One in 3 adult American women is obese. Almost half of the approximately 100,000 bariatric surgeries performed in 2004 were on reproductive-aged women. Anatomic and physiologic changes resulting from such surgery may have significant clinical implications for preconception, pregnancy, and postpartum care. This review summarizes these issues and the available related literature, and offers guidelines for care of these patients.
Target Audience: Obstetricians & Gynecologists, Family Physicians
Learning Objectives: After completion of this article, the reader should be able to recall that bariatric surgery has many anatomic and physiologic changes that potentially will affect future pregnancies, and state that attention to these physiologic changes and attention to potential nutritional deficiencies significantly improves the chances of a good pregnancy outcome.
*Attending Perinatologist, Maine Medical Center, Portland, Maine; †Professor of Ob/Gyn, College of Medicine, University of Vermont, Burlington, Vermont; ‡Adjunct Associate Professor of Ob/Gyn, Dartmouth Medical School, Hanover, New Hampshire; §Director and ¶Research Assistant, Division of Maternal-Fetal Medicine, Maine Medical Center, Portland, Maine; ∥Department Chair and Professor of Ob/Gyn, College of Osteopathic Medicine, University of New England, Biddeford, Maine; and **Associate Professor of Ob/Gyn, College of Medicine, University of Vermont, Burlington, Vermont
Chief Editor’s Note: This article is part of a series of continuing education activities in this Journal through which a total of 36 AMA/PRA Category 1 Credits™ can be earned in 2007. Instructions for how CME credits can be earned appear on the last page of the Table of Contents.
The authors have disclosed that they have no financial relationships with or interests in any commercial companies pertaining to this educational activity.
Lippincott Continuing Medical Education Institute, Inc. has identified and resolved all faculty conflicts of interest regarding this educational activity.
Reprint requests to: Joseph R. Wax, MD, MMC Ob/Gyn Associates, 887 Congress Street, Suite 200, Portland, ME 04102. E-mail: email@example.com.