Maternal and Neonatal Outcomes Post Bariatric Surgery: A Population-Based Study
<h3>Objectives </h3> <p>This study had two primary objectives. First, to evaluate the incidence, risk factors, and maternal and neonatal outcomes among pregnant women post-BS (the exposed group). Second, to evaluate these outcomes among pregnant women without a history of BS, these...
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2023
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| _version_ | 1864513521215078400 |
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| author | Nader I. Al-Dewik (17039794) |
| author2 | Adel Mahmah (17039795) Aseel Al-Dewik (17039797) Seba Abou Nahia (17039799) Hana Abukhadijah (17039803) Yahya Samara (17039806) Sara Hammuda (11619456) Muthanna Samara (11619435) Manar R. Al-Dweik (17039807) Asma Alahersh (17039808) Lina Moamed (17039809) Rajvir Singh (315457) Sawsan Al-Obaidly (11619447) Tawa Olukade (11619453) Mohamed A. Ismail (17039812) Alaa Alnaama (17039815) Binny Thomas (5801969) John Paul Ben Silang (17039818) Gheyath Nasrallah (11619444) Nasser Rizk (380137) M Walid Qoronfleh (17039843) Usama AlAlami (17039846) Thomas Farrell (3933833) Palli Valapila Abdulrof (17039849) Mai AlQubaisi (11619465) Hilal Al Rifai (17039850) |
| author2_role | author author author author author author author author author author author author author author author author author author author author author author author author author |
| author_facet | Nader I. Al-Dewik (17039794) Adel Mahmah (17039795) Aseel Al-Dewik (17039797) Seba Abou Nahia (17039799) Hana Abukhadijah (17039803) Yahya Samara (17039806) Sara Hammuda (11619456) Muthanna Samara (11619435) Manar R. Al-Dweik (17039807) Asma Alahersh (17039808) Lina Moamed (17039809) Rajvir Singh (315457) Sawsan Al-Obaidly (11619447) Tawa Olukade (11619453) Mohamed A. Ismail (17039812) Alaa Alnaama (17039815) Binny Thomas (5801969) John Paul Ben Silang (17039818) Gheyath Nasrallah (11619444) Nasser Rizk (380137) M Walid Qoronfleh (17039843) Usama AlAlami (17039846) Thomas Farrell (3933833) Palli Valapila Abdulrof (17039849) Mai AlQubaisi (11619465) Hilal Al Rifai (17039850) |
| author_role | author |
| dc.creator.none.fl_str_mv | Nader I. Al-Dewik (17039794) Adel Mahmah (17039795) Aseel Al-Dewik (17039797) Seba Abou Nahia (17039799) Hana Abukhadijah (17039803) Yahya Samara (17039806) Sara Hammuda (11619456) Muthanna Samara (11619435) Manar R. Al-Dweik (17039807) Asma Alahersh (17039808) Lina Moamed (17039809) Rajvir Singh (315457) Sawsan Al-Obaidly (11619447) Tawa Olukade (11619453) Mohamed A. Ismail (17039812) Alaa Alnaama (17039815) Binny Thomas (5801969) John Paul Ben Silang (17039818) Gheyath Nasrallah (11619444) Nasser Rizk (380137) M Walid Qoronfleh (17039843) Usama AlAlami (17039846) Thomas Farrell (3933833) Palli Valapila Abdulrof (17039849) Mai AlQubaisi (11619465) Hilal Al Rifai (17039850) |
| dc.date.none.fl_str_mv | 2023-10-12T07:37:49Z |
| dc.identifier.none.fl_str_mv | 10.57945/manara.24190767.v1 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/poster/Maternal_and_Neonatal_Outcomes_Post_Bariatric_Surgery_A_Population-Based_Study/24190767 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Reproductive medicine BMI Obesity Post-bariatric surgery Pregnancy outcomes Neonatal outcomes Gestational diabetes |
| dc.title.none.fl_str_mv | Maternal and Neonatal Outcomes Post Bariatric Surgery: A Population-Based Study |
| dc.type.none.fl_str_mv | Image Poster info:eu-repo/semantics/publishedVersion image |
