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WHICH FIRST?

SHOULD WOMEN WHO ARE OBESE HAVE OBESITY SURGERY BEFORE HAVING A BABY?  ELIZABETH TRACEY REPORTS

The obesity epidemic permeates all age groups, including women of child bearing age, and complicates both pregnancy and delivery.  Now a Johns Hopkins study led by Anne Burke, an obstetrician gynecologist, has looked at outcomes related to obesity surgery followed by a pregnancy and the reverse.

BURKE:  We identified women who had both a bariatric surgery and a pregnancy, and then we grouped the women in terms of whether the pregnancy came before or after the bariatric surgery.  The key findings from the study were that we saw lower rates of gestational diabetes in the group who had their pregnancy after their surgery and similarly lower rates of C-section in that same group, compared to women who had the baby first and then the surgery.    :26

Burke says she’s seeing more and more obesity in pregnancy, so the issues of caring for these women are increasingly important.  At Johns Hopkins, I’m Elizabeth Tracey..


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