Bariatric Surgery in Women of Reproductive Age - Bookswagon
Bariatric Surgery in Women of Reproductive Age

Bariatric Surgery in Women of Reproductive Age


     0     
5
4
3
2
1



International Edition


About the Book

Obesity has reached epidemic proportions in the United States. Along with this increase, weight loss surgeries, known as bariatric procedures, have become increasingly common. This report assesses the incidence of these operations in women of reproductive age and reviews the evidence on the impact of such surgery on fertility, contraception, prepregnancy risk factors, and pregnancy outcomes, including those for neonates. For patients who are severely obese, most nonsurgical treatments-such as diet, exercise, and medications-are not very effective at producing significant weight loss and, more importantly, maintaining weight loss. A recent meta-analysis by Li found that medications, along with diet and other exercise interventions, produce only modest weight loss (5 kg lost at one year). Similarly, controlled studies of diets have shown mostly minimal weight loss. In contrast, observational reports have concluded that surgical treatments for severe obesity result in substantial weight loss that patients are able to maintain over the long term. A recent metaanalysis by Maggard et al reported that bariatric procedures generate, on average, 20-30 kg of weight loss and that the weight loss can be maintained for at least 10 years. A variety of surgical procedures have been used to induce weight loss for obese patients. These procedures result in weight loss via different mechanisms, and some employ a combination of mechanisms. In general, bariatric surgery employs three mechanisms to induce weight loss: (1) restricting the size of the stomach limits the quantity of food a patient can consume at a single meal, (2) malabsorptive procedures decrease the proportion of nutrients that are absorbed from a meal, and (3) a combination of hormonal changes are induced by creating a small gastric pouch (and outlet) along with a proximal bypass. Weight loss procedures are being performed more frequently to treat morbid obesity, with a six-fold increase over a recent 7-year time span; almost half of patients are women of reproductive age. The level of evidence on fertility, contraception, and pregnancy outcomes is limited primarily to case series and case reports. The evidence suggests that fertility improves after bariatric surgical procedures; however, data are too sparse to reach definite conclusions about the degree of improvement in fertility that is achieved. Evidence also suggests that nutritional deficiencies for mother and child are minimal, and maternal and neonatal outcomes are acceptable with laparoscopic adjustable band and gastric bypass as long as adequate maternal nutrition and vitamin supplementation are maintained. The American College of Obstetricians and Gynecologists (ACOG) nominated the topic of this report and provided the following initial list of questions: 1. What is the incidence of bariatric surgery in women of reproductive age? What are the trends in incidence of bariatric surgery in women of reproductive age? 2. What is the evidence that bariatric surgery affects (directly or indirectly) future fertility? 3. What is the evidence that bariatric surgery affects (directly/indirectly) choice of contraception? 4. In patients who have had bariatric surgery, what is the evidence for prenatal risk factors (e.g., of reduced nutrient absorption, unusual weight gain) that may result in poor pregnancy outcomes? 5. What is the evidence that certain management strategies for addressing nutrient absorption and weight gain reduce the risks of poor pregnancy outcomes? 6. For women who have had bariatric surgery, what is the evidence for morbidity and mortality risks for: a) mother and b) neonate? 7. What is the evidence that cesarean section for women who have had bariatric surgery affects the risks of morbidity and mortality for: a) mother and b) neonate?


Best Sellers



Product Details
  • ISBN-13: 9781489521705
  • Publisher: Createspace Independent Publishing Platform
  • Publisher Imprint: Createspace Independent Publishing Platform
  • Height: 280 mm
  • No of Pages: 82
  • Series Title: English
  • Sub Title: Special Concerns for Pregnancy: Evidence Report/Technology Assessment Number 169
  • Width: 216 mm
  • ISBN-10: 1489521704
  • Publisher Date: 20 May 2013
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Spine Width: 4 mm
  • Weight: 263 gr


Add Photo
Add Photo

Customer Reviews

REVIEWS      0     
Click Here To Be The First to Review this Product
Bariatric Surgery in Women of Reproductive Age
Createspace Independent Publishing Platform -
Bariatric Surgery in Women of Reproductive Age
Writing guidlines
We want to publish your review, so please:
  • keep your review on the product. Review's that defame author's character will be rejected.
  • Keep your review focused on the product.
  • Avoid writing about customer service. contact us instead if you have issue requiring immediate attention.
  • Refrain from mentioning competitors or the specific price you paid for the product.
  • Do not include any personally identifiable information, such as full names.

