How to cite this article Nagarathnamma R, James T, Prasad N. Pregnancy Outcome in Uterine Anomalies. J Med Sci 2017;3(1):31-33.

scholarly journals Prevalence and risk factor for intrauterine growth restriction among pregnancy-induced hypertension patient

2019 ◽  
Vol 8 (10) ◽  
pp. 3985
Author(s):  
Varuni Sharma ◽  
Navin Shukla
Keyword(s):  
Risk Factor ◽  
Intrauterine Growth Restriction ◽  
Previous History ◽  
Growth Restriction ◽  
Growth Potential ◽  
Controlled Clinical Trial ◽  
Specialist Care ◽  
Intrauterine Growth ◽  
Global Health Issue ◽  
Hypertensive Disorders In Pregnancy

Background: Hypertensive disorders in pregnancy (HDP) remain a major global health issue not only because of the associated high adverse maternal outcomes but there is a close accompaniment of significant perinatal morbidity. Intrauterine growth restriction (IUGR), a condition that occurs due to various reasons, is an important cause of fetal. It has been defined as a rate of fetal growth that is less than normal in light of the growth potential of that specific infant. The aim of this study is to evaluate the prevalence and risk factor for IUGR among the PIH patient.Methods: A prospective randomized controlled clinical trial of 25 patients was carried out in Kamla Raja Hospital and Out Patient Department of Gajra Raja Medical College, Gwalior from October 6th to October 2007. A total number of 25 patients were included in study of PIH.Results: conclude that the prevalence and risk factor for IUGR among the PIH patient.  The Distribution prevalence of sociodemographical factor for IUGR among PIH patient is statistically not significant. It concluded that there is no significance (no effect) between risk factors of IUGR among the pregnancy induced hypertension.Conclusions: The prevalence of IUGR found in this study. There is need to increase awareness among medical and paramedical personnel on the need for early referral of women with previous history of IUGR, preeclampsia, multiple gestations, gestational diabetes and obesity for specialist care as they have a higher risk.

scholarly journals Safety of pregnancy in uterine fibroids

2018 ◽  
Vol 7 (8) ◽  
pp. 2985
Author(s):  
Maha Alhainiah ◽  
Elaf Aljifry ◽  
Ayman Alghamdi ◽  
Lujain Alrabghi ◽  
Abdullah Alharbi ◽  
...  
Keyword(s):  
Intrauterine Growth Retardation ◽  
Uterine Fibroids ◽  
Reproductive Age ◽  
Premature Labor ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Abruptio Placentae ◽  
Intrauterine Growth ◽  
Peripartum Hemorrhage ◽  
Highly Correlated

Uterine fibroid is one of the most common intrauterine masses among females at the reproductive age. Pregnancy and uterine fibroids are highly correlated. Pregnancy-related hormones influence the size of uterine fibroids, and fibroids have many impacts on pregnancy. Although most if the uterine fibroids are asymptomatic during pregnancy, serious complications may occur. The main complications include abortion, premature rupture of membranes, premature labor, abruptio placentae, peripartum hemorrhage, fetal malpresentation, fetal intrauterine growth retardation, small for gestational age infants, and fetal anomalies. The main risk factors for complications are related to the fibroid number, size, volume, location, and type. Large, multiple, retroplacental, submucosal, subserosal, pedunculated, or low-lying fibroids carries the highest risk for complications during pregnancy. This review will address the prevalence of uterine fibroids during pregnancy, its effects, and complications.

Specifities of delivery methods of pregnant with oligohydramnios

2017 ◽  
pp. 65-68
Author(s):  
L.I. Aliyeva ◽  
◽  
E.M. Aliyeva ◽  
A.D. Ismaylova ◽  
T.N. Akhmedova ◽  
...  
Keyword(s):  
Premature Birth ◽  
Intrauterine Growth Restriction ◽  
Congenital Abnormalities ◽  
Acute Hypoxia ◽  
Severe Preeclampsia ◽  
Premature Labor ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Delivery Methods ◽  
Cesarean Birth

The objective: to study the rate of different obstetric pathologies followed by oligohydramnios, and to determinate the specifities of delivery methods in pregnant with oligohydramnios. Materials and methods. There was done the retrospective analysis of 100 birth histories of pregnant with oligohydramnios. Эt was confirmed, that the cause for oligohydramnios in 54% of cases was premature rupture of membranes (PROM), in 10% of cases intrauterine growth restriction (IUGR), dead fetus – in 19%, congenital abnormalities of the fetus in 8% and moderate and severe preeclampsia in 9% cases. The rate of the spontaneous labor was 57%; 12% of labors was induced and 37% ended by cesarean section. Results. The study showed that spontaneous labor (n=51) resulted in 47% of cases with very early labor, 41.1% of cases with early premature labor, and 11.8% with premature labor. In case of induced labor (n=12), the main indication for labor induction were dead fetus (n=9), and congenital abnormalities of the fetus (n=3). In 83.3% of cases induction of the labor was perfomed in 22-28, in 16% of cases in 29-31 weeks of gestation. Conclusion. The rate of cesarean delivery in pregnant with oligohydramnios was 37%. The main indications for cesarean birth were: dead fetus, uterine car – 100%, severe preeclampsia – 18.2%, PROM – 13.2%, and breach presentation and acute hypoxia in 12.1% of cases. So, pregnant with oligohydramnios are in risk group for premature birth. Key words: oligohydramnios, dead fetus, premature rupture of membranes, congenital abnormalities of the fetus, premature birth.

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