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Surgery in the Obese Pregnant Patient

PEREIRA, LEONARDO MD, MCR

Clinical Obstetrics & Gynecology: December 2009 - Volume 52 - Issue 4 - pp 546-556
doi: 10.1097/GRF.0b013e3181bedf5d
Surgical Intervention in Pregnancy

This study reviews issues that complicate surgery in obese pregnant patients. Maternal obesity is prevalent in the United States and is associated with numerous adverse health outcomes. When surgery is indicated during pregnancy, the presence of maternal obesity increases surgical risks for both the fetus and mother. Specific risks are identified and strategies to avoid them are evaluated. The prognosis and management of pregnant women who have undergone bariatric surgery are also discussed, and practical guidelines for obstetric management of these patients are presented.

Division of Maternal-Fetal Medicine, Oregon Health and Science University, Portland, Oregon

Correspondence: Leonardo Pereira, MD, MCR, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Mailcode: L-458, 3181 SW Sam Jackson Park Road, Oregon Health and Science University, Portland, OR. E-mail: pereiral@ohsu.edu

© 2009 Lippincott Williams & Wilkins, Inc.