Pregnancy and Bariatric Surgery: Significant Variation in Bariatric Surgeons' Practices and Preferences: A National Survey.

IF 0.4 4区医学 Q4 NURSING

Bariatric Surgical Practice and Patient Care Pub Date : 2022-06-01 Epub Date: 2022-06-08 DOI:10.1089/bari.2021.0045

Daniëlle S Bonouvrie, Sophie B M Taverne, Loes Janssen, Arijan A P M Luijten, François M H van Dielen, Wouter K G Leclercq

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引用次数: 3

Abstract

Background: Bariatric complications may occur during pregnancy, potentially causing serious maternal and fetal problems. The aim of this study was to determine the current practice and preferences of bariatric surgeons regarding the pregnancy care of fertile women before and after bariatric surgery.

Methods: A 26-question anonymous online survey was designed and sent to all bariatric surgeons of the Dutch Society of Metabolic and Bariatric Surgery.

Results: At least one bariatric surgeon from each bariatric center (n = 18) completed the survey. In case of a future child, wish sleeve gastrectomy became more popular than Roux-en-Y gastric bypass. All surgeons provided preoperative education regarding bariatric complications during pregnancy. Nine centers without neonatal intensive care would not refer pregnant women with acute complications. Half of the centers had a standard operating procedure. Seven per 18 bariatric centers had seen at least one postbariatric pregnant patient with severe maternal morbidity. One case of perinatal mortality was reported.

Conclusion: There is an inconsistent and often below guideline standard daily practice regarding pregnancy before and after bariatric surgery. There is limited experience with pregnant women with acute bariatric complications. Referral to tertiary centers is inadequate. Better information provision for both professionals and patients regarding possible complications is needed.

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妊娠和减肥手术:减肥外科医生的实践和偏好的显著差异:一项全国调查。

背景:肥胖并发症可能发生在怀孕期间，可能导致严重的母婴问题。本研究的目的是确定减肥外科医生在减肥手术前后对育龄妇女的妊娠护理的当前做法和偏好。方法:设计了一份包含26个问题的匿名在线调查，并将其发送给荷兰代谢与减肥外科学会的所有减肥外科医生。结果:每个减肥中心至少有一名减肥外科医生(n = 18)完成了调查。为了将来有孩子，wish sleeve胃切除术比Roux-en-Y胃旁路手术更受欢迎。所有外科医生都提供了有关妊娠期肥胖并发症的术前教育。9个没有新生儿重症监护的中心不会转诊有急性并发症的孕妇。一半的中心有标准的操作程序。每18个减肥中心中有7个中心至少有1名肥胖后妊娠患者出现严重的产妇发病率。报告1例围产期死亡。结论:关于减肥手术前后的妊娠，存在不一致且经常低于指导标准的日常实践。对孕妇急性肥胖并发症的治疗经验有限。转诊到三级中心是不够的。需要为专业人员和患者提供有关可能并发症的更好信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Bariatric Surgical Practice and Patient Care NURSING-

CiteScore

0.80

自引率

0.00%

发文量

期刊介绍： Bariatric Surgical Practice and Patient Care is the essential peer-reviewed journal delivering clinical best practices and quality updates for achieving optimal bariatric surgical outcomes. Bariatric Surgical Practice and Patient Care coverage includes: Quality outcomes measurement and reporting Process innovations and care delivery Short- and long-term surgical complications Pre-surgical diagnosis and consultation Pre-op, peri-op, and post-op standards of practice Patient access Patient safety issues Nutritional and dietary support Bariatric surgical emergencies Best practices and current standards for bariatric surgery Culture and ethics Body contouring and reconstructive surgery Bariatric teamwork and communication.