Postnatal Health in Children Born to Women After Bariatric Surgery
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ORIGINAL CONTRIBUTIONS
Postnatal Health in Children Born to Women After Bariatric Surgery Gelsomina Del Sordo 1 & Angela Botta 2 & Silvia Salvi 2 & Sara Tabacco 3 & Amerigo Iaconelli 4 & Antonio Lanzone 1,2 & Maria Pia De Carolis 5 & Marco Raffaelli 6 & Sara De Carolis 1,2
# Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Introduction The aim of this study is to evaluate short- and long-term consequences in children born to women after different bariatric surgery (BS) procedures. Methods A questionnaire survey was given to the mothers referred from 1994 to 2019 to our center for pregnancy and delivery management after BS procedures: (a) malabsorptive surgery, (b) restrictive procedures, and (c) combined restrictivemalabsorptive procedures. Results Data from 74 children born after BS, aged 0 month to 12 years, were analyzed. The prevalence of children with underweight was 5.4%, normal weight 59.5%, overweight 16.2%, and obesity 18.9%. The prevalence of obesity was higher in children pre-school aged than that in school-aged ones. Neurodevelopmental disorders were more frequent if maternal BMI before bariatric surgery was ≥ 41 kg/m2 (p = 0.008), as well as if the pregnancy occurred less than 18 months after BS (p = 0.028). In school-aged children conceived within 18 months after BS, the highest risk of neurodevelopmental disorders (p = 0.028) and overweight (p = 0.018) was observed. The prevalence of neurodevelopmental disorders was much higher for small for gestational age babies (p = 0.048). Children born after biliopancreatic diversion (BPD) showed less maternal breastfeeding, shorter breastfeeding duration, more overweight, and more occurrence of atopic dermatitis in comparison with children born after other bariatric procedures. Conclusions Postnatal health in children born to women after BS was impaired by long-term consequences and by other diseases later in life. Children born after BPD were particularly at higher risk for short and long term consequences when compared to children born after other BS procedures. Keywords Bariatric surgery . Biliopancreatic diversion . Pregnancy outcome . Postnatal health . Children obesity
* Angela Botta [email protected] Gelsomina Del Sordo [email protected] Silvia Salvi [email protected] Sara Tabacco [email protected] Amerigo Iaconelli [email protected] Antonio Lanzone [email protected] Maria Pia De Carolis [email protected] Marco Raffaelli [email protected]
Sara De Carolis [email protected] 1
Istituto di Clinica Ostetrica e Ginecologica, Università Cattolica del Sacro Cuore, Rome, Italy
2
UOC di Patologia Ostetrica, Dipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
3
Department of Gynecological and Obstetric Sciences and Urological Sciences, Umberto I Hospital, Sapienza Università di Roma, Rome, Italy
4
Department of Internal Medicine, Cat
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