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- Title
Weight Status of Brazilian's Mother-Son Dyad after Maternal Bariatric Surgery.
- Authors
Melendez-Araújo, Mariana S.; Lemos, Kássia G. E.; Arruda, Sérgio L. M.; Dutra, Eliane S.; de Carvalho, Kênia Mara Baiocchi
- Abstract
Purpose: Pregnant women who have undergone bariatric surgery must be followed to ensure healthy mother-child nutritional status. This study aimed to compare weight status of mother-child dyad after maternal bariatric surgery in public and private Brazilian healthcare system units. Materials and Methods: This retrospective matched case-control included 19 women who underwent Roux-en-Y gastric bypass surgery performed by the same private clinical surgical team and 19 age- and preoperative body mass index (BMI) matched patients from a public hospital. All 38 female patients reported a postoperative spontaneous pregnancy. The T test of independent samples and Pearson chi-square test were used to investigate inter-group differences. Results: Patients in the private system were more frequently married (94.7% versus 68.4%, p = 0.036) and had a higher educational level (94.7% versus 36.8%, p = 0.01 for tertiary education) but lower BMI, compared with those in the public system (pre-gestational = 25.7 ± 3.2 versus 28.5 ± 5.0 kg/m2, p = 0.049; post-gestational = 24.6 ± 1.6 versus 29.0 ± 6.0 kg/m2, p = 0.040). The interval from bariatric surgery to conception was shorter among public system patients (21.1 ± 13.9 versus 43.4 ± 31.2 months, p = 0.009). In both groups, almost 90% of children were born at full term and with adequate weights. Conclusion: Despite differences in the characteristics of public and private systems, the mother-child dyads in both groups achieved satisfactory post-bariatric surgery gestation outcomes. The type of medical system does not appear to influence pregnancy outcomes or neonatal weight status conditions.
- Subjects
GASTRIC bypass; BARIATRIC surgery; BODY mass index; DYADS; PREGNANT women; HEALTH insurance
- Publication
Obesity Surgery, 2020, Vol 30, Issue 9, p3508
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-020-04605-1