Bariatric Surgery in Women of Reproductive Age

Required fields are marked with *

Review Title*
Review
    Add Photo Add up to 6 photos
    Would you recommend this product to a friend?
    Tag this Book Read more
    Does your review contain spoilers?
    What type of reader best describes you?
    I agree to the terms & conditions
    You may receive emails regarding this submission. Any emails will include the ability to opt-out of future communications.

    CUSTOMER RATINGS AND REVIEWS AND QUESTIONS AND ANSWERS TERMS OF USE

    These Terms of Use govern your conduct associated with the Customer Ratings and Reviews and/or Questions and Answers service offered by Bookswagon (the "CRR Service").


    By submitting any content to Bookswagon, you guarantee that:
    • You are the sole author and owner of the intellectual property rights in the content;
    • All "moral rights" that you may have in such content have been voluntarily waived by you;
    • All content that you post is accurate;
    • You are at least 13 years old;
    • Use of the content you supply does not violate these Terms of Use and will not cause injury to any person or entity.
    You further agree that you may not submit any content:
    • That is known by you to be false, inaccurate or misleading;
    • That infringes any third party's copyright, patent, trademark, trade secret or other proprietary rights or rights of publicity or privacy;
    • That violates any law, statute, ordinance or regulation (including, but not limited to, those governing, consumer protection, unfair competition, anti-discrimination or false advertising);
    • That is, or may reasonably be considered to be, defamatory, libelous, hateful, racially or religiously biased or offensive, unlawfully threatening or unlawfully harassing to any individual, partnership or corporation;
    • For which you were compensated or granted any consideration by any unapproved third party;
    • That includes any information that references other websites, addresses, email addresses, contact information or phone numbers;
    • That contains any computer viruses, worms or other potentially damaging computer programs or files.
    You agree to indemnify and hold Bookswagon (and its officers, directors, agents, subsidiaries, joint ventures, employees and third-party service providers, including but not limited to Bazaarvoice, Inc.), harmless from all claims, demands, and damages (actual and consequential) of every kind and nature, known and unknown including reasonable attorneys' fees, arising out of a breach of your representations and warranties set forth above, or your violation of any law or the rights of a third party.


    For any content that you submit, you grant Bookswagon a perpetual, irrevocable, royalty-free, transferable right and license to use, copy, modify, delete in its entirety, adapt, publish, translate, create derivative works from and/or sell, transfer, and/or distribute such content and/or incorporate such content into any form, medium or technology throughout the world without compensation to you. Additionally,  Bookswagon may transfer or share any personal information that you submit with its third-party service providers, including but not limited to Bazaarvoice, Inc. in accordance with  Privacy Policy


    All content that you submit may be used at Bookswagon's sole discretion. Bookswagon reserves the right to change, condense, withhold publication, remove or delete any content on Bookswagon's website that Bookswagon deems, in its sole discretion, to violate the content guidelines or any other provision of these Terms of Use.  Bookswagon does not guarantee that you will have any recourse through Bookswagon to edit or delete any content you have submitted. Ratings and written comments are generally posted within two to four business days. However, Bookswagon reserves the right to remove or to refuse to post any submission to the extent authorized by law. You acknowledge that you, not Bookswagon, are responsible for the contents of your submission. None of the content that you submit shall be subject to any obligation of confidence on the part of Bookswagon, its agents, subsidiaries, affiliates, partners or third party service providers (including but not limited to Bazaarvoice, Inc.)and their respective directors, officers and employees.

    Accept

    New Arrivals



    Inspired by your browsing history


    Your review has been submitted!

    You've already reviewed this product!