| description | <h3>Objectives </h3> <p>This study had two primary objectives. First, to evaluate the incidence, risk factors, and maternal and neonatal outcomes among pregnant women post-BS (the exposed group). Second, to evaluate these outcomes among pregnant women without a history of BS, these include women who are obese, overweight, and with normal weight (non-exposed groups).</p> <h3>Design</h3> <p>This population-based study was conducted using 12-month retrospective registry data from the PEARL-Peristat Study at the Women's Wellness and Research Center (WWRC) in Qatar.</p> <p>Methods: We examined 6,212 parturient women and their offspring. Participants were classified into exposed (post-BS) (N=315) and non-exposed (N=5897). Statistical analysis was conducted using SPSS 28 software. We analyzed the risk factors and outcomes using univariate and multivariable regression. Results were reported as odds ratios (cOR) and adjusted aOR with 95% confidence intervals (CI), while incidences were reported as percentages. P value was regarded as significant at <0.05</p> <h3>Results</h3> <p>Qatari, advanced maternal age, Parity >1, diabetes, and hypertension were found to be significant risk factors for women with post-BS.</p> <p>In addition, women in the post-BS group were found to be significantly more likely to have a cesarean delivery (37.5% vs. 24%, aOR=1.59, CI 1.18-2.14), preterm babies (10% vs. 7%, aOR=1.66, CI 1.06-2.59), and stillbirth (1.6% vs. 0.4%, aOR=4.53, CI 1.33-15.50) compared to the normal weight women group. Moreover, post-BS women had a higher risk of low-birth-weight neonates than obese (15% vs. 8%, aOR= 1.77, CI 1.153-2.73), overweight (15% vs. 7%, aOR=1.63, CI:1.09-2.43), and normal weight (15% vs. 8%, aOR=1.838, CI 1.23-2.75) women. Finally, women in the post-BS group were more likely to have low-birth weight neonates (< 2500g) amongst term babies than obese (aOR= 2.19, CI 1.14-4.18) and overweight women (aOR= 1.84, CI 1.03-3.29).</p> <p>In contrast, post-BS had a lower risk of gestational diabetes than obese (19% vs. 40%, aOR=0.39, CI: 0.29-0.54) overweight (19% vs. 32%, aOR= 0.57, CI 0.42-0.79) women. Similarly, compared to the overweight group, post-BS had a lower incidence and risk of assisted birth (4% vs. 9%, aOR=0.46, CI 0.21-0.99). On the other hand, obesity significantly increased the risk of gestational diabetes, cesarean deliveries, and labor induction in comparison to the other groups.</p> <h3>Conclusion </h3> <p>Pregnancies with post-BS should be considered a high-risk group for some outcomes and should be monitored closely. These findings may guide the future clinical decisions of antenatal and postnatal follow-up for post-BS women.</p> <p><br></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_2601292d8971c915b6cb0016ece46be0 |
| identifier_str_mv | 10.57945/manara.24190767.v1 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/24190767 |
| publishDate | 2023 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Maternal and Neonatal Outcomes Post Bariatric Surgery: A Population-Based StudyNader I. Al-Dewik (17039794)Adel Mahmah (17039795)Aseel Al-Dewik (17039797)Seba Abou Nahia (17039799)Hana Abukhadijah (17039803)Yahya Samara (17039806)Sara Hammuda (11619456)Muthanna Samara (11619435)Manar R. Al-Dweik (17039807)Asma Alahersh (17039808)Lina Moamed (17039809)Rajvir Singh (315457)Sawsan Al-Obaidly (11619447)Tawa Olukade (11619453)Mohamed A. Ismail (17039812)Alaa Alnaama (17039815)Binny Thomas (5801969)John Paul Ben Silang (17039818)Gheyath Nasrallah (11619444)Nasser Rizk (380137)M Walid Qoronfleh (17039843)Usama AlAlami (17039846)Thomas Farrell (3933833)Palli Valapila Abdulrof (17039849)Mai AlQubaisi (11619465)Hilal Al Rifai (17039850)Biomedical and clinical sciencesReproductive medicineBMIObesityPost-bariatric surgeryPregnancy outcomesNeonatal outcomesGestational diabetes<h3>Objectives </h3> <p>This study had two primary objectives. First, to evaluate the incidence, risk factors, and maternal and neonatal outcomes among pregnant women post-BS (the exposed group). Second, to evaluate these outcomes among pregnant women without a history of BS, these include women who are obese, overweight, and with normal weight (non-exposed groups).