Mariana S Melendez-Araújo1,2,3, Kássia G E Lemos1, Sérgio L M Arruda2,3, Eliane S Dutra1, Kênia Mara Baiocchi de Carvalho4. 1. Graduate Program in Human Nutriton, Department of Nutrition, Faculty od Health Science, University of Brasília, Darcy Ribeiro University Campus, Asa Norte, Brasília, DF, 70910-900, Brazil. 2. Asa Norte Regional Hospital (HRAN), SMHN Qd 02, Asa Norte, Brasília, DF, 70710-100, Brazil. 3. Dr. Sérgio Arruda Clinic - Bariatric Surgery, SMHN Qd 02 Bloco C - Ed. Dr. Crispim, salas 1309-1313, Asa Norte, Brasília, DF, 70710-100, Brazil. 4. Graduate Program in Human Nutriton, Department of Nutrition, Faculty od Health Science, University of Brasília, Darcy Ribeiro University Campus, Asa Norte, Brasília, DF, 70910-900, Brazil. kenia@unb.br.
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.
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.
Entities:
Keywords:
Bariatric surgery; Health care; Pregnancy; Prepaid health plan; Public health practice; Weight status
Authors: Maria Manuel Costa; Sandra Belo; Pedro Souteiro; João S Neves; Daniela Magalhães; Rita B Silva; Sofia C Oliveira; Paula Freitas; Ana Varela; Joana Queirós; Davide Carvalho Journal: J Obstet Gynaecol Res Date: 2018-01-18 Impact factor: 1.730
Authors: Veronica Falcone; Tina Stopp; Michael Feichtinger; Herbert Kiss; Wolfgang Eppel; Peter Wolf Husslein; Gerhard Prager; Christian S Göbl Journal: BMC Pregnancy Childbirth Date: 2018-12-27 Impact factor: 3.007