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P156 High risk pregnancy factors and maternal–neonatal outcome in Prof. Kandou Hospital, North Sulawesi, Indonesia
Author(s) -
Wantania J.,
Lengkong R.,
Sanggelorang M.
Publication year - 2009
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/s0020-7292(09)61647-7
Subject(s) - medicine , obstetrics , high risk pregnancy , outcome (game theory) , pregnancy , gynecology , genetics , mathematics , mathematical economics , biology
dramatically. Gastric bypass is both a gastric restrictive and a malabsorptive procedure. Decreased rates of the gestational complications are certainly among the major benefits of weight loss. Additionally, the literature regarding infant outcome suggests no increased risk after surgery. We argue, however, that proper recommendations should be followed, such as avoiding pregnancy during the first 18 months postoperation. We emphasize the need for early prenatal care, careful nutritional evaluation and vitamin and iron supplementation. Conclusion: This case illustrates that both maternal and fetal risks are reduced after weight loss surgery, although some concerns regarding the safety of these procedures require additional measures to optimize the outcomes.