</p> <h3>Design</h3> <p>This population-based study was conducted using 12-month retrospective registry data from the PEARL-Peristat Study at the Women's Wellness and Research Center (WWRC) in Qatar.</p> <p>Methods: We examined 6,212 parturient women and their offspring. Participants were classified into exposed (post-BS) (N=315) and non-exposed (N=5897). Statistical analysis was conducted using SPSS 28 software. We analyzed the risk factors and outcomes using univariate and multivariable regression. Results were reported as odds ratios (cOR) and adjusted aOR with 95% confidence intervals (CI), while incidences were reported as percentages. P value was regarded as significant at <0.05</p> <h3>Results</h3> <p>Qatari, advanced maternal age, Parity >1, diabetes, and hypertension were found to be significant risk factors for women with post-BS.</p> <p>In addition, women in the post-BS group were found to be significantly more likely to have a cesarean delivery (37.5% vs. 24%, aOR=1.59, CI 1.18-2.14), preterm babies (10% vs. 7%, aOR=1.66, CI 1.06-2.59), and stillbirth (1.6% vs. 0.4%, aOR=4.53, CI 1.33-15.50) compared to the normal weight women group. Moreover, post-BS women had a higher risk of low-birth-weight neonates than obese (15% vs. 8%, aOR= 1.77, CI 1.153-2.73), overweight (15% vs. 7%, aOR=1.63, CI:1.09-2.43), and normal weight (15% vs. 8%, aOR=1.838, CI 1.23-2.75) women. Finally, women in the post-BS group were more likely to have low-birth weight neonates (< 2500g) amongst term babies than obese (aOR= 2.19, CI 1.14-4.18) and overweight women (aOR= 1.84, CI 1.03-3.29).</p> <p>In contrast, post-BS had a lower risk of gestational diabetes than obese (19% vs. 40%, aOR=0.39, CI: 0.29-0.54) overweight (19% vs. 32%, aOR= 0.57, CI 0.42-0.79) women. Similarly, compared to the overweight group, post-BS had a lower incidence and risk of assisted birth (4% vs. 9%, aOR=0.46, CI 0.21-0.99). On the other hand, obesity significantly increased the risk of gestational diabetes, cesarean deliveries, and labor induction in comparison to the other groups.</p> <h3>Conclusion </h3> <p>Pregnancies with post-BS should be considered a high-risk group for some outcomes and should be monitored closely. These findings may guide the future clinical decisions of antenatal and postnatal follow-up for post-BS women.</p> <p><br></p>2023-10-12T07:37:49ZImagePosterinfo:eu-repo/semantics/publishedVersionimage10.57945/manara.24190767.v1https://figshare.com/articles/poster/Maternal_and_Neonatal_Outcomes_Post_Bariatric_Surgery_A_Population-Based_Study/24190767CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/241907672023-10-12T07:37:49Z |
| spellingShingle | Maternal and Neonatal Outcomes Post Bariatric Surgery: A Population-Based Study Nader I. Al-Dewik (17039794) Biomedical and clinical sciences Reproductive medicine BMI Obesity Post-bariatric surgery Pregnancy outcomes Neonatal outcomes Gestational diabetes |
| status_str | publishedVersion |
| title | Maternal and Neonatal Outcomes Post Bariatric Surgery: A Population-Based Study |
| title_full | Maternal and Neonatal Outcomes Post Bariatric Surgery: A Population-Based Study |
| title_fullStr | Maternal and Neonatal Outcomes Post Bariatric Surgery: A Population-Based Study |
| title_full_unstemmed | Maternal and Neonatal Outcomes Post Bariatric Surgery: A Population-Based Study |
| title_short | Maternal and Neonatal Outcomes Post Bariatric Surgery: A Population-Based Study |
| title_sort | Maternal and Neonatal Outcomes Post Bariatric Surgery: A Population-Based Study |
| topic | Biomedical and clinical sciences Reproductive medicine BMI Obesity Post-bariatric surgery Pregnancy outcomes Neonatal outcomes Gestational diabetes |