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首页> 外文期刊>BJOG: an international journal of obstetrics and gynaecology >Perinatal outcomes following bariatric surgery between a first and second pregnancy: a population data linkage study
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Perinatal outcomes following bariatric surgery between a first and second pregnancy: a population data linkage study

机译：在第一和第二次妊娠之间的肥胖手术后围产期结果：人口数据联系研究

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Objectives To describe the population of women having bariatric surgery and compare the pregnancy outcomes for women having bariatric surgery with a non‐bariatric surgery population having a first and second pregnancy. Design Population‐based record linkage study. Setting New South Wales (NSW), Australia. Population All women aged 15–45?years with a hospital record in NSW (2002–2014) and all women giving birth in NSW (1994–2015; n ?=?1?606?737 women). Methods Pregnancy and birth outcomes were compared between first and second pregnancies using repeated‐measures logistic regression and paired Student’s t ‐tests. Bariatric and non‐bariatric groups were also compared. Main outcome measures Maternal diabetes, preterm birth (37?weeks of gestation) and large for gestational age. Results There was a 13‐fold increase in hospitalisations for primary bariatric surgery during 2002–2014. Compared with the general birthing population, women who had bariatric surgery experienced higher rates of hypertension, diabetes, and preterm birth. Among women who had bariatric surgery between a first and second pregnancy, there were reduced rates of hypertension (OR 0.39, 95%?CI 0.29–0.53), spontaneous preterm birth (OR 0.37, 95%?CI 0.16–0.86), infants that were large for gestational age (OR 0.63, 95%?CI 0.44–0.88), and the admission of infants to a special care nursery or neonatal intensive care (OR 0.64, 95%?CI 0.46–0.90) in the second pregnancy. Rates for small‐for‐gestational age and gestational diabetes following surgery were 8.3 and 11.4%, respectively Conclusions Bariatric surgery between a first and second pregnancy was associated with reductions in obesity‐related adverse pregnancy outcomes. Bariatric surgery performed for the management of obesity in accordance with current clinical criteria is associated with improved pregnancy outcomes in a subsequent pregnancy. Tweetable abstract Bariatric surgery for obesity may improve pregnancy and birth outcomes in a subsequent pregnancy.
机译：描述肥胖手术的妇女人口的目标，并比较具有第一个和第二次妊娠的非肥胖手术人口的雌性育儿妇女的怀孕结果。基于人口的纪录联动研究。设置新南威尔士州（新南威尔士州），澳大利亚。人口所有妇女15-45岁的人在南威尔士州新南威尔士州（2002-2014）和所有妇女出生（1994-2015; n？=？1？606？737女性）。方法使用重复措施后勤回归和配对学生的T -Tests比较妊娠和出生结果。比较肥胖症和非肥胖基团。主要结果测量母体糖尿病，早产（妊娠37个？37个周）和胎龄的大。结果2002-2014期间，原发性肥胖手术住院治疗13倍。与一般分娩人口相比，牛肝外科的妇女经历了更高的高血压，糖尿病和早产的速度。在第一和第二次妊娠之间进行肥胖手术的女性中，高血压率降低（或0.39,95％？CI 0.29-0.53），自发早产（或0.37,95％？CI 0.16-0.86），婴儿胎龄（或0.63,95％？CI 0.44-0.88）很大，以及在第二次妊娠中的特殊护理或新生儿重症监护（或0.64,95％）的婴儿入院。手术后的小胎龄和妊娠期糖尿病的速率为8.3和11.4％，分别结论第一和第二次妊娠之间的肥胖手术与肥胖相关的不良妊娠结果的减少有关。根据目前的临床标准对肥胖症进行管理进行的牛肝外科与随后的怀孕中改善的妊娠结果有关。为肥胖的Twelable抽象的肥胖手术可能会在随后的怀孕中改善怀孕和出生结果。

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