Maternal Nutritional Deficiencies and Small-for-Gestational-Age Neonates at Birth of Women Who Have Undergone Bariatric Surgery

The aim is to compare the prevalence of maternal deficiencies in micronutrients, the obstetrical and neonatal complications after bariatric surgery according to surgical techniques, the time between surgery and conception, and BMI at the onset of pregnancy. A retrospective cohort study concerned 57...

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Main Authors: J. Hazart, D. Le Guennec, M. Accoceberry, D. Lemery, A. Mulliez, N. Farigon, C. Lahaye, M. Miolanne-Debouit, Y. Boirie
Format: Article
Language:English
Published: Hindawi Limited 2017-01-01
Series:Journal of Pregnancy
Online Access:http://dx.doi.org/10.1155/2017/4168541
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spelling doaj-c0c84e69d5b94d1e8d4c09bc2c91135d2020-11-24T23:18:57ZengHindawi LimitedJournal of Pregnancy2090-27272090-27352017-01-01201710.1155/2017/41685414168541Maternal Nutritional Deficiencies and Small-for-Gestational-Age Neonates at Birth of Women Who Have Undergone Bariatric SurgeryJ. Hazart0D. Le Guennec1M. Accoceberry2D. Lemery3A. Mulliez4N. Farigon5C. Lahaye6M. Miolanne-Debouit7Y. Boirie8CHU Clermont-Ferrand, Service de Nutrition Clinique, CRNH Auvergne, Université Clermont Auvergne, 63000 Clermont-Ferrand, FranceCHU Clermont-Ferrand, Service de Nutrition Clinique, CRNH Auvergne, Université Clermont Auvergne, 63000 Clermont-Ferrand, FranceCHU Clermont-Ferrand, Service de Gynécologie-Obstétrique, Université Clermont Auvergne, 63000 Clermont-Ferrand, FranceCHU Clermont-Ferrand, Service de Gynécologie-Obstétrique, Université Clermont Auvergne, 63000 Clermont-Ferrand, FranceCHU Clermont-Ferrand, Délégation Recherche Clinique & Innovation, 63000 Clermont-Ferrand, FranceCHU Clermont-Ferrand, Service de Nutrition Clinique, CRNH Auvergne, Université Clermont Auvergne, 63000 Clermont-Ferrand, FranceCHU Clermont-Ferrand, Service de Nutrition Clinique, CRNH Auvergne, Université Clermont Auvergne, 63000 Clermont-Ferrand, FranceCHU Clermont-Ferrand, Service de Nutrition Clinique, CRNH Auvergne, Université Clermont Auvergne, 63000 Clermont-Ferrand, FranceCHU Clermont-Ferrand, Service de Nutrition Clinique, CRNH Auvergne, Université Clermont Auvergne, 63000 Clermont-Ferrand, FranceThe aim is to compare the prevalence of maternal deficiencies in micronutrients, the obstetrical and neonatal complications after bariatric surgery according to surgical techniques, the time between surgery and conception, and BMI at the onset of pregnancy. A retrospective cohort study concerned 57 singleton pregnancies between 2011 and 2016 of 48 adult women who have undergone bariatric surgery. Small-for-gestational-age neonates were identified in 36.0% of pregnancies. With supplements intake (periconceptional period: 56.8%, trimester 1 (T1): 77.8%, T2: 96.3%, and T3: 100.0%), nutritional deficiencies involved vitamins A (T1: 36.4%, T2: 21.1%, and T3: 40.0%), D (T1: 33.3%, T2: 26.3%, and T3: 8.3%), C (T1: 66.7%, T2: 41.2%, and T3: 83.3%), B1 (T1: 45.5%, T2: 15.4%, and T3: 20.0%), and B9 (T1: 14.3%, T2: 0%, and T3: 9.1%) and selenium (T1: 77.8%, T2: 22.2%, and T3: 50.0%). There was no significant difference in the prevalence of nutritional deficiencies and complications according to surgery procedures and in the prevalence of pregnancy issues according to BMI at the beginning of the pregnancy and time between surgery and pregnancy. Prevalence of micronutritional deficiencies and small-for-gestational-age neonates is high in pregnant women following bariatric surgery. Specific nutritional programmes should be recommended for these women.http://dx.doi.org/10.1155/2017/4168541
collection DOAJ
language English
format Article
sources DOAJ
author J. Hazart
D. Le Guennec
M. Accoceberry
D. Lemery
A. Mulliez
N. Farigon
C. Lahaye
M. Miolanne-Debouit
Y. Boirie
spellingShingle J. Hazart
D. Le Guennec
M. Accoceberry
D. Lemery
A. Mulliez
N. Farigon
C. Lahaye
M. Miolanne-Debouit
Y. Boirie
Maternal Nutritional Deficiencies and Small-for-Gestational-Age Neonates at Birth of Women Who Have Undergone Bariatric Surgery
Journal of Pregnancy
author_facet J. Hazart
D. Le Guennec
M. Accoceberry
D. Lemery
A. Mulliez
N. Farigon
C. Lahaye
M. Miolanne-Debouit
Y. Boirie
author_sort J. Hazart
title Maternal Nutritional Deficiencies and Small-for-Gestational-Age Neonates at Birth of Women Who Have Undergone Bariatric Surgery
title_short Maternal Nutritional Deficiencies and Small-for-Gestational-Age Neonates at Birth of Women Who Have Undergone Bariatric Surgery
title_full Maternal Nutritional Deficiencies and Small-for-Gestational-Age Neonates at Birth of Women Who Have Undergone Bariatric Surgery
title_fullStr Maternal Nutritional Deficiencies and Small-for-Gestational-Age Neonates at Birth of Women Who Have Undergone Bariatric Surgery
title_full_unstemmed Maternal Nutritional Deficiencies and Small-for-Gestational-Age Neonates at Birth of Women Who Have Undergone Bariatric Surgery
title_sort maternal nutritional deficiencies and small-for-gestational-age neonates at birth of women who have undergone bariatric surgery
publisher Hindawi Limited
series Journal of Pregnancy
issn 2090-2727
2090-2735
publishDate 2017-01-01
description The aim is to compare the prevalence of maternal deficiencies in micronutrients, the obstetrical and neonatal complications after bariatric surgery according to surgical techniques, the time between surgery and conception, and BMI at the onset of pregnancy. A retrospective cohort study concerned 57 singleton pregnancies between 2011 and 2016 of 48 adult women who have undergone bariatric surgery. Small-for-gestational-age neonates were identified in 36.0% of pregnancies. With supplements intake (periconceptional period: 56.8%, trimester 1 (T1): 77.8%, T2: 96.3%, and T3: 100.0%), nutritional deficiencies involved vitamins A (T1: 36.4%, T2: 21.1%, and T3: 40.0%), D (T1: 33.3%, T2: 26.3%, and T3: 8.3%), C (T1: 66.7%, T2: 41.2%, and T3: 83.3%), B1 (T1: 45.5%, T2: 15.4%, and T3: 20.0%), and B9 (T1: 14.3%, T2: 0%, and T3: 9.1%) and selenium (T1: 77.8%, T2: 22.2%, and T3: 50.0%). There was no significant difference in the prevalence of nutritional deficiencies and complications according to surgery procedures and in the prevalence of pregnancy issues according to BMI at the beginning of the pregnancy and time between surgery and pregnancy. Prevalence of micronutritional deficiencies and small-for-gestational-age neonates is high in pregnant women following bariatric surgery. Specific nutritional programmes should be recommended for these women.
url http://dx.doi.org/10.1155/2017/4168541
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